The endoscopic forehead-lift.
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Biomedical subjects
Publications and source records attributed to Devinder S Mangat.
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By offering safe, long-term correction of volume depletion and contour defects, facial implants maintain a unique position in the armamentarium of the cosmetic surgeon. Careful patient assessment and selection of the appropriate implant type, size, and shape maximize results. Proper postoperative follow-up helps to treat any complications before they become a serious problem. Most patients have volume loss as part of their facial aging. Facial implants play an important role in panfacial rejuvenation.
Endoscopic brow-lift is the method of upper face rejuvenation preferred by facial plastic surgeons and patients alike. The technique has undergone significant scrutiny regarding methods of fixation. Many techniques have been described, including external bolster dressings, tissue adhesives, Kirschner-wire fixation, cortical tunnels and troughs, and permanent or temporary screw and plate fixation. Many of these techniques are associated with postoperative alopecia, poor reliability, possible intracranial complications, and palpable hardware. Thus, the search for a safe, effective, reliable, and straightforward procedure continues. We describe our experience with an easy-to-insert bioabsorbable device that is fixed to the calvaria and provides multipoint fixation to the soft tissue.