Frontal myectomy: An alternative to reduce frontal wrinkles

  • Fausto Viterbo Departamento de Cirugía Plástica, Universidad Estadual Paulista (UNESP)
  • Charles Nduka Consultor Queen Victoria Hospital
  • Ryane S. Brock Universidade Estadual Paulista, Centro de Estudios e Investigaciones de Defectos de la Cara
Keywords: frontal rhytidectomy, facial wrinkles, myectomy


Introduction and objective: Cutaneous, subcutaneous and bony changes are characteristic of the aging face over time. Loss of soft tissue elasticity, volumetric changes and facial muscle activity are largely responsible for facial wrinkles and their treatment is the most frequent request of patients seeking facial rejuvenation. The aim of this study is to describe an alternative surgical technique to treat frontal wrinkles with less morbidity and longer lasting results. Material and method: We collected a total of 31 patients between 37 and 75 years of age who underwent frontal myectomy between 2003 and 2007. The incision was divided over the upper eyelid, precapillary and transcapillary. Results: Postoperative recovery time was short, with oedema around 5–7 days; they returned to normal activities within 7 days. No patient had intraoperative or postoperative complications. Conclusions: The treatment of horizontal forehead wrinkles with frontal myectomy is a fast, minimally invasive procedure that offers a satisfactory result.


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