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People with ordinary faces want their faces more attractive, and thus various attempts have been made to reduce the size of the upper and lower face. We therefore have designed the shortening foreheadplasty, in which an excision was made on the part of the upper face skin using a trichophytic incision and the defect was widely avulsed and pulled forward down to be sutured. Participants included 115 patients who had visited our hospitals from January 2006 to June 2012. As a preoperative evaluation, we performed a gliding test to decide the size of the forehead skin laxity. As an operation method, a zigzag incision was designed and the skin was excised using a trichophytic incision, and the scalp flap was fixed using Endotine. Of a total of 115 patients, the shortening of forehead was in the range of 7mm to 20mm with the average 14.19mm. In order to help patients have small faces that meet the condition for the beauty, we performed a shortening foreheadplasty. In this surgery, the forehead skin was excised using a trichophytic incision and the scalp flap was dissected in the subgaleal plane, we could obtain favorable outcomes by minimizing the tension by sufficiently avulsing the scalp flap after the incision and fixing the flap with Endotine, and minimizing the formation of postoperative scar. (Archives of Aesthetic Plastic Surgery 19: 34, 2013)

Shortening Foreheadplasty; Minimization of the Tension of Scalp Flap