Frontotemporal rhytidectomy with modified limited insicion

Objective To improve the effect of frontotemporal rhytidectomy and prolong the effective lasting time, to explore the reason of ageing changes in frontotemporal area for choosing appropriate operation. Methods With temporal hair-line incison under tumersent anesthesia dissection was carried out superficial to deep layer of temporal fascia,anteromedial bordline was anterior temporal muscular margin and external orbital margin, inferior bordline was superior zygomatic arch margin, posterior bordline was anterior line of antilobium. Frontal incision dissection was made in subgalia layer, inferior limit was superior orbital margin laterally to temporal line and posteriorly to external occipital protuberance. Superior buccal gingival sulcus incision dissection was made inferior to zygomatic bone and zygomatic arch periosteum. Dissection regions mentioned above were joined together, then temporal skin flap was lifted with suturing and fixation of superficial temporal fascia and deep temporal fascia. Results This group has 32 cases, external eyebrow was averagely raised 8mm with dimple nasolabial sulcus. 7 cases were followed-up for 3 to 24 months, the results were satisfactory. Conclusion The operation was done with extensive dissection and frontotemporal flap lifting, the effect of depressor muscle was decreased on upper face enhancing the effect of levator. In the same time, fascia and skin were lifted, the effect is sure, safe and lasting.