Aesthetic Anatomy Of The Forhead And Brow
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The document discusses the anatomy of the forehead and brow region. It describes the fascial planes, muscles, nerves and blood supply involved. It discusses Ellenbogen's criteria for the ideal brow position and how different muscles affect brow shape and position. Specifically, it notes that the frontalis muscle is the primary brow elevator, while the procerus and corrugators are primary brow depressors. It provides tips on how to surgically address different types of rhytids or wrinkles in the glabellar region based on the underlying muscles.
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This document discusses techniques for de-projecting the nasal tip. It begins by describing the difference between nasal tip projection and rotation. It then discusses the mechanisms that provide stability to the nasal tip and what can happen when these supports fail. Anatomical features that cause over-projection are described as well as surgical techniques to achieve de-projection, including complete transfixion, reducing the anterior nasal spine or nasal septum, and modifying the lower lateral cartilages through techniques like lateral crural overlay. The document emphasizes that de-projection often requires a multi-step procedure tailored to the individual case.
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Aesthetic Anatomy Of The Forhead And Brow
- 1. AESTHETIC ANATOMY OF THE FOREHEAD AND BROW Dr.Nikhil Panse, Assistant Professor Department of Plastic Surgery, B.J Medical College and Sassoon Hospital, Pune.
- 2. The upper third of the face is most expressive and revealing….
- 3. The fascial and muscular planes in forehead
- 4. Pitanguys and Ramos line – Frontal branch of facial nerve
- 5. Superficial and Deep temporal fascia
- 6. The insertion lines of fascia planes on skull
- 7. ELLENBOGEN’S CRITERIA FOR IDEAL BROW POSITION
- 9. The surprised look – excessive elevation of medial edge of brow
- 10. The sad look – inferior location of lateral edge of brow
- 11. The Brow elevator - Frontalis
- 12. Frontalis – Brow elevation & formation of transverse rhytids
- 13. The Medial Brow depressor - Procerus
- 14. Procerus – Inferior & Medial displacement of medial eyebrow and transverse rhytids at nasal radix
- 15. The Medial Brow depressors – Corrugators & Orbicularis
- 16. The Corrugators - Vertical and Oblique rhytids
- 17. Lateral brow depressor – Orbicularis oculi
- 18. Lateral Orbicularis oculi – lateral canthus rhytids and lateral brow ptosis
- 19. Sensory nerves of the forehead and the brow
- 20. Reflected superficial temporal fascia Relationship to the sentinel vein – endoscopic view
- 21. The blood supply of the forehead and the brow
- 22. Changes in eyebrow with age
- 23. Eyebrow changes with age
- 26. THANKS ……