Novel Pretrichial Browlift Technique and Review of Methods and Complications

Abstract

Browlifts are an important procedure in rejuvenating the upper third of the face and improving the overall facial aesthetic appearance. The pretrichial browlift is a less invasive open technique that is safe and effective for the appropriate patient. The authors have indicated no significant interests with commercial supporters.

A Minor Modification of Direct Browplasty Technique in a Patient with Brow Ptosis Secondary to Facial Paralysis: Copy-Paste-Excise and Stitch

“…The scar can be hidden in the brow hairs if performed in appropriate patients with thick brows. Paresthesias and numbness associated with damage to the supraorbital nerve are common complications of the procedure [7]. Transient decreases in sensation are often associated with divisions of smaller branches of the nerves, which typically resolve in several months [9].…”

“…Transient decreases in sensation are often associated with divisions of smaller branches of the nerves, which typically resolve in several months [9]. Damage to the supraorbital nerve and vessels can be prevented by a dissection performed superficially to the frontalis muscle [7]. Booth and colleagues reported that 74% of patients experienced numbness and that 7% of patients were dissatisfied with this complication [6].…”

“…The direct browplasty involves elliptical incisions immediately above the brows [7]. The traditionally used technique for planning the height and the area of the ellipse/half-moon to be excised is as follows [6, 7, 10].…”

“…Mark the full length of the superior border of the brow adjacent to the uppermost brow hairs, pulling the brow up to its desired postoperative height [6, 7]. Repeat this maneuver at several sites while marking with a pen along the brow to outline the amount to be resected [6, 7].…”

“…It is an easy technique to perform, provides good control over the amount of brow lift, and gives predictable results [6]. The direct browplasty involves bilateral elliptical incisions immediately above the brows [7]. Closure of the elliptical excision area alters the brow's shape resulting in an arched brow with the maximum arch being at the center of the brow and feminized appearance [6–8].…”