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CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(01): 66-71
DOI: 10.4103/0970-0358.182243
Original Article
Association of Plastic Surgeons of India

Direct brow lifting: Specific indications for a simplified approach to eyebrow ptosis

Michele Pascali
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy
,
Ilaria Bocchini
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy
,
Anna Avantaggiato
1   Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
,
Francesco Carinci
1   Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
,
Valerio Cervelli
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy
,
Fabrizio Orlandi
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy
,
Davide Quarato
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
13 August 2019 (online)

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ABSTRACT

Context: Brow lifting is an essential element in the rejuvenation of the ageing face. Various surgical techniques have been described. Among these, the direct brow lifting is an easy and effective technique that is often neglected because the scar can remain visible. Thus, this approach is usually reserved for elderly patients and males, with thick bushy brows. Aims: The authors present their result from a series of fifty consecutive patients treated over 2 years with direct brow lift. The aim is to demonstrate when the hairline is high or temporal alopecia is present and whether this technique is the best in bald patients, when some surgical steps are carefully adhered to. In these cases, the scar is less visible, hidden in the brow and is a good solution in women too. Subjects and Methods: Between January 2011 and January 2013, fifty patients underwent direct brow lift surgery. All were men. In all the cases, brow lifting was undertaken together with an upper blepharoplasty. The amount of brow elevation produced was assessed by comparing the vertical distances between the superior eyebrow hairline and the inter-pupillary line, pre- and post-operatively. The result and the scar quality were assessed both by the patient and the surgeon. Statistical Analysis Used: The paired t-test. Results: The authors obtained statistically significant results in brow elevation in 98% of the patients after a 12-month follow-up. The main complication associated with this procedure was visibility of the scar in two patients. Conclusions: The direct brow lift technique in bald men and with a high anterior hairline provides excellent and long-lasting results.

