Eyebrow Peak Position Redefined

Pham, Sylvia; Wilhelmi, Bradon J.; Mowlavi, Arian

doi:10.1177/1090820x10369918

Cited by 11 publications

(9 citation statements)

References 19 publications

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“…Sclafani and Jung11 showed that the desired brow peak was located on the lateral canthus, lateral limbus or middle of lateral canthus, and lateral limbus based on the age and race of subjects. Pham et al12 described deep temporal fusion line as a new predictor of ideal brow peak in patients undergoing endoscopic brow lift procedures as the lateral limbus and medial two-thirds and lateral one-third junction may be a good indicator of brow peak in females, but it is not as equally useful as the deep temporal fusion line in the prediction of brow peak position in males and females. Our subjects preferred lateral canthus and places between lateral limbus and lateral canthus as the desired position for brow peak.…”

Section: Discussionmentioning

confidence: 99%

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Determinative factors in surgical planning of eyebrow cosmetic and reconstructive surgery

Rajabi

Makateb

Hassanpoor

et al. 2017

OPTH

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PurposeThe purpose of this study was to identify the different factors that an oculoplastic surgeon should consider while practicing cosmetic or reconstructive eyebrow surgery in order to have the final patient’s satisfaction.Subjects and methodsIn an observational case series study, five photographs were taken from each of 60 females to show ideal eyebrow positioning with fingers. Eyebrow landmarks, including tarsal plate show (TPS) and eyebrow height, were measured in the ideal position. Brow apex position and brow apex angle were evaluated in the desired position of eyebrow.ResultsThe mean desired apex angle of eyebrow was measured as 135±9 mm. In all, 48.33% of our subjects preferred a wider brow angle, 28.33% a narrower one, and 23.33% a brow angle without any change. The location of brow peak was transferred to the lateral canthus in the desired position. The ideal brow peak in the lateral canthus and between lateral canthus and lateral limbus was assigned to 33.3% and 66.6% of cases, respectively. The desired eyebrow apex angle in two age groups of our subjects (>40 years and ≤40 years) was not statistically different.ConclusionLandmarks of the eyebrow and its desired position are somehow different between different studies, which may be explained by the variation in race, gender, culture, and age. As there is not any uniform rule in planning of cosmetic surgeries of eyebrow, oculoplastic surgeons should consider the difference in culture, race, age, and desire of the patients and have their surgical plans for every individual patient distinctively.

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Section: Discussionmentioning

confidence: 99%

“…The differences between two genders were considered in these variables in both anatomical status and ideal status 12,14,15…”

Section: Discussionmentioning

confidence: 99%

Determinative factors in surgical planning of eyebrow cosmetic and reconstructive surgery

Rajabi

Makateb

Hassanpoor

et al. 2017

OPTH

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“…However, the morphology of the eyebrow changes by the effect of age, young children have rounded eyebrows that lack a peak region, while young adults have an eyebrow peak and its position varies. In early middle adulthood, the aging process results in brow ptosis with the apex altered into a flattened deflation brow, which may, in turn, impart negative emotions and an unnatural appearance of the face 1 . Since the periorbital region is the first sign of aging, this region is more subjected to various rejuvenation procedures including forehead lifting, brow lifts, blepharoplasty, and facial fillers 2 .…”

Section: Introductionmentioning

confidence: 99%

“…In early middle adulthood, the aging process results in brow ptosis with the apex altered into a flattened deflation brow, which may, in turn, impart negative emotions and an unnatural appearance of the face. 1 Since the periorbital region is the first sign of aging, this region is more subjected to various rejuvenation procedures including forehead lifting, brow lifts, blepharoplasty, and facial fillers. 2 Even though a surgeon with clinical experience in the facial analysis may identify the problem, but it will be advantageous for surgeons to know about the patient desires during treatment planning.…”

Section: Introductionmentioning

confidence: 99%

Preference of eyebrow apex positions on different facial shapes in Malaysian population: An inter‐ethnic study

Packirisamy

Sadacharan

2021

J of Cosmetic Dermatology

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Background: Eyebrows are an important esthetic feature of the face. In cosmetic surgery, knowledge about the patient's preference of eyebrow apex position is important to achieve agreeable esthetic results. Aim: To study the preference of eyebrow apex positions on the different facial shapes in the Malaysian population. Methods: A frontal view photograph of a female model was morphed into oval, square, round, and long facial shapes. Four types of brow apex were created on each facial shape, A. above the midpupil (A-MP), B. above the lateral limbus (A-LL), C. halfway between the lateral limbus and lateral canthus (A-HF) and D. above the lateral canthus (A-LC). Out of the four brow apexes, the respondent selected one esthetically appealing brow apex for each facial shape. A total of 441 Malaysians completed the survey questionnaire. Differences in preference between the ethnic groups were analyzed by the chi-square test. Results:The majority of Malaysian Chinese (MC) and Malaysian Indians (MI) subjects found A-LL as attractive on the oval (MC-73%, MI-52%), square (MC-42%, MI-42%), round (MC-45%, MI-40%) and long (MC-39%, MI-44%) shape, but the Malaysian Malays preferred more the A-HF on long (42%) and round (42%) face. While the Malaysian Indians least preferred the A-MP on the oval (4%), square (5%), round (6%), and long (5%). A significant difference in preference of apex position was observed between MC versus MI and MC versus MM in both oval and square faces. On the round face, the difference was noted between all the ethnic groups. However, on the long face, a significant difference was noted only between MI and MM.Conclusions: Significant interethnic differences exist in the preference of eyebrow apex position on the facial shapes.

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“…The shape of the eyebrow is more important than its height; the medial and lateral ends should lie at approximately the same height. 4 Resection of the sagging part of the eyebrow modifies the shape of the eyebrow itself, correcting it with an aspect nearly the same as surgical lifting of the lateral third. Therefore, additional procedures such as browpexy and browlifting (which increase time and cost and may not produce good results) may be avoided.…”

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confidence: 99%

Upper Lid Blepharoplasty, Eyebrow Ptosis, and Lateral Hooding

Bellinvia¹,

Klinger

Maione

et al. 2013

Aesthetic Surgery Journal

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Eyebrow Peak Position Redefined

Abstract: These findings suggest that placement of endoscopic brow lift incisions and subsequent fixation points may be best defined along the deep temporal fusion line.

Cited by 11 publications

References 19 publications

Determinative factors in surgical planning of eyebrow cosmetic and reconstructive surgery

Determinative factors in surgical planning of eyebrow cosmetic and reconstructive surgery

Preference of eyebrow apex positions on different facial shapes in Malaysian population: An inter‐ethnic study

Upper Lid Blepharoplasty, Eyebrow Ptosis, and Lateral Hooding

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