FRONTOTEMPORAL LIFTING METHOD Russian patent published in 2023 - IPC A61B17/00 A61F9/07 

FIELD: medicine; plastic surgery.

SUBSTANCE: preoperative markings are drawn, incisions are made in the scalp, subperiosteal “blind” and then endoscopic separation of the frontotemporal flap is performed with the isolation of the supraorbital and trochlear nerves and the release of the upper and lateral edges of the orbit from the ligaments, the intersection of the periosteum and the movement of the flaps to a new position with their fixation and subsequent suturing. During preoperative marking, a line is drawn from the wing of the nose through the outer corner of the eye to the temple. Then a vertical line is drawn from the break of the eyebrow. Next, in the scalp, according to the drawn lines, incisions are made, starting from the hairline: two temporal incisions 1.5–2.5 cm long and two incisions in the area of the frontal bone, 1.5–2.5 cm each, the area of separation is combined to form a common frontotemporal flap. Then two connecting canals are drilled into the frontal bone to the depth of the cortical plate at an angle of 30–45° at a distance of 0.5–0.8 cm from each other. Next, the first suture is placed on the frontotemporal flap as follows: the flap in the forehead area is stitched with a thread at a distance of at least 1 cm from the edge of the wound, capturing the periosteum and frontal muscle, the thread is passed into the bone canal and fixed with a clamp. The second suture of the frontotemporal flap is made with a thread from the temporal incision, then the ends of the thread are brought out into the incision in the area of the frontal bone, turning the tail of the eyebrow into a horizontal position, passed into the bone canal and fixed with a clamp. Next, from the temporal approach, a third suture is placed on the frontotemporal flap and the flap is pulled up in the superomedial direction. Knots are tied on the threads of the first and second sutures, fixing the flap to the bone canals, then the third suture is fixed, stitching the deep temporal fascia with a thread.

EFFECT: method makes it possible to achieve a more stable and long-lasting result of rejuvenating surgery in the form of elimination of ptosis of the bodies and “tails” of the eyebrows due to more reliable fixation of the soft tissue frontal flap to the bone canals.

3 cl, 8 dwg, 2 ex