ADAPTATION OF ENDOSCOPIC FRONTOPLASTY FOR PATIENTS WITH ALOPECIA

Adaptation of endoscopic frontoplasty for patients with alopecia

Adaptation of endoscopic frontoplasty for patients with alopecia

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Introduction: Aging of the upper third of the face is characterized primarily by eyebrow ptosis, glabellar wrinkles, and deep transverse wrinkles.Endoscopic frontoplasty is metabo 15-gauge finish nailer cordless our treatment option of choice, but in cases of alopecia, visible scars are not always acceptable to patients.We developed a videoendoscopic approach with three incisions, two 3-cm temporal incisions, and one 1-cm midline (sagittal) incision.This study aims to describe subperiosteal frontoplasty through three incisions in patients with frontotemporal alopecia, evaluating its applicability and efficacy.

Method: Twelve patients with alopecia, 10 males and two females, who underwent frontoplasty through three incisions (two temporal incisions and one midline incision), aged between 50 and 66 years, over 5 years, were retrospectively evaluated.Results: There were three complications: one case of insufficient correction of the lateral portion of the eyebrow and two cases of recurrence of glabellar wrinkles.Conclusion: The endoscopic subperiosteal frontoplasty technique with only three incisions proved to be a good alternative in the treatment of here aging of the upper third of the face in patients with alopecia, being effective, providing good aesthetic results and low morbidity.

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