Current Concepts of Browpexy

\s=b\Ptosis of the brow is a significant and often unrecognized portion of aging of the upper face. It contributes to both cosmetic and functional aging. Correction is often mandatory prior to blepharoplasty in that functional problems may be worsened without elevating the brow.Direct and coronal browlifts are the most common approach to the problem. Midforehead browlifts have been reserved for men with receding hairlines. We have, for the past three years, performed midforehead browlifts on all our patients needing ptotic brow correction. Our review of 72 patients treated in this way, including 52 women, shows excellent and long-lasting cosmetic and functional improvement. There have been few complications, and the resultant incisional scars have been very well accepted. Therefore, we feel that the midforehead browlift, performed as we describe, is the ideal surgical correction for the ptotic brow.

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“…There are several advantages to this operation. 1. It is technically easy to perform, requiring minimal undermining.…”

Section: Direct Browliftmentioning

confidence: 99%

The Versatile Midforehead Browlift

Cook¹,

Brownrigg²,

Wang

et al. 1989

Archives of Otolaryngology - Head and Neck Surgery

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“…A review of several textbooks and articles that discuss brow position reveals a consistent consensus as to the proper qualitative relationships of the ideal eyebrow position [1][2][3] ; these include ( Fig. 1):…”

Section: Surgical Norms In Brow Positionmentioning

confidence: 99%

Aesthetic Considerations in the Elevation of the Eyebrow

Alex

2004

Facial Plast Surg

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In an increasingly diverse and multicultural society, it becomes increasing imperative to understand the aesthetics and proper analysis of the face, particularly as it applies to forehead lifting and elevation of the eyebrow. Most articles published to date have emphasized the surgical anatomy and/or surgical technique of forehead lifting and addressed the question of brow aesthetics in a uniform, generalized fashion. In addition, the emphasis on brow elevation as a means to brow/upper lid rejuvenation can further distract the surgeon from appreciating each person's unique brow aesthetics. This article examines current surgical concepts of brow/upper lid proportion and harmony and compares and contrasts them with cultural notions of the "pleasing brow" as represented by the makeup and fashion industries. There is great variation in what is considered to be a "beautiful brow," and the facial plastic surgeon must understand the nuanced elements of eyebrow configuration that contribute to the overall balance and harmony of the face.

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“…This is in distinction to the preendoscopic literature, which usually juxtaposed the multiple surgical approaches of the time. [4][5][6][7] The main advantage of this approach, as pointed out in the literature, is that it is minimally invasive, being performed through small incisions. There is a relative decrease in sensory nerve dysfunction, and it allows excellent visualization of the glabellar musculature.…”

Section: Promentioning

confidence: 99%