What is the method of forehead and face wrinkle removal?

Young people often worry about the wrinkles on their faces. Wrinkles are a very difficult skin problem to solve. Currently, there is a quick solution, which is facial wrinkle removal surgery. Everyone should be reminded that necessary examinations are required before this surgery. It is best to do a blood test, and it may even be necessary to do an electrocardiogram, etc. It is necessary to fully understand whether a person's internal organs have any diseases. Such surgery can only be performed when the body is in good health. The following is a detailed introduction to the methods of facial wrinkle removal surgery.

Methods of forehead and face wrinkle removal:

The methods of facial wrinkle removal surgery are generally divided into traditional classic surgery and recently developed improved methods or new technologies. The former include forehead and temporal wrinkle removal, lower back and neck wrinkle removal and full neck wrinkle removal; the latter include endoscopic wrinkle removal, small incision wrinkle removal, laser wrinkle removal, collagen and expanded polytetrafluoroethylene filling wrinkle removal, etc. Each method has its advantages and disadvantages, its applicable objects (indications) and limitations. Main points of the operation: A coronal incision must be made 7 cm behind the hairline and between the ears; three small frontal muscles are removed from the forehead, the corrugator muscles between the eyebrows, the depressor supercilii muscles at the nasal dorsum are removed, and the orbicularis oculi muscles are suspended at the outer canthus. Finally, the skin and fascia are tightened upward and backward, suspended, part of the skin is removed, and the wound is sutured. The operation takes about 2-3 hours.

1. Forehead wrinkle removal: Suitable for people with many deep forehead wrinkles, drooping eyebrows and upper eyelids. Forehead wrinkles are called dynamic wrinkles, which are caused by the contraction of the frontalis muscle (forming forehead wrinkles), corrugator supercilii muscle (vertical wrinkles between the eyebrows), and procerus supercilii muscle (transverse wrinkles at the root of the nose) to achieve facial expressions. The surgical incision is made at the hairline or in the hair. The surgery separates the forehead skin and muscles, removes or cuts the muscles, and then lifts the separated skin and eyebrows upward and backward. After removing excess skin, the incisions are carefully sutured. The disadvantage is that the scalp on the top of the head will be numb for about three months after the operation, and there is a possibility of baldness at the incision site.

2. Temporal wrinkle removal: Internal wrinkle removal is to eliminate or reduce crow's feet. Crow's feet are dynamic wrinkles caused by long-term contraction of the orbicularis oculi muscle (the muscle responsible for closing the eyes). They are located on the outer side of the outer canthus and radiate around the outer canthus. The surgical incision can be made either at the hairline or within the hair. During the operation, the skin is separated, the orbicularis oculi muscle is processed, the skin is lifted up and back, the excess part is removed, and the incision is carefully sutured. Its disadvantages are that the crow's feet are not corrected obviously and the sideburns are easily displaced.

3. Face and neck or enlarged lower 1/2 wrinkle removal: suitable for people with aging wrinkles and sagging in the lower face. It can eliminate or reduce crow's feet, wrinkles, folds and sagging on the cheeks and neck, and deeper nasolabial grooves. The surgical incision is made along the more hidden groove in front of and behind the ear. The surgery separates the skin into the muscular aponeurosis layer. After separation, the muscular aponeurosis layer is first lifted and fixed upwards with great force, and then the skin is pushed backwards and fixed. This is the so-called "two-way pushing and tightening". After the operation, a good "rejuvenation" effect can be obtained. The disadvantage is that the nasal and lip folds are not adequately corrected, and for a period of time, the facial expression appears unnatural.

4. Endoscopic wrinkle removal: Currently it is only limited to forehead wrinkle removal. During the operation, an endoscope is inserted through a small incision in the scalp, and under direct endoscopic vision, special tools are used to accurately separate the deep surface and cut or remove the muscles. Then the skin is pushed upward and backward on the scalp, and the excess part of the forehead is lifted and folded on the top and back of the head. The biggest advantage of endoscopic wrinkle removal is small incision, less bleeding and mild damage, but because of the help of direct vision of the endoscope, it does not lose the accuracy and precision of the surgical operation. It's just that the excess part cannot be removed and is folded on the top of the head and the back of the head. It is expected to flatten out within a period of time after the operation. During this period, it will not be noticed because it is covered by hair. In addition, since the excess part cannot be removed, it is not suitable for people with high foreheads (greater than 7 cm).

5. Small incision wrinkle removal: It is a "Western" version of endoscopic wrinkle removal technology. Except for the lack of direct assistance from an endoscope, the remaining advantages and disadvantages are the same as the above-mentioned endoscopic wrinkle removal. It is only suitable for those with mild forehead wrinkles, sagging skin or those who simply want to lift their eyebrows.

6. Collagen or expanded polytetrafluoroethylene filling wrinkle removal: The collagen used in collagen injection filling wrinkle removal is extracted from calf skin and can be used on the human body after processing. Plastic and cosmetic surgery injects it into the dermis to eliminate deeper wrinkles and folds, such as nasolabial folds, crow's feet, and vertical lines between the eyebrows. This method is easy to operate and does not cause much pain to the patient. The effect can be seen immediately after the injection, with wrinkles either being reduced or disappearing. However, it is only suitable for younger people with simple, localized, deep wrinkles and folds, and cannot correct sagging, aging, etc. Additionally, collagen has the potential to be absorbed and cause allergic reactions. The application of expanded polytetrafluoroethylene (ePTFE) as a tissue substitute for filling and suspension is booming. Whether in terms of physical and chemical properties or tissue compatibility, ePTFE is superior to medical silicone. Filling nasolabial folds, forehead wrinkles, crow's feet, etc. is one of the uses of ePTFE. The effect is good and long-lasting, without the worry of absorption or allergic reaction.

7. Laser wrinkle removal: The principle is to use laser irradiation to vaporize excess water in the tissue, eliminate the aging stratum corneum of the epidermis, repair and regenerate the collagen fibers in the dermis, thereby making the skin balanced and tender, restoring the elasticity of the skin tissue, and eliminating wrinkles. Laser wrinkle removal can treat "blind spots" that other traditional surgical methods cannot reach, such as the fine wrinkles around the lips, on the skin of the lower eyelids, and the fine wrinkles on the forehead and temporal regions. The disadvantage is that some people will have pigmentation after surgery.