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June 1993

Small Incision Laser Lift for Forehead Creases and Glabellar Furrows

Arch Otolaryngol Head Neck Surg. 1993;119(6):636. doi:10.1001/archotol.1993.01880180050009

Dr Keller and his colleagues1 present their experience treating 60 female and two male subjects with forehead creases, glabellar lines, and brow ptosis using a subcutaneous technique and a KTP laser delivered through an endoscope to photocoagulate and incise the corrugator, the procerus, and parts of the frontalis muscles. They report that there was improvement in the central rhytids in all cases. The only complication was a transient central numbness in one patient. Despite these encouraging preliminary results, however, several questions should be answered before this becomes a more universally adopted technique.

See also p 632.  First, there is controversy about the best time to use a subcutaneous or a subgaleal dissection when performing a forehead lift. By using the subcutaneous technique, advocates claim that the results are better, muscles can be directly visualized and trimmed, pockets of subcutaneous fat can be removed, a facelift can be more easily

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