title: [Optimal forehead rejuvenation. Combining endoscopy-peel-botulinum toxin].
abstract: The combining of a traditional resurfacing technique (trichloracetic or phenol peel) with 2 recent technological advances (endoscopic forehead plasty, botulinum toxin) may enhance the forehead rejuvenation in a more natural way. The disappointing results of some of our earlier results on a serie of 70 consecutive foreheadplasties can probably be attributed to the weakness of the suspension through percutaneous sutures. This has been remedied since 1998 by the systematic use of transosseous suspensions. The growing success of botulinum toxin explains the noticeable decrease of endoscopic surgery. This type of procedure is now used to correct significant frontal ptosis requiring an uplifting of no more than 1,5 cm, thereby avoiding the unnatural results encountered in many publications. Some benefits can be obtained by the way of a transpalpebral approach without using the endoscope; nowadays, upper blepharoplasties are almost systematically done in the majority of our cases in order to obtain the most natural result. Light peels and botulinum toxin injections can maintain this result relatively easily.
authors.affiliation: bmole@wanadoo.fr <bmole@wanadoo.fr>
authors.forename: B
authors.initials: B
authors.lastname: Môle
mesh_terms: D000328:Adult; D000368:Aged; D001905:Botulinum Toxins / Q000627:therapeutic use*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D012060:Rejuvenation / Q000502:physiology*; D015361:Rhytidoplasty
chemical_list: D009465:Neuromuscular Agents; D001905:Botulinum Toxins