ABSTRACTS
Aesthetic Surgery Journal
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Official Publication of
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the American Society for Aesthetic Plastic Surgery
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May/June 1998
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volume 18 number 3
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Copyright © by the American Society for Aesthetic Plastic Surgery
Balloon-assisted Endoscopic Brow Lift: Preliminary Experience
Lawrence S. Bass, MD; Nolan
S. Karp, MD; and Sherrell J. Aston,
MD
Balloon dissectors are inexpensive, disposable
devices originally designed to provide rapid, atraumatic development of
the work space needed for endoscopic hernia repair. We sought to evaluate
the utility of these devices for endoscopic brow lift. Cadaver testing
(n = 5) was followed by clinical use with assessment of flap loss, dissection
time, completeness of dissection, and, more subjectively, amount of bleeding
and tissue trauma. Dissection time over the forehead was less than 3 minutes
in all cases; the remainder of the procedure was completed in times ranging
from 20 to 35 minutes. No partial or total flap loss was experienced (n
= 12). Bleeding after dissection was minimal. Dissection was possible in
either the subperiosteal (n = 7) or subgaleal plane (n = 5), creating a
smooth optical cavity. Dissection advanced to nearly the orbital rims,
leaving only nerve identification, muscle removal, and flap elevation/fixation
to complete the brow lift. Balloon dissection devices allow rapid mobilization
of tissue planes with a minimum of effort. The feasibility of using balloon
devices to speed and simplify endoscopic brow lift dissection has been
demonstrated. Their full utility must await the results of outcome studies
in a larger clinical series and must be balanced against their cost.
Author and Reprint Information
From the Center for Minimally Invasive Plastic Surgery,
Institute of Reconstructive Plastic Surgery, NYU Medical Center; Department
of Plastic Surgery, Manhattan Eye, Ear and Throat Hospital, New York, NY.
Presented at the Annual Meeting of the American Society
for Aesthetic Plastic Surgery, Orlando, FL, April 1996.
Accepted for publication Feb. 19, 1998.
Reprint info Reprint requests: Lawrence S. Bass,
MD, 3 E. 74th St., New York, NY 10021.
Copyright © 1998 by Mosby, Inc.
Manuscript number: 70/1/89774
Copyright Clearance Center number: 190-820x/98/$5.00 + 0
May/June
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