Aesthetic incision in the subcutaneous forehead lift.

The forehead plays a relevant role, perhaps the most important role, in what we shall call the topographical area of the orbital rims, since it flaccidity causes the eyebrows to droop, thus dragging down the upper eyelid and producing skin redundancy. Most published works on the subject of the forehead lift describe the classic coronal incision, with subgalea dissection involving an individualized design for each patient, according to the density of the hair. However, when the forehead has hair growing high on the head, the coronal incision becomes an anterior incision, following the first hairline. However, this has the same problems as the coronal incision, namely, anesthetizing the posterior part of the scar and, in some cases, depression of the scar on the edge of the flap caused by the retraction of the galea and the inadequate elimination of forehead furrows. Over the past two years, the author has used a nonlinear anterior incision with subcutaneous dissection in many select cases.