Guyuron Bahman, Rowe David J
Department of Plastic Surgery, University Hospitals of Cleveland and Case Western University, Cleveland, Ohio, USA.
Aesthet Surg J. 2008 Jan-Feb;28(1):46-50. doi: 10.1016/j.asj.2007.10.008.
Aesthetic analysis of the face is best accomplished by dividing the face into equal thirds. A long forehead may lend the appearance of a less attractive, disproportionate, and senescent face.
To provide data regarding options for surgical correction of the long forehead.
Patients complaining of excess forehead length were divided into 3 groups on the basis of forehead length in relation to other facial proportions. Patients with mild elongation underwent an endoscopic forehead lift, those with moderate elongation underwent an open forehead lift, and those with severe forehead elongation underwent open forehead shortening.
A total of 755 patients were evaluated, including 702 women and 53 men undergoing forehead surgery since 1998. Follow-up ranged from 12 months to 8 years. Four hundred thirty-eight patients underwent endoscopic forehead lift for mild forehead elongation, 297 patients underwent pretrichial forehead lift for moderate elongation, and 20 patients underwent major scalp advancement for severe forehead elongation. Successful forehead rejuvenation was achieved in all groups. Complications were minor and included alopecia and delayed wound healing.
An optimally proportioned forehead may be achieved by use of a variety of elective operations on the basis of severity of forehead excess and geared to reducing forehead length.
对面部进行美学分析的最佳方法是将面部划分为三等份。额头过长可能会使面部显得缺乏吸引力、比例失调且呈现衰老状态。
提供有关手术矫正过长额头的可选方案的数据。
根据额头长度与其他面部比例的关系，将抱怨额头过长的患者分为3组。额头轻度延长的患者接受内镜下额头提升术，中度延长的患者接受开放式额头提升术，额头严重延长的患者接受开放式额头缩短术。
自1998年以来，共评估了755例患者，其中包括702例接受额头手术的女性和53例男性。随访时间为12个月至8年。438例额头轻度延长的患者接受了内镜下额头提升术，297例中度延长的患者接受了发际前额头提升术，20例额头严重延长的患者接受了大面积头皮推进术。所有组均成功实现了额头年轻化。并发症轻微，包括脱发和伤口愈合延迟。
根据额头过长的严重程度，通过多种选择性手术可实现比例最佳的额头，旨在缩短额头长度。
