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논문검색

학회지 > 논문검색
논문 검색
Eun Jung Lee* Seong Ryeol Lim, Seong Gyun Jung, Chang Hyun Kim
"Jung Lee's Clinics of Plastic and Reconstructive Surery*. Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital, Seoul, Korea "
TRANSPALPEBRAL SUBPERIOSTEAL FOREHEAD LIFT
J Korean Soc Aesth Surg 1998 (Mar) 004(13) 109-117
Subperiosteal, Transpalpebral, Forehead lift
Ksaps004-01-13.pdf Ksaps004-01-13.pdf
By the human is getting older, the factors which can be the reason of the aging process in the frontal region are divided, static factor and dynamic factor.
 The static factor is gravity, and the dynamic factor is repeatitive competition of depressor muscles and elevator muscles. The depressor muscles are corrugator muscle, procerus muscle and orbicularis oculi muscle and the elevator muscle is frontalis muscle.
 Correction methods of this aging process are divided to non-surgical and surgical method. Non-surgical method are Atecoll and fat injection, and using botulinum toxin. But the effect of these method is temporary and limited, and if the skin laxity is great, this method cannot be used. Surgical methods are laser, chemical peeling, dermabrasion, classical forehead lift which is dissected superficial to galea aponeurosis or subperiosteal plane through coronal or hairline incision, and endoscopy method that the corrugator muscle and procerus muscle are transected by using endoscope, and then the posterior elevation of forehead flap is induced. The endoscopy method is the most popular method in recent years, which has the many advantages of minimal incision, less amount of bleeding and lower complication, but expensive equipment, adaptation and training period are needed. 
 We present the result of 10 patient from May. 1996 to Jan. 1997. After the superior orbital rim exposed through upper eyelid incision, the corrugator muscle was resected while careful attention to the supraorbital n. which was located behind the orbicularis oculi muscle. A communication was made through both sides of medial canthal area, and after the procerus muscle was resected, the fat graft was inserted between them. Finally, we made periosteal incision superiorly, and subperiosteal forehead lift was done without using endoscope.
이은정*. 임성렬, 정성균, 김창현
이 정 성형외과의원*, 서울적십자병원 성형외과학교실
상안검접근술을통한골막하전두부거상술
1998 (Mar) 004(13) 109-117