[Endoscopic brow lift with resorbable anchors].
The fixation of the galea to the skull presents one of the main impairments of endoscopic forehead lifts, which are still to be improved. A precise positioning, variation of force vectors and the ability to correct asymmetries are among the demands on this aesthetic procedure. Since the introduction of resorbable skin anchors, we have used them pairwise in 27 consecutive cases of endoscopic forehead lifts. In a retrospective study we found that the advantage of this system is primarily found in a reduction of operating time, ease and reliability of use and the possibility to individually adjust the direction and strength of tension after inserting the anchors into the skull. The disadvantage - apart from the high cost of the device - lies in the unreliable resorption time which, in all cases controlled, exceeded the 8-month period, proclaimed by the manufacturer. This made it necessary to surgically remove the anchors in 7 out of 27 patients. Consequently every patient is now informed about the possibility of a second intervention as early as 4 to 6 weeks postoperatively to remove the device.
Bruck
J C
JC
Abteilung für Plastische Chirurgie, Martin-Luther-Krankenhaus, Berlin, Germany. bruck.pc@t-online.de
Middelberg
T
T
D020341:Absorbable Implants; D000328:Adult; D020878:Device Removal; D004724:Endoscopy; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012086:Reoperation; D053441:Suture Anchors