The K-Wire Fixation Technique for Endoscopic Brow Lift: A Long-Term Follow-Up

Abstract

Background Many techniques have been presented for fixation during endoscopic brow lift, but no singular technique has become dominant. Objectives The authors described a technique for fixation for endoscopic brow lift that is inexpensive, easy to use, and versatile and has minimal morbidity. Methods The charts of 284 patients who underwent the K-wire fixation technique between December 1996 and September 2018 were reviewed. This technique employs a transcutaneous K-wire to hold the brow in position until tissue adhesion creates a lasting elevation of the brow. Results A total of 284 patients underwent K-wire fixation for endoscopic brow lifting. Two patients had hematomas and 5 patients (1.8%) required a second unilateral brow lift procedure. Long-term elevation of the brow was maintained in all patients. Conclusions K-wire fixation for endoscopic brow lift is a simple, safe, and effective technique for fixation during endoscopic brow lifting that provides long-term aesthetic results. Level of Evidence: 4

Endoscopic Browlift in Patients With Receding Hairlines

“…Brow position differs according to patients’ gender. In young males, the brow assumes a flat configuration with a horizontal orientation along the supraorbital rim, whereas in women optimal positioning of the brow arches superiorly between the lateral limbus and lateral canthus 1,11,13 . Thus, 1 could falsely assume that overcorrection of the lateral, as compared to the medial aspect of the brow, as is the case in this patient series, could result in a more feminine appearance of our male patients.…”

“…In young males, the brow assumes a flat configuration with a horizontal orientation along the supraorbital rim, whereas in women optimal positioning of the brow arches superiorly between the lateral limbus and lateral canthus. 1,11,13 Thus, 1 could falsely assume that overcorrection of the lateral, as compared to the medial aspect of the brow, as is the case in this patient series, could result in a more feminine appearance of our male patients. However, it is of importance to recognize that during the process of aging, the lateral eyebrow descends to a relatively higher extent, also referred to as outer brow ptosis and lateral hooding, thus requiring more correction in order to obtain a flat but elevated eyebrow position.…”