The object of this study is to introduce a novel method of foreheadplasty. The new foreheadplasty can
lower the anterior hairline and results in reduction of the vertical forehead length and mid-face lift can be
performed at the same time. A 54 year-old female who had a long forehead visited the clinic for rejuvenation
of the mid-face. The authors performed dual-vector foreheadplasty and were able to lower the anterior
hairline by the advancement of the posterior scalp flap. Mid-face lift was performed by elevation of the malar
fat pads. The surgical results were analyzed by measuring the length of the forehead before and 2 years after
the surgery. Medical photographs were taken at the same period. The preoperative length of the forehead
was 75.5 mm and decreased to 63.0 mm after the surgery. The shortened forehead was well maintained even
2 years after the operation (63.3 mm). The patient suffered from partial sensory loss of the parietal region but
resolved simultaneously after 2 months. No other complications, such as, hypertrophic scarring, infection,
prolonged inflammation and alopecia occurred. In conclusion the dual-vector foreheadplasty is a relatively
simple and safe way to lower the anterior hair line with the elevation of the mid-face.
(Archives of Aesthetic Plastic Surgery 18: 106, 2012)