Download PDF
Open Access
CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 058-062
DOI: 10.4103/0970-0358.53013
Original Article
Association of Plastic Surgeons of India

Approach to eyebrow ptosis through the modified technique of Castanares

Authors

  • Pires Viana Giovanni

    Member of Brazilian Plastic Surgery Society, Member of Brazilian College of Surgeons

  • Pires Viana Giovanni André

    1   Member of International College of Surgeons
Further Information

Publication History

Publication Date:
15 January 2020 (online)

Also available at
 PDF Download Permissions and Reprints

ABSTRACT

One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand. The authors present their experience in 350 consecutive cases of direct eyebrow lift (“butterfly wing” incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%). The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16% were performed in association with blepharoplasty and eyebrow lift alone represented 4%. The most common complication was epidermal cyst (3.4%) and suture dehiscence (2%). The “butterfly wing” incision provides a useful alternative to correction of eyebrow ptosis. Indication for surgery is dependent more on the ageing signs than on the patient™s chronological age. The final results are consistently very gratifying to the patient and to the plastic surgeon alike.

KEY WORDS

Arched eyebrow - Eyebrow position - Eyebrow ptosis - Surgery for eyebrow ptosis
 

  • REFERENCES

  • 1 Feser DF, Gründl M, Eisenmann-Klein M, Prantl L. Attractiveness of eyebrow position and shape in females depends on the age of the beholder. Aesth Plast Surg 2007;31:154-60.
  • 2 Gunter JP, Antrobus SD. Aesthetic analysis of the eyebrows. Plast Reconstr Surg 1997;99:1808-16.
  • 3 Paul MD. The evolution of the brow lift in aesthetic plastic surgery. Plast Reconstr Surg 2001;108:1409-24.
  • 4 Castañares S. Forehead wrinkles, glabellar frown and ptosis of the eyebrows. Plast Reconstr Surg 1964;34:406-13.
  • 5 Viñas JC, Caviglia C, Cortiñas JL. Forehead rhytidoplasty and brow lifting. Plast Reconstr Surg 1976;57:445-54.
  • 6 Herzog Neto G, Sebasti´ R, Viana GAP. Brow ptosis: Transpalpebral approach. Rev Soc Bras Cir Plast 2005;20:231-6.
  • 7 Pitanguy I. Indications for and treatment of frontal and glabellar wrinkles in an analysis of 3,404 consecutive cases of rhytidectomy. Plast Reconstr Surg 1981;67:157-68.
  • 8 Berkowitz RL, Jacobs DI, Gorman PJ. Brow fixation with the endotine forehead device in endoscopic brow lift. Plast Reconstr Surg 2005;116:1761-67.
  • 9 Elkwood A, Matarasso A, Rankin M, Elkowitz M, Godek CP. National plastic surgery survey: Brow lifting techniques and complications. Plast Reconstr Surg 2001;108:2143-50.
  • 10 Lassus C. Elevation of the lateral brow without the help of an endoscope. Aesth Plast Surg 1999;23:23-7.
  • 11 Karabulut AB, Tümerderm B. Forehead lift: A combined approach using subperiostal and subgaleal dissection planes. Aesth Plast Surg 2001;25:378-81.
  • 12 Troilius C. Subperiostal brow lifts without fixation. Plast Reconstr Surg 2004;114:1595-603.
  • 13 Friedland JA, Jacobsen WM, TerKonda S. Safety and efficacy of combined upper blepharoplasty and open coronal browlift: A consecutive series of 600 patients. Aesth Plast Surg 1996;20:453-62.
  • 14 Strauch B, Baum T. Connection of lateral brow ptosis: A nonendoscopic subgaleal approach. Plast Reconstr Surg 2002;109:1164-7.
  • 15 Kikkawa DO, Miller SR, Batra MK, Lee AC. Small incision nonendoscopic browlift. Ophthalmic Plast Reconstr Surg 2000;16:28-33.
  • 16 Tabatabai N, Spinelli HM. Limited incision nonendoscopic browlift. Plast Reconstr Surg 2007;119:1563-70.
  • 17 Knize DM. An anatomically based study of the mechanism of eyebrow ptosis. Plast Reconstr Surg 1996;97:1321-33.
  • 18 Paul MD. The surgical management of upper eyelid hooding. Aesth Plast Surg 1989;13:183-7.
  • 19 Ramirez OM. Endoscopically assisted biplanar forehead lift. Plast Reconstr Surg 1995;96:323-33.
  • 20 Fagien S. Botox for the treatment of dynamic and hyperkinetic facial lins and furrows: Adjunctive use in facial aesthetic surgery. Plast Reconstr Surg 1999;103:701-13.
  • 21 Rohrich RJ, Coberly DM, Fagien S, Stuzin JM. Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Su rg 2004;113:32e-42e.