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. 2015 Apr 7;3(3):e337.
doi: 10.1097/gox.0000000000000310. eCollection 2015 Mar.

2014 SICPRE Proceedings: Meeting Proceedings

Michele Pascali  1 , Ilaria Bocchini  1 , Anna Avantaggiato  1 , Valerio Cervelli  1
Affiliations

2014 SICPRE Proceedings: Meeting Proceedings

Michele Pascali et al. Plast Reconstr Surg Glob Open. .

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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Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica.

Figures

Fig. 1.
Fig. 1.
Preoperative (A) and 1-year postoperative (B) frontal view of a 43-year-old patient with severe asymmetry of the brows. The direct brow lift was performed on the right side only to correct the asymmetry.
Fig. 2.
Fig. 2.
Preoperative (A) and 1-year postoperative (B) frontal view of a 63-year-old patient treated with Mersilene mesh and the upper blepharoplasty.
See this image and copyright information in PMC

References

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