Determinative factors in surgical planning of eyebrow cosmetic and reconstructive surgery

Abstract

PurposeThe purpose of this study was to identify the different factors that an oculoplastic surgeon should consider while practicing cosmetic or reconstructive eyebrow surgery in order to have the final patient’s satisfaction.Subjects and methodsIn an observational case series study, five photographs were taken from each of 60 females to show ideal eyebrow positioning with fingers. Eyebrow landmarks, including tarsal plate show (TPS) and eyebrow height, were measured in the ideal position. Brow apex position and brow apex angle were evaluated in the desired position of eyebrow.ResultsThe mean desired apex angle of eyebrow was measured as 135±9 mm. In all, 48.33% of our subjects preferred a wider brow angle, 28.33% a narrower one, and 23.33% a brow angle without any change. The location of brow peak was transferred to the lateral canthus in the desired position. The ideal brow peak in the lateral canthus and between lateral canthus and lateral limbus was assigned to 33.3% and 66.6% of cases, respectively. The desired eyebrow apex angle in two age groups of our subjects (>40 years and ≤40 years) was not statistically different.ConclusionLandmarks of the eyebrow and its desired position are somehow different between different studies, which may be explained by the variation in race, gender, culture, and age. As there is not any uniform rule in planning of cosmetic surgeries of eyebrow, oculoplastic surgeons should consider the difference in culture, race, age, and desire of the patients and have their surgical plans for every individual patient distinctively.

“The Evolution of Eyebrow Morphology: The Westmore Model Revisited”

“…Although certain aspects of beauty are rather timeless, other traits may vary over time. With the globalization of the modern concept of beauty, women around the world are easily influenced by foreign cultures . The present study illustrates how modern fashion trends can influence the beauty ideals, directly affecting patient demands and consequently reforming aesthetic surgical and medical practice.…”

“…With the globalization of the modern concept of beauty, women around the world are easily influenced by foreign cultures. 16,23,24 The present study illustrates how modern fashion trends can influence the beauty ideals, directly affecting patient demands and consequently reforming aesthetic surgical and medical practice. It is imperative to constantly reshape outdated beauty concepts to match constantly changing patient ideals.…”

“…Eyebrow reshaping procedures have gained a lot of popularity in the last decade primarily due to the advances in instruments and techniques . Surgical or botulinum toxin‐induced brow lifts are procedures that try to recreate the ideal eyebrow shape.…”

“…Eyebrow reshaping procedures have gained a lot of popularity in the last decade primarily due to the advances in instruments and techniques. [14][15][16][17][18][19] Surgical or botulinum toxin-induced brow lifts [18][19][20] are procedures that try to recreate the ideal eyebrow shape. Accurate positioning of the brow arch contributes to the overall aesthetic appeal of the face.…”

Tumor primario quístico de la órbita: a propósito de un caso de hidatidosis infantil

“…En el Perú, la hidatidosis es un problema de salud pública, siendo las zonas endémicas, principalmente, las regiones de Puno, Junín, y Huancavelica (6,7) . Los quistes hidatídicos orbitarios, generalmente, se encuentran en tejidos retrobulbares, ya sean externos, en los ángulos superolaterales, superomediales o dentro del cono muscular en un 60% (9,10) . La presentación clínica consta de proptosis ocular unilateral, deterioro del movimiento ocular y de la agudeza visual en la mayoría de los casos (5,9) , lo que concuerda con el cuadro clínico que presentó nuestro paciente.…”