The Brow-Lift Operation in a Man

Rafaty, F M; Goode, Richard L.; Abramson, Norton

doi:10.1055/s-2008-1064858

Cited by 5 publications

(5 citation statements)

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“…Thus far, various techniques of brow elevation have been described as follows: either a direct brow lift with excision of skin direct above the brow or in front of the lateral hairline (subcutaneous brow lift), 1,2 the midforehead lift with excision of skin in between furrows, [3][4][5][6][7][8] and the pretrichial and posttrichial coronal lift with excision of skin either in front of the hairline or beyond the hairline. More recently, the endoscopic brow lift has been developed, which has resulted in a significant improvement in the surgical rejuvenation of the upper face.…”

Section: Discussionmentioning

confidence: 99%

Gull Wing Midforehead Lift

Huijing¹,

Lei²

2010

Annals of Plastic Surgery

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In case of both medial and lateral brow ptosis in a balding candidate with a furrowed forehead, one may consider a midforehead lift, a technique that has not gained much popularity because of concerns regarding clearly visible scarring. We have applied this technique in a selected group of patients and wish to share our experience discussed among a review of the English-language literature. Our series of 10 male patients (average age, 56.9; operated in period between 2003 and 2006) were contacted, asked to return for a follow-up, and interviewed; all data were collected, including the excised amount of tissue and postoperative complications. Patient satisfaction was assessed (Likert scale) as well as the objective aesthetic result using the Strasser scoring system. Eyebrow position increased significantly (P < 0.035) after surgery, and remained stable over the follow-up period of 3 years. Postoperatively, the majority of the patients (7 of 10) was satisfied with the result and would repeat surgery based on their experience (average visual analog scale score, 7; range, 4-8). In all cases, functional complaints had decreased significantly. Although most patients reported to be somewhat bothered with the initial aesthetical aspect of the scar, only 1 of 10 patients was not satisfied with the overall aesthetic result. Four patients were graded as good, 3 patients as mediocre, and 1 patient as poor as based upon the Strasser grading system. These results demonstrate that there is a limited but definite indication for the gull wing midforehead lift in cases of generalized ptosis of the forehead in balding males with high and furrowed foreheads.

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Section: Discussionmentioning

confidence: 99%

Gull Wing Midforehead Lift

Huijing¹,

Lei²

2010

Annals of Plastic Surgery

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“…This is in distinction to the preendoscopic literature, which usually juxtaposed the multiple surgical approaches of the time. [4][5][6][7] The main advantage of this approach, as pointed out in the literature, is that it is minimally invasive, being performed through small incisions. There is a relative decrease in sensory nerve dysfunction, and it allows excellent visualization of the glabellar musculature.…”

Section: Promentioning

confidence: 98%

Endoscopic Browlift Is the Preferred Approach for Rejuvenation of the Upper Third of the Face

Koch

2001

Arch Otolaryngol Head Neck Surg

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“…Three (7%) of our patients had midforehead brow elevation. It has been suggested that the midforehead incision is more cosmetically acceptable than an incision made directly above the brow (Rafaty et al, 1978), and has the advantage of being performed under local anesthesia. The drawback of this surgery is quite similar to the direct browlift, in terms of the scarring, and the variable paraesthesia of the forehead beyond the line of the incision due to the damage to the supraorbital nerve as it runs in the subcutaneous plane (Knize, 1995).…”

Section: R Almousa Et Almentioning

confidence: 99%