Adaptation of Endoscopic Frontoplasty for Patients with Alopecia

    Lincoln Graça Neto, Ana Clara Minguetti Graça, Susana Puga Ribeiro, Gabriela Pacheco Lago
    Studysummary This study reported that a frontoplasty endoscopic subperiosteal technique using three small incisions was effective and aesthetically beneficial in treating upper facial aging among patients with frontotemporal alopecia, though it did result in some minor complications such as eyebrow correction issues and recurring glabellar wrinkles. Our plain-language summary of this paper — not a Tressless recommendation.
    The study describes a modified endoscopic forehead lift technique using three incisions for patients with frontotemporal alopecia, aiming to minimize visible scarring. Conducted on 12 patients (10 males, 2 females) aged 50-66 over 5 years, the technique involved two 3 cm temporal incisions and one 1 cm median incision. The results indicated that this approach is effective, providing good aesthetic outcomes with low morbidity. Complications were minimal, with one case of insufficient lateral eyebrow correction and two cases of glabellar wrinkle recurrence. Overall, the technique is a viable option for treating upper facial aging in alopecia patients.
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