title: Brow or forehead fixation with sutures only: a preliminary communication.
abstract: Fixation of the brow, although not technically difficult, can be a time-consuming process. Screws, whether permanent or absorbable, are occasionally associated with minor undesirable problems. We present a technique of brow suspension that is quick, simple, and free of the problems associated with fixation to the calvarium. It involves the use of sutures only. A heavy PDS suture is passed (with the aid of an awl) from the dermis of the brow or forehead that needs to be fixed to the dermis of a small incisional wound located 5-8 cm away. This suture suspension technique has proven to be quick and easy to execute. It has provided satisfactory fixation of the forehead/brow without problems of suture reaction. The cost of calvarial screws has been eliminated. When brow or forehead fixation is necessary, suspension with sutures to the dermis of a more superior location is an excellent method to accomplish the task quickly and easily. Long-term follow-up of a large series of patients will be necessary to validate the initial impression of this new technique.
authors.affiliation: Stanford University, California, USA. rgrubermd@hotmail.com
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Gruber
authors.forename: Farzad
authors.initials: F
authors.lastname: Nahai
mesh_terms: D005138:Eyebrows / Q000473:pathology; D005546:Forehead / Q000601:surgery*; D006801:Humans; D015361:Rhytidoplasty / Q000295:instrumentation / Q000379:methods; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome