Multiplane Forehead Shortening

Sparing the Frontalis Muscle and Supraorbital Nerve

Yong Su Ahn, Yun Yong Park, Jung Woo Chang

Research output: Contribution to journalArticleResearchpeer-review

Abstract

BACKGROUND: An appropriate forehead-to-face ratio is an important factor contributing to a balanced and attractive face. Conventional methods have been used to correct long forehead, but these methods have drawbacks. The primary objective of this study was to introduce a modified technique with better results. METHODS: Between March of 2015 and March of 2017, 525 patients with long forehead underwent multiplane forehead shortening with sparing of the frontalis muscle and supraorbital nerve. The operation began with a design indicating the area of skin excision. The sensory nerves were preserved during the skin excision, and the frontalis muscle was not cut. Subgaleal dissection was performed through a small window on the galea. The postoperative assessments included the change in forehead length, sensory changes on the scalp, the presence of a scar, alopecia, and synchronous movement of the flap. RESULTS: A mean forehead shortening of 2.0 cm (range, 1.1 to 2.8 cm) was observed. Sensory deficits were observed only in the anteromedian scalp, which the supratrochlear nerve innervates. However, sensation recovered to the normal level within 6 months. Scars were barely visible or not visible at all in 85.5 percent of the patients. Postoperative alopecia occurred in only two cases. The synchronous movement of the forehead and scalp was natural in all cases. CONCLUSION: This modified technique of multiplane forehead shortening with sparing the frontalis muscle and supraorbital nerve provided both cosmetic and functional benefits. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Original languageEnglish
Pages (from-to)405-413
Number of pages9
JournalPlastic and reconstructive surgery
Volume143
Issue number2
DOIs
StatePublished - 2019 Feb 1

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Forehead
Muscles
Scalp
Alopecia
Cicatrix
Skin
Cosmetics
Dissection

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title = "Multiplane Forehead Shortening: Sparing the Frontalis Muscle and Supraorbital Nerve",
abstract = "BACKGROUND: An appropriate forehead-to-face ratio is an important factor contributing to a balanced and attractive face. Conventional methods have been used to correct long forehead, but these methods have drawbacks. The primary objective of this study was to introduce a modified technique with better results. METHODS: Between March of 2015 and March of 2017, 525 patients with long forehead underwent multiplane forehead shortening with sparing of the frontalis muscle and supraorbital nerve. The operation began with a design indicating the area of skin excision. The sensory nerves were preserved during the skin excision, and the frontalis muscle was not cut. Subgaleal dissection was performed through a small window on the galea. The postoperative assessments included the change in forehead length, sensory changes on the scalp, the presence of a scar, alopecia, and synchronous movement of the flap. RESULTS: A mean forehead shortening of 2.0 cm (range, 1.1 to 2.8 cm) was observed. Sensory deficits were observed only in the anteromedian scalp, which the supratrochlear nerve innervates. However, sensation recovered to the normal level within 6 months. Scars were barely visible or not visible at all in 85.5 percent of the patients. Postoperative alopecia occurred in only two cases. The synchronous movement of the forehead and scalp was natural in all cases. CONCLUSION: This modified technique of multiplane forehead shortening with sparing the frontalis muscle and supraorbital nerve provided both cosmetic and functional benefits. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.",
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Multiplane Forehead Shortening : Sparing the Frontalis Muscle and Supraorbital Nerve. / Ahn, Yong Su; Park, Yun Yong; Chang, Jung Woo.

In: Plastic and reconstructive surgery, Vol. 143, No. 2, 01.02.2019, p. 405-413.

Research output: Contribution to journalArticleResearchpeer-review

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T2 - Sparing the Frontalis Muscle and Supraorbital Nerve

AU - Ahn, Yong Su

AU - Park, Yun Yong

AU - Chang, Jung Woo

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