| Abstrakt: |
Introduction: Resorbable plates and screws have previously been used safely in patients for trauma and reconstruction. Screws made of the copolymer of poly-L-lactic acid (PLLA) and polyglycolic acid (PGA) have excellent strength and are completely resorbed. These characteristics make them ideal for endoscopic browlift patients.Materials and Methods: Endoscopic browlift incisions are made 1 or 2 cm behind the hairline and include a midline incision, paramedian incisions above the point of maximum desired lift, and curvilinear incisions in the temporal regions. The endoscope and dissectors are used through the incisions to complete the standard dissection. One resorbable screw is placed at the posterior portion of each paramedian incision. A suspension suture that has been passed through scalp tissue 1 or 2 cm anterior to the front of the incision is tied around the screw to obtain lift. Over a period of 1 year, 54 resorbable screws were placed in 27 patients using this technique; 22 of the patients were women and 5 were men.Results: Of these 27 patients, 10 have been followed up postoperatively for at least 1 year. There have been no complications reported to date: no infections, foreign body reactions, unsightly scars, hematomas, alopecia, or neurologic defects. All patients have been extremely satisfied with the results of this surgery.Conclusions: Preliminary results show that resorbable screws are safe for use during endoscopic browlift. Advantages over metal screw placement include longer retention of the scalp in its new lifted position, elimination of a second procedure to remove surgical hardware, and decreased incidence of depressed or hypertrophic scars. Placement method is technically easy for the surgeon to learn. |
