Prognosis of frontal region video surgery with a modified fixation technique

ABSTRACT

Introduction:

Video endoscopy has become a procedure of choice for the treatment of eyebrow ptosis and forehead wrinkles. This minimally invasive technique has several advantages over traditional coronal incision. Several fixation methods are reported in the literature, with similar results. In this study, we describe direct needle fixation.

Objective:

To evaluate the prognosis of video endoscopic surgery using a direct needle technique.

Method:

Computerized photographic evaluations of 37 patients undergoing video endoscopy of the frontal region with needle direct fixation were conducted in two private hospitals in the city of Porto Alegre in Rio Grande do Sul, Brazil. Results: The mean eyebrow elevations were 5.7 and 4.4 mm in the lateral and middle third measurements. After a small dip in elevation in the first month after surgery, the repositioning of the eyebrow remained unchanged in subsequent measurements up to 24 months later.

Conclusion:

Direct needle fixation produced lasting, reliable, and reproducible results during the period in which measurements were made.

Keywords:
Video Endoscopy; Eyebrow; Fixation; Periosteum; Case Series; Prognosis