Three-Dimensional Forehead Reflation

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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.

MATERIALS AND 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.

CONCLUSION

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.

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