Browlift – A South East Asian Experience

Almousa, Radwan; Amrith, Shantha; Sundar, Gangadhara

doi:10.3109/01676830903104652

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…With aging, loss of elastin and collagen in the upper eyelid skin and preserved function of the orbicularis muscle can lead to sagging of anatomical structures and brow ptosis with dermatochalasis, bringing about aesthetic issues and visual obstacles. 17,27,28 The main sag tends to occur at the lateral one-third of the eyebrows, because the only brow elevator, the frontalis, is not attached at this area. 17 Morley et al described the upper eyelid area in terms of the distance between the eyelid margin and the upper eyelid skinfold, termed the pretarsal show, and the distance between the skinfold and relaxed brow, termed the preseptal show.…”

Section: Discussionmentioning

confidence: 99%

Objective Comparison of Eyebrow Position after Internal and External Browpexy

Huang

Mao²,

Yen³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Several brow-lift techniques have been used to prevent brow ptosis after blepharoplasty. For example, both internal and external browpexies have been adopted worldwide. However, few studies have compared these two methods. The authors compared postoperative eyebrow position changes between upper eyelid skin excision, internal browpexy, and external browpexy. Methods: The authors retrospectively reviewed the cases of 87 patients who underwent upper blepharoplasty performed by a single clinician at their institute between April of 2018 and June of 2020. Patients with routine outpatient photographs taken before and after surgery were enrolled in the study. ImageJ was used to measure brow height at eight points in each eye. Brow height changes were compared among the three groups. Results: Routine photographs were available for 68 patients (133 eyes). Thirtynine patients underwent internal browpexy (78 eyes), nine underwent external browpexy (17 eyes), and 20 underwent upper eyelid skin excisions (38 eyes). Three months after surgery, significant elevation was noted on the lateral side of the brow in the internal browpexy group and across the whole brow in the external browpexy group. In the upper eyelid skin excision group, whole brow ptosis was observed. Brow-lift outcomes were better in the external than in the internal browpexy group, whereas both browpexy groups showed better outcomes than the upper eyelid skin excision group. Conclusions: Within 3 months of surgery, both internal and external browpexy provided significant brow-lift effects, preventing brow ptosis caused by blepharoplasty with skin excision. External browpexy had better brow-lift outcomes than did internal browpexy.

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Section: Discussionmentioning

confidence: 99%

Objective Comparison of Eyebrow Position after Internal and External Browpexy

Huang

Mao²,

Yen³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…The main criticisms of this procedure are that it leaves a scar above the brow, forehead paresthesia is possible due to the damage of the supraorbital and supratrochlear nerves, and it alters the brow's shape resulting in an arched brow with the maximum arch being at the center of the brow [6–8]. The scar can be hidden in the brow hairs if performed in appropriate patients with thick brows.…”

Section: Discussionmentioning

confidence: 99%

“…The direct browplasty involves bilateral elliptical incisions immediately above the brows [7]. Closure of the elliptical excision area alters the brow's shape resulting in an arched brow with the maximum arch being at the center of the brow and feminized appearance [6–8]. Besides, arching may lead to a surprised look or “clown” appearance.…”

Section: Introductionmentioning

confidence: 99%

A Minor Modification of Direct Browplasty Technique in a Patient with Brow Ptosis Secondary to Facial Paralysis: Copy-Paste-Excise and Stitch

Çömez

Gencer

Kara

et al. 2013

Case Reports in Ophthalmological Medicine

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Purpose. This report aimed to describe a minor modification of the traditional direct browplasty technique that aids in surgical planning for patients with brow ptosis secondary to facial paralysis without changing the shape of the brow. Case Report. A 74-year-old male patient with left facial paralysis secondary to chronic otitis media was referred with a complaint of low vision due to brow ptosis. We performed direct browplasty with a minor modification in order to aid a treatment customized to the patient. In this technique, a transparent film paper is used to copy the brow shape. A brow-shaped excision is facilitated just superior to the ptotic brow. Conclusion. The authors found that the copy-paste-excise and stitch technique was effective and successful for deciding the shape and the amount of excision that should be performed in patients with brow ptosis without resulting in asymmetrical, arched, and feminized brows.

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“…1,21 Deeper sutures may be used to fixate the brow to periosteum in cases of facial palsy. 2,8,19,20,24,28 The authors herein do not routinely perform soft tissue suspension.…”

Section: Direct Supraciliary Brow Lift Techniquementioning

confidence: 99%

Nuances of the Direct Brow Lift: Oculoplastic Surgeons’ Perspective

Homer¹,

Zhou

Watson

et al. 2020

Am J Cosmet Surg

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The direct supraciliary brow lift is an effective procedure to treat brow ptosis, limited by risk of a cosmetically undesirable scar. We performed a comprehensive literature review of direct supraciliary brow lift techniques and provide a summary of the key considerations. The optimal direct brow lift is initiated with thoughtful incision design and a carefully beveled supraciliary incision. Subcutaneous tissue debulking and wound edge undermining optimize wound eversion and approximation. A layered meticulously executed skin closure is essential for optimal cosmesis. The senior author’s personal technique, incorporating these concepts, is described and illustrated. We reviewed 76 patients (141 brows) who underwent our refined technique. At the time of final follow-up visit (average 4.9 months), 72 patients (94.7%) reported complete satisfaction with results. Adverse outcomes were found in 4 patients (5.3%) and included transient paresthesias (n = 3) and hypertrophic scarring (n = 1). Postoperative care routinely included the use of topical steroids and additional treatment with microneedling and 5-fluorouracil in 2 patients (2.6%) to optimize healing. The direct supraciliary brow lift is a minimally invasive and effective procedure to correct brow ptosis and may yield excellent cosmesis when key principles are utilized.

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Browlift – A South East Asian Experience

Abstract: Browlift provides satisfactory results for both patient and surgeon. A comprehensive knowledge and proper surgical technique, along with a thorough discussion with patients about the pros and cons of each procedure are essential to obtain optimal outcomes.

Cited by 6 publications

References 22 publications

Objective Comparison of Eyebrow Position after Internal and External Browpexy

Objective Comparison of Eyebrow Position after Internal and External Browpexy

A Minor Modification of Direct Browplasty Technique in a Patient with Brow Ptosis Secondary to Facial Paralysis: Copy-Paste-Excise and Stitch

Nuances of the Direct Brow Lift: Oculoplastic Surgeons’ Perspective

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