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Frontoplasty

Not the most common, yet very effective intervention. Often the frontoplasty is performed to patients with expressed relief of the frontal bone.

The fact is that the anterior wall of the frontal sinus has a convex shape and appears as an outside thickening – brow arches.

Aesthetically, it is perceived as a rude and unfriendly look.

Also, the indication for the surgery is the desire to change the shape of the forehead, reduce or increase its height.

Frontoplasty could be post-traumatic when it is required to restore the shape of the forehead after the car accident or injury. The shape of the forehead is restored by the individually made implant.

The correction of the shape of the forehead surgery includes several possible options:

  • Transfer of the hairline

The easiest soft-tissue correction – excision of a strip of skin along the hairline to reduce the height of the forehead or eliminate bald patches.

As an option: excision of the hair part to move the hairline further. In this case there is an opportunity to work with soft tissues and raise eyebrows, respectively, increase the height of the forehead.

  • Work with bone structures:

- Augmentation is usually connected with implantation

- Reduction or surfacing or osteotomy

The surfacing is enough for a small correction of the forehead or a slight change of the relief.

When the significant change of the volume of the protruding bone tissue and considerable change of the relief of the frontal bone is required, then the osteotomy is used.

The access can be as with soft tissue corrections from the hairline or the coronary access can be used.

  • Restoration of the shape of the forehead after an injury

As a rule, the dented fracture of the frontal bone, the frontal sinus.

Solution:

  1. If the fracture is new, then the solution will be in the reposition of the bone fragments;

  2. If the fracture is old and there are scarring changes, then the individual implant is made which fills the depression, compensates the defect and recreates the previous relief of the forehead.

The preoperative preparation of a patient begins with the projectional radiographic testing (RT) scan in straight and lateral projections. Radiographs allow evaluating the form and true sizes of the sinus, the location and severity of the bone partitions.

The frontoplasty is preferable as it has clear anatomical landmarks and while moving in a given layer during the surgery, blood supply and innervation are slightly disordered which facilitates the process of rehabilitation. The access in the scalp hair camouflages the incision and further scar. The separation in deep layer «covers» swelling and hematomas.

The rehabilitation after the frontoplasty is easy. Swelling and possible bruising can last for 10-12 days. The disorder of sensitivity of the skin of the forehead may last longer, but apparently it is not expressed. The restriction on physical activities, baths, steam rooms, saunas and solariums is for 3-4 weeks. It is also better to avoid contact sports.

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