Endoscopic Browlift Is the Preferred Approach for Rejuvenation of the Upper Third of the Face

Koch, R.

doi:10.1001/archotol.127.1.87

Cited by 14 publications

(6 citation statements)

References 7 publications

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“…Thus far, various techniques of brow elevation have been described, including the direct brow lift, 1,2 the midforehead lift, 3-8 the pretrichial and post-trichial coronal lift, [7][8][9][10][11] and more recently the endoscopic brow lift. [12][13][14] In most of patients, especially women, either an endoscopic forehead lift or an open forehead lift is the procedure of choice for correction of brow ptosis. However, in case of male patients with pattern baldness, a rather high forehead and extensive compensatory rhytidosis of the forehead, one may also consider a direct brow lift by direct excision of skin above the eyebrow.…”

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Gull Wing Midforehead Lift

Huijing¹,

Lei²

2010

Annals of Plastic Surgery

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In case of both medial and lateral brow ptosis in a balding candidate with a furrowed forehead, one may consider a midforehead lift, a technique that has not gained much popularity because of concerns regarding clearly visible scarring. We have applied this technique in a selected group of patients and wish to share our experience discussed among a review of the English-language literature. Our series of 10 male patients (average age, 56.9; operated in period between 2003 and 2006) were contacted, asked to return for a follow-up, and interviewed; all data were collected, including the excised amount of tissue and postoperative complications. Patient satisfaction was assessed (Likert scale) as well as the objective aesthetic result using the Strasser scoring system. Eyebrow position increased significantly (P < 0.035) after surgery, and remained stable over the follow-up period of 3 years. Postoperatively, the majority of the patients (7 of 10) was satisfied with the result and would repeat surgery based on their experience (average visual analog scale score, 7; range, 4-8). In all cases, functional complaints had decreased significantly. Although most patients reported to be somewhat bothered with the initial aesthetical aspect of the scar, only 1 of 10 patients was not satisfied with the overall aesthetic result. Four patients were graded as good, 3 patients as mediocre, and 1 patient as poor as based upon the Strasser grading system. These results demonstrate that there is a limited but definite indication for the gull wing midforehead lift in cases of generalized ptosis of the forehead in balding males with high and furrowed foreheads.

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Gull Wing Midforehead Lift

Huijing¹,

Lei²

2010

Annals of Plastic Surgery

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“…The approach was initially seen as an alternative to the classic coronal and pre-trichia incisions, bringing about fewer scars, less hair loss and less paresthesia. With the amount of experience and time to critically assess post-operative results, today endoscopic frontoplasty is the preferred technique used by most of the authors for cosmetic correction of the upper facial third1, 4,5,14,15 . In our department, endoscopic frontoplasty presented satisfactory results in more than 90% of the cases.…”

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confidence: 99%

“…A number of techniques may be used in order to elevate the eyebrows. Endoscopic frontoplasty represents a significant development, having replaced the classic coronal and pre-trichia technique [1][2][3][4] . It allows for a forehead and eyebrows cosmetic enhancement without causing disproportional changes to facial anatomical relations.…”

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confidence: 99%

Frontoplastia endoscópica: três anos de experiência

Patrocı́nio

Reinhart

Patrocínio

et al. 2006

Rev. Bras. Otorrinolaringol.

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The authors sent to the RBORL the proper documentation, duly signed by the patients from the study, authorizing the publication of their photographies.Endoscopi c forehead lift (EFL) represents a significant progress, even replacing the classic coronal and pretriquial techniques. Aim: To demonstrate a series of cases and to evaluate results and complications with EFL in the Department of Otorhinolaryngology of the Federal University of Uberlândia. Materials and Methods: From January 2001 to January 2004, 67 patients were submitted to EFL, and 7 of these were submitted to the so called "triangles technique". Their ages ranged between 38 and 59 years; and 65 (97%) were females. Results: Of these, 56 patients presented satisfactory result and 2 presented aesthetic deficits noticed by the surgeon and the patient. Of the 7 patients submitted to the "triangles' technique", all showed satisfactory results. All the patients had improvements on their ptosis of the lateral and glabellar third of the brows and reduction in vertical and frontal wrinkles. Revision surgery was necessary in 2 patients that had ptosis recurrence. There was one unilateral paralysis of the front branch of the facial nerve. With the "triangles' technique", 5 patients presented visible scars. Conclusion: EFL is a technique that produces satisfactory results in the great majority of patients, with low complication rates.

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“…4 Over a 10-year period, the endoscopic brow lift has become the preferred approach for rejuvenation of the upper third of the face by many plastic surgery subspecialists. 5 The aesthetic goals of a brow lift are to produce the desired effect with minimal morbidity and lasting results. 6 This is most easily attained by the small incisions of an endoscopically assisted surgery with remote access hidden behind the hairline.…”

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confidence: 99%