Abstract: Glinding Brow Lifting (GBL)

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INTRODUCTION: Looking for a new technique that provides minimal incisions, effective lifting of the eyebrow with durability, and still reshaping, we developed the technique called “Glinding Brow Lift” (GBL). The new technique combines two innovative concepts: subcutaneous frontal detachment with minimal incisions and temporary external cutaneous fixation. METHODS: 124 patients were operated, 114 women and 10 men, since November 2015. The mean age was 55.6 years old, +/- 7.9, ranging from 35 to 76. Cylindrical and blunt dissectors are used, initially the straight and then the semi-curved and “L” shape. In very curved forehead the curved dissector is used. These instruments were developed for this technique by Viterbo. Through two 3 mm intracapillary incisions the dissectors are introduced into the subcutaneous plane with back and forth movements, and then with lateralization movements, until the skin is completely released. The extent of detachment should include the entire frontal region, going up to 5 mm below the eyebrows, continuing through the temporal region and para-orbital region and allows mobilizing superiorly the skin, in sliding movement, taking with it the eyebrow and the temporal and para-orbital portion. The tissues are fixed in their new position using a skin a hook and the hemostatic net (HN) described by Auersvald. Running vertical sutures in columns with nylon 6-0 are applied in all detached area. Nylon 5-0 or up to 4-0 are used in thicker skins. The upper skin redundancy is accommodated with single sutures. Hemostasis is not performed because the hemostatic net is enough. Drains or dressings are not used. After 48 hours the HN sutures are removed. RESULTS: Six patients had bilateral or unilateral recurrence. Four patients were resubmitted to the same procedure. Small asymmetries occurred in six cases and did not require treatment because the patients were satisfied. No necrosis of the skin flap, alopecia or infection were observed. All the patients were satisfied. CONCLUSION: The technique called Glinding brow lift (GBL) allows effective and long lasting results, with very low rates of complications and a high index of patient satisfaction.