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Power point presentation on the aesthetic anatomy of forehead and eyebrow
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AESTHETIC ANATOMY OF THE FOREHEAD AND BROW
Dr.Nikhil Panse,
Assistant Professor
Department of Plastic Surgery,
B.J Medical College and Sassoon Hospital,
Pune.
The upper third of the face is most expressive and revealing….
The fascial and muscular planes in forehead
Pitanguys and Ramos line – Frontal branch of facial nerve
Superficial and Deep temporal fascia
The insertion lines of fascia planes on skull
ELLENBOGEN’S CRITERIA FOR IDEAL BROW POSITION
ELLENBOGEN’S CRITERIA CONT….
The surprised look – excessive elevation of medial edge of brow
The sad look – inferior location of lateral edge of brow
The Brow elevator - Frontalis
Frontalis – Brow elevation & formation of transverse rhytids
The Medial Brow depressor - Procerus
Procerus – Inferior & Medial displacement of medial eyebrowand transverse rhytids at nasal radix
The Medial Brow depressors – Corrugators & Orbicularis
The Corrugators - Vertical and Oblique rhytids
Lateral brow depressor – Orbicularis oculi
Lateral Orbicularis oculi – lateral canthus rhytids and lateral brow ptosis
Sensory nerves of the forehead and the brow
Reflected superficial temporal fascia
Relationship to the sentinel vein – endoscopic view
The blood supply of the forehead and the brow
Changes in eyebrow with age
Eyebrow changes with age
Pearls…
• The Frontalis is a primary brow elevator and should not be weakened during a procedure aimed at brow elevation.
• The Procerus and Corrugators are primary brow depressors and should be weakened to achieve medial brow elevation.
Pearls…
• Vertical glabellar rhytids are best corrected by surgical alteration of transverse head of Corrugator.
• Horizontal glabellar rhytids are best corrected by alteration of the Procerus.
• Oblique rhytids require a combined alteration of Depressor superciliaris and oblique head of Corrugator.
THANKS ……