J Korean Soc Aesthetic Plast Surg.  1998 Mar;4(1):99-108.

Spontaneous Resolution of Hypertrophic Frontal Muscle in Young Person

• Lee HY
• Choi HY

Abstract

Because deep forehead wrinkle is considered of concept against beauty, many considerations and trials to solve the problem has been done. Furthermore severely exaggerated forehead wrinkle that is accentuated with upward gaze, especially of younger persons is tremendous handicap socially and psychologically. In the persons with blepharoptosis, forehead wrinkle is created because of the compensatory action of frontalis muscle for the additional lift of inferiorly malpositioned upper eyelid. We experienced twenty three patients from February 1993 to April 1996. the average age of the patients was 22.5 years (range 15 to 34 years). There were 4 unilateral and 19 bilateral cases. Preoperative measurement of ptotic amount, levator function by Berke's method, and Margin limbal distance (MLD) were 2.1mm, 10.2mm, and 2.2mm respectively. And postoperative measurement of there were not ptotic, 14.2, and 6.2mm. We followed up 18 months in the mean. Most of the patients were corresponding to mild and borderline ptosis. We operated all the patients under the local anesthesia, which enable us to use the adjustable suture technique and overcome the pitfall of formular prediction. Simultaneously at the end of the procedure, double eyelid operations were done in the cases of oriental eye lid. As a results, correction of blepharoptosis, repositioning of abnormally elevated eyebrow, disappearance of forehead wrinkle, improvement of vision, and acquisition of adequate eyelid functionally and aesthetically were possible. On the other hand, we confronted 7 cases of mild complication. These were as follows ; transient lagophthalmost (4 cases), overcorrection(1 cases), unfercorrection(1 case), and asymmetry(1 case). Lagophthalmos was improved spontaneously after several months. We achieved satisfactory result using levator shortening without significant side effects and complications. This method is of great worth for the spontaneous resolution of the forehead wrinkle with undertectable blepharoptosis.

MeSH Terms

Anesthesia, Local
Beauty
Blepharoptosis
Eyebrows
Eyelids
Forehead
Hand
Humans
Suture Techniques