Update on brow and forehead lifting

Pedroza, Fernando; Anjos, Gustavo Coelho dos; Bedoya, Marcela; M, Rivera

doi:10.1097/01.moo.0000233601.99423.cf

Cited by 13 publications

(5 citation statements)

References 11 publications

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“…This study confirms prior work showing that procedures that elevate the brows from above are more effective than the internal brow techniques (p < 0.01). [8][9][10][11][12][13][14] However, IBR þ CDR achieved 75% of the overall elevation produced by EB. Although IBR þ CDR has the downside of temporary numbness in the territory of the supratrochlear nerve, many patients may be attracted by the comparable result with less expense and the conveniences of an office-based procedure.…”

Section: Resultsmentioning

confidence: 99%

“…1,2,5,17 The edges of the incision were undermined for $0.5 cm and closed in two layers with interrupted subcutaneous 4-0 chromic gut sutures and a running 6-0 ProlenEB was performed in a standard fashion, as previously described. 8,9,13,22,23 Three paracentral incisions and two temporal incisions were used. Dissection proceeded in the subperiosteal plane all the way to the superior orbital rim centrally and to the anterior limb of the lateral canthal tendon laterally.…”

Section: Methodsmentioning

confidence: 99%

“…Popular techniques that elevate the brows from above, such as the direct brow-lift and the endoscopic brow-lift, are thought to be more effective than the internal brow-lifting techniques, which elevate the brows from below. [12][13][14] The internal brow-lift can be performed in several different ways depending on the configuration of the brows and the 1 Center for Facial Appearances, Salt Lake City, Utah; 2 goal of the surgery. If brow ptosis is more prominent medially, the medial brow depressors can be released to elevate the medial brow.…”

mentioning

confidence: 99%

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Brow Ptosis Correction: A Comparison of Five Techniques

2010

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This study evaluates the effectiveness of five surgical techniques for brow ptosis repair including internal brow release (IBR), internal brow release with brow pexy (IBR + BP), internal brow release with corrugator and depressor supercilii removal (IBR + CDR), direct brow-lift (DB), and endoscopic brow-lift (EB). This is a retrospective study of 120 patients in which the preoperative and postoperative position of the medial, central, and lateral brow on both sides was measured. The brow was elevated 1.16 +/- 0.05 mm by IBR, 1.74 +/- 0.05 mm by IBR + BP, and 2.52 +/- 0.06 mm by IBR + CDR. IBR + BP was more effective than IBR in elevating the lateral brow ( P < 0.05). Removal of the medial brow depressors resulted in greater elevation of the medial and central brow than could be achieved with IBR or IBR + BP alone ( P < 0.01). EB resulted in the greatest amplitude of brow elevation (3.44 +/- 0.06 mm). Eyebrow-lifting surgery performed via the upper eyelid blepharoplasty incision prevents the lowering of brow position caused by blepharoplasty surgery alone. Brow pexy sutures are useful in enhancing elevation of the lateral brow, and removal of the medial brow depressors is useful in raising the medial and central brow.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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Brow Ptosis Correction: A Comparison of Five Techniques

2010

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“…The number of patients in each study is shown in the Appendix, [31][32][33][34][35][36][37][38][39][40][41] stratified by surgical approach and plane of dissection. The sample sizes ranged from 11 to 1000 patients.…”

Section: Literature Searchmentioning

confidence: 99%

Complications of Browlift Techniques: A Systematic Review

Byun

Mukovozov

Farrokhyar

et al. 2013

Aesthetic Surgery Journal

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Although complication rates vary with respect to incision site and plane of dissection, endoscopic techniques are associated with a larger variety of complications than open approaches. The findings should be interpreted with caution due to the limitations inherent to a case series. A well-designed comparative study is needed to evaluate the "true" rate of complications among the various browlift techniques.

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“…With the introduction of the endoscopic approach in 1992, many surgeons have championed the new approach, and an entire industry has been built on the equipment and various fixation devices necessary to perform the lift. In a recent article by Pedroza et al, 16 the authors reviewed the "latest findings in the constantly changing field of brow and forehead lifting." They make the assumption that the coronal approach has lost favor because of the lack of recently published articles within the preceding 24 months.…”

Section: Commentmentioning

confidence: 99%

The Case for Open Forehead Rejuvenation

Cilento

Johnson

2009

Archives of Facial Plastic Surgery

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To review the role of open forehead procedures in upper-face rejuvenation.Methods: The clinical records of consecutive patients undergoing a coronal or trichophytic brow-lift from July 1, 1993, to June 30, 2005, were reviewed. Patient demographics and complication rates were tabulated and compared with published rates for endoscopic brow-lifts. Patient questionnaires were sent to correlate subjective outcome measures with objective clinical record data. To obtain population-based perceptions, 200 women aged 30 to 70 years were surveyed at a local mall.Results: A total of 628 coronal and 376 trichophytic forehead-lifts were performed for which there were clinical records. There were 6 revisions (0.57%), no hematomas, 12 cases of permanent numbness (1.20%), 7 cases of permanent alopecia (0.70%), and no cases of permanent frontal branch weakness. The adjusted response rate for the questionnaire was 64.0% (416 of 650).Conclusions: Open procedures in this series had a complication rate equal to or lower than published rates in endoscopic brow-lift series. Open brow-lift procedures are an effective means of upper-face rejuvenation and, when performed correctly, demonstrate high rates of patient satisfaction.

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Update on brow and forehead lifting

Cited by 13 publications

References 11 publications

Brow Ptosis Correction: A Comparison of Five Techniques

Brow Ptosis Correction: A Comparison of Five Techniques

Complications of Browlift Techniques: A Systematic Review

The Case for Open Forehead Rejuvenation

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