AI Article Synopsis
- The study analyzed four brow lift techniques (direct brow lift, endotine ribbon, temporoparietalis imbrication, and Mersilene mesh) to assess their effectiveness in elevating the brow in patients aged 48-75.
- No significant complications were reported, although some issues included visible scarring for direct lifts and transient numbness with certain techniques; otherwise, results were favorable.
- The choice of brow lift technique should be tailored to individual factors like eyebrow shape, patient demographics, the extent of correction needed, and personal expectations, rather than one method being universally superior.
Article Abstract
Background:: Brow elevation is one of the goals of surgical rejuvenation procedures. In this article, the authors reviewed their experience with brow lift, and they compared 4 different techniques: direct brow lift, brow lift with endotine ribbon device, brow lift with temporoparietalis imbrication, and brow lift with Mersilene mesh to provide long-lasting results.
Methods:: This is a retrospective study of 80 patients (20 for each group), aged between 48 and 75 years undergoing brow lift surgery, between January 2011 and January 2013. In all cases, the brow lift was associated with an upper blepharoplasty. The amount of brow elevation reduced was assessed by comparison of the preoperative and postoperative vertical distances between the superior eyebrow hairline and the midpupil and lateral and medial canthal angle. The average follow-up period was 18 months.
Results:: No incidences of infection, alopecia, or excessive scarring were noticed. The main complication associated with direct brow lift was visibility of the scar in 2 patients. One patient treated with brow lift with suture had recurrent eyebrow ptosis. Transient frontal paresthesia was noticed in 1 case treated with endotine ribbon device and in 1 case treated with Mersilene mesh, but this sensation returned by 6–12 weeks.
Conclusions:: In our experience, there does not exist a technique better than the other, but the best procedure depends on eyebrow contour, sex and age of the patient, magnitude of desired correction, presence or absence of patient’s hair, and patient’s expectations.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387159 | PMC |
| http://dx.doi.org/10.1097/gox.0000000000000310 | DOI Listing |
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