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. 2016 Apr-Jun;9(2):93-6.
doi: 10.4103/0974-2077.184041.

Objective Brow Height Measurements Following Pretrichial Brow Lift and Upper Lid Blepharoplasty

Matthew Martin  1 , Christopher T Shah  2 , Payal Attawala  3 , Keith Neaman  1 , Melissa Meldrum  4 , Adam S Hassan  4
Affiliations

Objective Brow Height Measurements Following Pretrichial Brow Lift and Upper Lid Blepharoplasty

Matthew Martin et al. J Cutan Aesthet Surg. 2016 Apr-Jun.

Abstract

Background: As the ptotic brow drops below the supraorbital rim, it can exacerbate dermatochalasis by pushing the adjacent skin of the upper lid further down.

Aim: The purpose of this study was to evaluate the outcomes associated with a combined pretrichial brow lift and upper lid blepharoplasty in patients with dermatochalasis and mild to moderate brow ptosis.

Materials and methods: A retrospective case series of 46 patients with dermatochalasis and mild to moderate brow ptosis treated with a combined, bilateral pretrichial brow lift and upper lid blepharoplasty from January 2008 to December 2011. Main outcome measures included measurements of brow lift at 3 months post-operatively, complications encountered, patient satisfaction and surgeon satisfaction.

Results: Outcomes from 46 patients were evaluated. The mean brow lift was 1.85 mm at the lateral canthus, 1.54 mm at the lateral limbus, 1.31 mm at the mid-pupil, and 1.07 mm at the medial limbus. Brow lift at the lateral canthus was significantly more elevated than at the medial limbus (P < 0.001). Minor complications were encountered in seven of 46 patients (15.2%). Mean patient satisfaction score was 3.20 and surgeon satisfaction 3.24 (max = 4, very satisfied).

Conclusions: The modified pretrichial brow lift offered effective lateral lift that complements an upper lid blepharoplasty. This technique was met with a high degree of patient and surgeon satisfaction, and had a minimal complication profile.

Keywords: Brow ptosis; pretrichial brow lift; temporal brow lift.

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Figures

Figure 1
Figure 1
Brow height measurements. Brow height was measured from a horizontal line through the centre of the pupil to the top of the eyebrow at four set points: Medial limbus (ML), middle of the pupil (MP), lateral limbus (LL), and the lateral canthus (LC). Pupil resized and standardised at 11 mm
Figure 2
Figure 2
Surgical technique
Figure 3
Figure 3
(a) Pre-operative photo (b) 7 months post-operative photos following bilateral modified pretrichial brow lift and blepharoplasty
See this image and copyright information in PMC

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