title: Three-Dimensional Forehead Reflation.
abstract: BACKGROUND
  The rising popularity of the three-dimensional reflation of the mid and lower face has prompted interest in upperfacial reflation.
  
  
  OBJECTIVE
  We have been asked to share our technique for subgaleal three-dimensional forehead reflation.
  
  
  METHODS
  We have described our anatomic approach, our modification of the hyaluronic acid (HA) filler to achieve reduced viscosity and our injection technique.
  
  
  RESULTS
  Immediately after the forehead reflation there is mild brow ptosis due to the lidocaine within the HA filler. This reverses in 30 to 60 minutes post injection. There is a need for further enhancement about 2-3 weeks later in approximately 30 percent of subjects. The results last between 10-12 months.
  
  
  CONCLUSIONS
  Three-dimensional subgaleal forehead reflation is an effective and safe procedure when performed with an HA filler and a knowledge of the periorbital vascular anatomy.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, British Columbia, Canada; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Jean
authors.initials: J
authors.lastname: Carruthers
authors.forename: Alastair
authors.initials: A
authors.lastname: Carruthers
mesh_terms: D000328:Adult; D003357:Cosmetic Techniques; D005260:Female; D005546:Forehead / Q000033:anatomy & histology*; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage*; D021621:Imaging, Three-Dimensional; D007267:Injections; D008297:Male; D015595:Skin Aging / Q000187:drug effects*
chemical_list: C000596435:Juvederm VOLUMA; D006820:Hyaluronic Acid