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Endoscopic Forehead Lift
Endoscopic forehead lift is an surgical technique in which the forehead, temples and eyebrows are removed from limited surgical incisions with the help of a special imaging system and special surgical instruments. In endoscopic forehead lift surgery, 4-5 pieces, 2-3 cm long vertical incisions are usually made in the scalp in a size that will allow the entry of endoscopic instruments. The forehead and the temple area are freed from the bone surface to which it is connected down to the eyebrows. The connective tissue layers that hold the eyebrows in place are carefully decomposed. Then, the forehead/temple/eyebrow unit is raised as a whole and detected into the micro-tunnels that open inside the bone.
The ideal patient group for endoscopic forehead lift surgery is individuals in the early stages of forehead aging, with an initial level of low eyebrows and a forehead height of less than 6 cm. One of the most important areas of use of endoscopic forehead lift surgery is the prevention of eyebrow lows that will occur after upper eyelid surgery.
A significant proportion of middle-aged patients with excess skin on the upper eyelid also have low forehead/temples and eyebrows.
The most important advantage of the endoscopic forehead lift technique is the absence of long scars that cross the scalp along the length of the classical approaches. The recovery period is shorter, the scars are less noticeable. On the other hand, since endoscopic forehead lift surgery treats the forehead/temple and eyebrow unit as a whole, the eyebrows are raised holistically with the temple area and forehead, and a natural eyebrow contour is obtained. During this technique, the muscles that frown can be weakened and the vertical wrinkles between the eyebrows can be reduced.
The disadvantage of endoscopic technique is that the effect of the method and the permanence of the effect are more limited than classical techniques. The endoscopic technique does not work well in the patient group where the distance between the eyebrows and the hairline is higher than 6cm and the forehead is decurved. Forcing the indications leads to lower than expected results in a group of patients. In patients where insufficient results are obtained, it may be necessary to repeat the endoscopic technique with a different detection method or repeat the operation with Coronal/Hairline techniques.
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