The Versatile Midforehead Browlift

Cook, Ted A.; Brownrigg, Peter J.; Wang, Tom D.; Quatela, Vito C.

doi:10.1001/archotol.1989.01860260037011

Cited by 93 publications

(34 citation statements)

References 7 publications

(4 reference statements)

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“…Cook et al [17] relieved the brow positions of numerous attractive females. In addition to Westmore, they thought that the apex should be further lateral to the lateral cantus.…”

Section: Aesthetic Reviewmentioning

confidence: 99%

Aesthetic analysis of the ideal eyebrow shape and position

Yalçınkaya¹,

Cingi

Söken

et al. 2014

Eur Arch Otorhinolaryngol

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The aesthetic importance of the eyebrow has been highlighted for centuries. In this paper, we investigated ideal eyebrow. Eyebrows and eyelids, varies among different races, ages and genders. It is considered to be of primary importance in facial expression and beauty. We present one form of the ideal eyebrow aesthetic and discuss methods of optimising surgical results. For the modern acceptable concept of the ideal brow, the medial brow should begin on the same vertical plane as the lateral extent of the ala and the inner canthus and end laterally at an oblique line drawn from the most lateral point of the ala through the lateral canthus. The medial and lateral ends of the brow lie approximately at the same horizontal level. The apex lies on a vertical line directly above the lateral limbus. Individual perceptions and expectations also differ from person to person. The brow should over lie the orbital rim in males and be several millimetres above the rim in female. Male tend to have a heavier, thicker brow with a little arch present. There are some pitfalls in brow aesthetics. Overelevation creates an unnatural, surprised and unintelligent look which is the most common surgical mistake in brow lifting. Medial placement of the brow peak would create an undesired 'surprised' appearance. Moreover, a low medial brow with a high lateral peak induces an angry look. Overresection of the medial brow depressors may lead to widening and elevation of the medial brow, which creates an insensitive look and can also lead to glabellar contour defects. It is impossible to define an ideal eyebrow that is suitable for every face. However, one must consider previously described criteria and other periorbital structures when performing a brow surgery.

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“…Cook et al [17] relieved the brow positions of numerous attractive females. In addition to Westmore, they thought that the apex should be further lateral to the lateral cantus.…”

Section: Aesthetic Reviewmentioning

confidence: 99%

Aesthetic analysis of the ideal eyebrow shape and position

Yalçınkaya¹,

Cingi

Söken

et al. 2014

Eur Arch Otorhinolaryngol

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show abstract

“…While some align the lateral brow along the same horizontal plane as the medial aspect of the brow, and align both with their respective canthi, 1 others note that, it is the apex of the brow that should be aligned with the lateral canthus, 2 or find that the lateral brow tail dips below the depth of the medial brow. 3 …”

mentioning

confidence: 99%

The Lateral Brow

Glass

Lira

Enkhbold

et al. 2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose Despite multiple studies regarding modes of eyebrow measurement and movement over time, the lateral aspect of the brow has been relatively ignored in literature. Therefore, we arranged a study of the most lateral aspect of the eyebrow; in doing so, we hoped to ascertain the most practical line or angle of measurement. Methods In this cross-sectional study, adults aged 18 and older with no history of congenital or acquired periorbital or orbital pathology or surgery; brow tattooing or heavy plucking; phthisis; or strabismus were measured using a combination of in-office metrics and computer analysis. Subjects were asked to identify their ethnicity and country of origin. Models of age, gender, age and ethnicity were created. Results 1024 subjects were included (1944 eyes). Measurements of nasal ala to lateral brow (NALB), lateral brow plumb line (LBPL, the vertical line between the tail of the brow and a horizontal line extending from the lateral canthus), and angle from the mid-brow to the lateral brow tail all showed statistically significant decline over time. The angle and LBPL varied most by ethnicity. The angle narrowed approximately 3 degrees per 20 years, while the LBPL fell approximately 2.5 mm per 20 years. The NALB varied most by age, and fell approximately 3 mm per 20 years. Conclusions The lateral tail of the brow descends with age. Measurements of its location and rate of change vary between genders and within ethnic groups. Two easily measured values – NALB and LBPL – can be used for pre-operative planning and post-operative documentation.

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“…In this patient population with typical preexisting forehead rhytids, the mid-forehead browlift technique, performed as described by Quatela et al, is an ideal method for facile and lasting brow correction. 23 The scar, if visible, mimics contralateral rhytids and is superior to that created by other external approaches. Importantly, browlift is performed in a conservative fashion to avoid compromise of eye closure.…”

Section: Postoperative Managementmentioning

confidence: 99%

Management of Facial Paralysis due to Extracranial Tumors

Fritz

Rolfes

2015

Facial plast Surg

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Treatment of advanced parotid or cutaneous malignancies often requires sacrifice of the facial nerve as well as resection of the parotid gland and surrounding structures. In addition to considerations regarding reinnervation and dynamic reanimation, reconstruction in this setting must take into account unique factors such as soft tissue volume deficits and the high likelihood of adjunctive radiation therapy. Furthermore, considerations of patient comorbidities including advanced age and poor long-term prognosis often influence reconstructive modality. The optimal reconstructive technique would provide potential for restoration of facial tone and voluntary movement as well as immediate restoration of facial support and function. Beyond considerations of facial movement and rest position, restoration of lost soft tissue volume is critical to obtain facial symmetry. To control long-term volume in the setting of adjunctive radiation therapy, vascularized tissue is required. In this chapter, we describe a comprehensive approach to the management of radical parotidectomy and similar facial defects that addresses these concerns and also describes management strategies over time. Specific techniques employed include anterolateral thigh free flaps, nerve grafting utilizing motor nerves to the vastus lateralis muscle, and orthodromic temporalis tendon transfer. Further considerations relative to the eye, forehead, and long-term facial refinement are also discussed.

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The Versatile Midforehead Browlift

Cited by 93 publications

References 7 publications

Aesthetic analysis of the ideal eyebrow shape and position

Aesthetic analysis of the ideal eyebrow shape and position

The Lateral Brow

Management of Facial Paralysis due to Extracranial Tumors

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