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KMID : 1037220130190010101
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Archives of Aesthetic Plastic Surgery
2013 Volume.19 No. 1 p.101 ~ p.105
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A Beveled Frontal Hairline Incision for Subcutaneous Forehead Lift
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Lee Sang-Yeul
Sung Kun-Yong
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Abstract
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Anterior frontal hairline incisions have been used for subcutaneous forehead lifts, reduction foreheadplasty, endoscopic forehead lifts in patients with long foreheads. However, the resulting visible hairline scar has been a major concern. To obtain a more aesthetic scar, different types of incisions have been used. Since 2005, we have been using 30~45° anteriorly beveled incisions 4~5 mm behind the anterior frontal hairline when performing subcutaneous forehead lifts. In the present study, 32 patients who underwent subcutaneous forehead lifts and could be followed up for more than 6 months were evaluated for the incisional scars. Using a questionnaire, all the patients were interviewed regarding their postoperative hairstyle changes and reaction to the scars from the subcutaneous forehead lifts. Their responses with respect to the scars were as follows: less than expected, 30 patients; equal as expected, 2 patients; worse than expected, no patients. The surgeon’s evaluation of scar visibility was as follows: barely visible (scar and alopecia were not seen or barely seen), 19 patients; minimally visible (a fine scar was seen), 12 patients; markedly visible (a wide scar or alopecia was seen), 1 patient. Except 1 patient, all other patients did not change their hairstyles permanently to camouflage their scars. Therefore, the 30~45° anteriorly beveled incision 4~5 mm behind the anterior frontal hairline was demonstrated to result in an aesthetically acceptable scar.
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KEYWORD
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Frontal, Hairline, Scar
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