Reverse frontal lifting: alternative for the treatment of pachydermoperiostosis
Introduction: Patient diagnosed with pachydermoperiostosis, presenting a strong cutaneous manifestation, making it impossible to correct the defect by the usual facial lifting techniques. The reverse frontal facelift was the idealized technique for this case. It is an innovative technique, there bei...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2020-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2753/en_v35n2a15.pdf |
| _version_ | 1797410254492794880 |
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| author | Ronaldo Pontes Amanda Figueira Bussade Márcia De Queiroz Araújo Gomes Luis Alejandro Vargas Guerrero Gisela Hobson Pontes |
| author_facet | Ronaldo Pontes Amanda Figueira Bussade Márcia De Queiroz Araújo Gomes Luis Alejandro Vargas Guerrero Gisela Hobson Pontes |
| author_sort | Ronaldo Pontes |
| collection | DOAJ |
| description | Introduction: Patient diagnosed with pachydermoperiostosis, presenting a strong cutaneous manifestation, making it impossible to correct the defect by the usual facial lifting techniques. The reverse frontal facelift was the idealized technique for this case. It is an innovative technique, there being no previous publication in the literature.
Case report: Italian male patient, 56 years old, with cutaneous manifestation syndrome, especially in the frontal region of the face, with leathery inelastic skin, which generated aesthetic discomfort, predisposing for a syndromic stigma.
Methods: The technique developed for this case involves an incision, which starts at the root of the helix (point A), bypasses the eyebrow in a sinuous line distant half a centimeter from the implantation of the eyebrow hair, going to the glabella, curving towards the nasal root and going to meet identical dimensions on the other side. From point A, a curved line also leans towards the medial direction, at a distance of 2 cm. The intention is to reduce the distance between the area to be pulled and the incision area, in order to obtain more traction, thus enabling the correction of the aspect of the face in focus.
Results: Caudal traction of the flap by a supraciliary incision made it possible to correct the defect in the frontal region without altering the capillary implantation line or causing excessive eyebrow rise.
Conclusion: The reverse frontal lifting technique was created for a specific case of pachydermoperiostosis syndrome. When correctly indicated, this technique can be used to achieve good results. |
| first_indexed | 2024-03-09T04:27:15Z |
| format | Article |
| id | doaj.art-e1092df9ce004129a64bce90802a027a |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T04:27:15Z |
| publishDate | 2020-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-e1092df9ce004129a64bce90802a027a2023-12-03T13:39:20ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352020-06-01350223523910.5935/2177-1235.2020RBCP0038Reverse frontal lifting: alternative for the treatment of pachydermoperiostosisRonaldo Pontes0Amanda Figueira Bussade1Márcia De Queiroz Araújo Gomes2Luis Alejandro Vargas Guerrero3Gisela Hobson Pontes4Serviço de Cirurgia Plástica Professor Ronaldo Pontes, Cirurgia Plástica, Niterói, RJ, BrazilServiço de Cirurgia Plástica Professor Ronaldo Pontes, Cirurgia Plástica, Niterói, RJ, BrazilServiço de Cirurgia Plástica Professor Ronaldo Pontes, Cirurgia Plástica, Niterói, RJ, BrazilServiço de Cirurgia Plástica Professor Ronaldo Pontes, Cirurgia Plástica, Niterói, RJ, BrazilServiço de Cirurgia Plástica Professor Ronaldo Pontes, Cirurgia Plástica, Niterói, RJ, BrazilIntroduction: Patient diagnosed with pachydermoperiostosis, presenting a strong cutaneous manifestation, making it impossible to correct the defect by the usual facial lifting techniques. The reverse frontal facelift was the idealized technique for this case. It is an innovative technique, there being no previous publication in the literature. Case report: Italian male patient, 56 years old, with cutaneous manifestation syndrome, especially in the frontal region of the face, with leathery inelastic skin, which generated aesthetic discomfort, predisposing for a syndromic stigma. Methods: The technique developed for this case involves an incision, which starts at the root of the helix (point A), bypasses the eyebrow in a sinuous line distant half a centimeter from the implantation of the eyebrow hair, going to the glabella, curving towards the nasal root and going to meet identical dimensions on the other side. From point A, a curved line also leans towards the medial direction, at a distance of 2 cm. The intention is to reduce the distance between the area to be pulled and the incision area, in order to obtain more traction, thus enabling the correction of the aspect of the face in focus. Results: Caudal traction of the flap by a supraciliary incision made it possible to correct the defect in the frontal region without altering the capillary implantation line or causing excessive eyebrow rise. Conclusion: The reverse frontal lifting technique was created for a specific case of pachydermoperiostosis syndrome. When correctly indicated, this technique can be used to achieve good results.http://www.rbcp.org.br/export-pdf/2753/en_v35n2a15.pdffacerhytidoplastyosteoarthropathy, primary hypertrophicforeheadsurgery, plastic |
| spellingShingle | Ronaldo Pontes Amanda Figueira Bussade Márcia De Queiroz Araújo Gomes Luis Alejandro Vargas Guerrero Gisela Hobson Pontes Reverse frontal lifting: alternative for the treatment of pachydermoperiostosis Revista Brasileira de Cirurgia Plástica face rhytidoplasty osteoarthropathy, primary hypertrophic forehead surgery, plastic |
| title | Reverse frontal lifting: alternative for the treatment
of pachydermoperiostosis |
| title_full | Reverse frontal lifting: alternative for the treatment
of pachydermoperiostosis |
| title_fullStr | Reverse frontal lifting: alternative for the treatment
of pachydermoperiostosis |
| title_full_unstemmed | Reverse frontal lifting: alternative for the treatment
of pachydermoperiostosis |
| title_short | Reverse frontal lifting: alternative for the treatment
of pachydermoperiostosis |
| title_sort | reverse frontal lifting alternative for the treatment of pachydermoperiostosis |
| topic | face rhytidoplasty osteoarthropathy, primary hypertrophic forehead surgery, plastic |
| url | http://www.rbcp.org.br/export-pdf/2753/en_v35n2a15.pdf |
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