Failed forehead augmentation revision - [Endoscopic Gore-Tex nasal groove augmentation] A top designer's experience with age-defying forehead augmentation.

Because my job is as a hairstylist, I have to face many first-time clients every day. To make clients feel comfortable entrusting their hair to me, the first impression becomes even more important.

Because I naturally have a flat forehead, my facial contours don't look very defined. I wanted to have a more sculpted look and project a professional and confident image. However, since I had never been to a cosmetic clinic or plastic surgery clinic before, I had my forehead augmentation surgery done for the first time at a clinic near my company. I didn't do any detailed research on the materials and methods used for forehead augmentation, such as endoscopic forehead augmentation, Gore-Tex forehead augmentation, Camellia forehead augmentation, autologous fat forehead augmentation, hyaluronic acid forehead augmentation, etc., before undergoing the surgery. The swelling was severe after the surgery, and after the swelling subsided, I noticed very obvious bumps and depressions on both sides of my forehead. Even my colleagues thought it was a failure, which was a huge blow to me!

Repairing the uneven forehead on both sides

I see my profile in the mirror every day while working 8-10 hours, and I feel that it has seriously affected my work and self-confidence, so after struggling, I decided to redo it.

Because of my previous unpleasant surgical experience, I paid extra attention to details when consulting with Arsty Clinic. I was very impressed by their emphasis on client privacy during the process, the comprehensive surgical procedures and equipment, and the comfortable environment.

Dr. Wei-Cheng Ching非常專業,針對我的額頭進行詳細的分析和解釋:
"Your proportions are relatively wide for a man, with a wider forehead and bone structure. If a standard implant method were used before, there would be a gap at the junction of the temples, as you see now. Also, without an endoscope, the implant could not reach the upper edge of the brow bone, where there are many nerves and blood vessels. Therefore, the unevenness above the brow bone could not be improved. As a result, although the forehead depression has been improved, the overall line is not natural and smooth. Based on your situation, a customized surgical plan is needed, combined with an endoscope, to reshape a full and natural forehead shape."

"Besides a fuller forehead, it also makes you look younger and more energetic overall. The forehead is a very important part of the face, accounting for nearly one-third of the face. In addition, human facial development proceeds from top to bottom, with the upper face being more prominent, which gives people a younger appearance..."

I originally just disliked the shape of my forehead, but after listening to Dr. Jing's explanation, I realized that the fullness of the forehead can encompass so many aesthetic perspectives!

 

Further Reading

Forehead augmentation surgery instructions
"Dr. Jing's Blog"”Forehead Aesthetics

Dean Jing recommended that I undergo endoscopic forehead augmentation surgery, using Gore-Tex (Surgiform) implant material.

 

Endoscopic forehead augmentation surgery

Surgical implants are used to achieve long-lasting, stable, and three-dimensional results. Minimally invasive surgery precisely creates a subperiosteal space, and the implant shape is sculpted during the procedure to suit each individual's unique skull shape and needs. Finally, the implant is optimally positioned under endoscopic guidance. The incision is hidden within the hairline, eliminating concerns about scarring. With the use of tissue adhesive, postoperative swelling is minimal, and recovery is rapid.

1) Precisely manage the surgical space to ensure the implanted material fits perfectly in the best position.

2) The area between the eyebrows is densely populated with blood vessels and nerves, requiring endoscopic techniques to safely access its detailed structures.

3) Endoscopic techniques can be used to check whether the implant interferes with the forehead and temple tissues after implantation, and can also check the bonding between implants to ensure the forehead augmentation effect.

 

Goretex material (Surgiform)

Goretex is a commonly used material, known for its safety, stability, and non-displaceable nature. It's also easily replaceable in secondary surgeries. It can be custom-cut to fit different head shapes, and with endoscopic assistance, Goretex edges are not noticeable. In practice, it's common to discover localized defects in the forehead's appearance only after implantation; Goretex can be used for these adjustments. For large-area implantations in the forehead and temples, Goretex can be seamlessly integrated using edge-processing techniques, resulting in a smooth, seamless appearance.

  • Made in the USA, made with materials suitable for long-term medical use, ensuring high safety.
  • The 100% ePTFE material undergoes a compression process, resulting in excellent rigidity and resistance to deformation.
  • Controlled Tissue Integration (CTI) - Regression rate <5%, predictable and satisfactory results.
  • Highly biocompatible, with low rejection reaction
  • Low capsular contracture, excellent fixation, and not easily displaced.
  • The material is soft, and the appearance and feel are natural.
  • Improves upon the drawbacks of traditional materials being difficult to remove.
  • Its unique microporous structure, with pores approximately 20-40 μm in size, allows new tissue to grow in and gradually integrate with the body's own tissue.

除了豐額重修之外,還有一個也蠻困擾我的問題,是我看起來法令紋很深,沒有表情時很嚴肅,年齡也顯得比較年長,因為不知道需要什麼手術才能改善,所以一直沒有行動,諮詢時Dr. Wei-Cheng Ching說這個問題透過貴族手術就可以改善哦! The "aristocratic surgery" is also known as nasolabial fold augmentation.

Nasolabial folds are triangular depressions located on the outer edge of the nostrils and above the lips. As we age, our bone structure shrinks slightly, making the nasolabial folds appear more sunken than the surrounding area, thus making the nasolabial folds more prominent. Simply filling in the nasolabial folds cannot completely improve the condition.

Nasal groove augmentation surgery involves inserting a specially designed triangular pad made of soft and elastic Gore-Tex material through a tiny incision in the oral mucosa. This pad is placed on the bone surface to appropriately support the area of the depression, improving the problem of mid-face depression. The surgical wound heals very quickly, and the postoperative results are very natural. Because the incision is located inside the mouth, there are no visible surgical scars.

Further Reading

Nasal groove surgery introduction

這次術後恢復的情況很理想,大約一週已經消腫得差不多,額形立體又自然,加上法令紋變淡了,整個人感覺煥然一新,神采奕奕,因為同事從旁見證我兩次手術的恢復過程,實在有天壤之別,都紛紛來打聽手術的醫生和診所資訊,實在非常感謝Dr. Wei-Cheng Ching,提供我最佳方案,用他的專業和經驗解決了我的困擾!

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Which type of forehead augmentation surgery is right for me? Please provide expert advice.

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