KEY WORDS

Brow asymmetry - brow lift - brow ptosis - men - periorbital rejuvenation
 

  • REFERENCES

  • 1 Avantaggiato A, Girardi A, Palmieri A, Pascali M, Carinci F. Bio-revitalization: Effects of NASHA on genes involving tissue remodeling. Aesthetic Plast Surg 2015; 39: 459-64
    CrossrefPubMedGoogle Scholar
  • 2 Avantaggiato A, Martinelli M, Palmieri A, Pascali M, Bertuzzi G, Carinci F. Hyaluronic acid: The use of its precursor in skin bio-stimulation. J Biol Regul Homeost Agents 2015; 29: 647-54
    PubMedGoogle Scholar
  • 3 Nahai FR. The varied options in brow lifting. Clin Plast Surg 2013; 40: 101-4
    CrossrefPubMedGoogle Scholar
  • 4 Guyuron B, Huddleston SW. Aesthetic indications for botulinum toxin injection. Plast Reconstr Surg 1994; 93: 913-8
    CrossrefPubMedGoogle Scholar
  • 5 Pascali M, Avantaggiato A, Bocchini I, Carinci F, Cervelli V. Comparison among three different fixation techniques in temporal brow lift surgery. J Craniofac Surg 2015; 26: 906-10
    CrossrefPubMedGoogle Scholar
  • 6 Maas CS, Kim EJ. Temporal brow lift using botulinum toxin A: An update. Plast Reconstr Surg 2003; 112 (Suppl. 05) Suppl 109S-12S
    CrossrefPubMedGoogle Scholar
  • 7 Bidros RS, Salazar-Reyes H, Friedman JD. Subcutaneous temporal browlift under local anesthesia: A useful technique for periorbital rejuvenation. Aesthet Surg J 2010; 30: 783-8
    CrossrefPubMedGoogle Scholar
  • 8 Centurión P, Romero C. Lateral brow lift: A surgical proposal. Aesthetic Plast Surg 2010; 34: 745-57
    CrossrefPubMedGoogle Scholar
  • 9 Stevens WG, Apfelberg DB, Stoker DA, Schantz SA. The endotine: A new biodegradable fixation device for endoscopic forehead lifts. Aesthet Surg J 2003; 23: 103-7
    CrossrefPubMedGoogle Scholar
  • 10 Rohrich RJ, Beran SJ. Evolving fixation methods in endoscopically assisted forehead rejuvenation: Controversies and rationale. Plast Reconstr Surg 1997; 100: 1575-82
    CrossrefPubMedGoogle Scholar
  • 11 Passot RL. Chirurgie Estethique Pure: Techniques et Resultats. Paris: Gaston Dorn et Cie; 1930
    Google Scholar
  • 12 Guyuron B, Davies B. Subcutaneous anterior hairline forehead rhytidectomy. Aesthetic Plast Surg 1988; 12: 77-83
    CrossrefPubMedGoogle Scholar
  • 13 Beausang E, Floyd H, Dunn KW, Orton CI, Ferguson MW. A new quantitative scale for clinical scar assessment. Plast Reconstr Surg 1998; 102: 1954-61
    CrossrefPubMedGoogle Scholar
  • 14 Walrath JD, McCord CD. The open brow lift. Clin Plast Surg 2013; 40: 117-24
    CrossrefPubMedGoogle Scholar
  • 15 Botti G, Pelle Ceravolo M. Direct eyebrow lift. In: Midface and Neck Aesthetic Plastic Surgery; Firenze: 2012: p. 250-5
    Google Scholar
  • 16 Paul MD. The evolution of the brow lift in aesthetic plastic surgery. Plast Reconstr Surg 2001; 108: 1409-24
    CrossrefPubMedGoogle Scholar
  • 17 Goldstein SM, Katowitz JA. The male eyebrow: A topographic anatomic analysis. Ophthal Plast Reconstr Surg 2005; 21: 285-91
    CrossrefPubMedGoogle Scholar
  • 18 Pascali M, Bocchini I, Avantaggiato A, Cervelli V. Our experience with brow ptosis correction: A comparison of 4 techniques. Plast Reconstr Surg Glob Open 2015; 3: e337
    CrossrefPubMedGoogle Scholar
  • 19 Georgescu D, Anderson RL, McCann JD. Brow ptosis correction: A comparison of five techniques. Facial Plast Surg 2010; 26: 186-92
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Puig CM, LaFerriere KA. A retrospective comparison of open and endoscopic brow-lifts. Arch Facial Plast Surg 2002; 4: 221-5
    CrossrefPubMedGoogle Scholar
  • 21 Dayan SH, Perkins SW, Vartanian AJ, Wiesman IM. The forehead lift: Endoscopic versus coronal approaches. Aesthetic Plast Surg 2001; 25: 35-9
    CrossrefPubMedGoogle Scholar
  • 22 Ellenbogen R. Transcoronal eyebrow lift with concomitant upper blepharoplasty. Plast Reconstr Surg 1983; 71: 490-9
    CrossrefPubMedGoogle Scholar
  • 23 Berkowitz RL, Jacobs DI, Gorman PJ. Brow fixation with the Endotine Forehead device in endoscopic brow lift. Plast Reconstr Surg 2005; 116: 1761-7
    CrossrefPubMedGoogle Scholar
  • 24 Pascali M, Gualdi A, Bottini DJ, Botti C, Botti G, Cervelli V. An original application of the Endotine Ribbon device for brow lift. Plast Reconstr Surg 2009; 124: 1652-61
    CrossrefPubMedGoogle Scholar
  • 25 Tuccillo F, Jacovella P, Zimman O, Repetti G. An alternative approach to brow lift fixation: Temporoparietalis fascia, galeal, and periosteal imbrication. Plast Reconstr Surg 2007; 119: 692-702
    CrossrefPubMedGoogle Scholar
  • 26 Viksraitis S, Astrauskas T, Karbonskiene A, Budnikas G. Endoscopic aesthetic facial surgery: Technique and results. Medicina (Kaunas) 2004; 40: 149-55
    PubMedGoogle Scholar