Nuances of the Direct Brow Lift: Oculoplastic Surgeons’ Perspective

Homer, Natalie; Zhou, S. P.; Watson, Alison H; Nakra, Tanuj

doi:10.1177/0748806820940930

Cited by 1 publication

(1 citation statement)

References 44 publications

(103 reference statements)

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“…12,22 Over the years, several studies have been published using transcutaneous brow lift, with good results. [23][24][25] In addition, several modifications of this technique have also been described, such as the Pelle-Ceravolo and Angelini Transcutaneous Brow Shaping Technique, 13 which developed a method for repositioning by individualizing the surgical incision format according to the needs of each patient. Our study also presents an individualization of the technique, unlike the previous studies, focusing on lifting the eyebrow tail exclusively to produce the fox-eye effect.…”

Section: Discussionmentioning

confidence: 99%

Fox Eye Effect Using a Transcutaneous Mini-Eyebrow Tail Lift

Borba

Rodrigues

2022

Am J Cosmet Surg

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The eyebrow position is a determining factor related to facial expression, especially concerning the anatomical relationship of the eyebrow with the eyelid. The changing position of the eyebrows with aging influences the individual’s expression and can give negative emotions such as loss of vitality, sadness, and tiredness, and influence facial beauty. Numerous procedures are available to the surgeon to prevent the eyebrows from falling after upper blepharoplasty or lift them in isolation. Despite the various surgical techniques undertaken to manage the eyebrow, conventional approaches are usually more aggressive procedures involving extensive skin resection at the hairline or scalp, endoscopic elevation, and temporal and coronal approaches. Given the growing search for less aggressive procedures that patients better tolerate, this study aims to describe a less invasive variation of the Castañares technique, focused on the elevation of the eyebrow’s tail, which may or may not be associated with blepharoplasty, the Surgical Fox Eye. The technique removes an ellipse of skin above the distal third of the eyebrow close to the hair bulbs and then sutures with a direct elevation of the eyebrow tail. The technique described is ideal for several cases, as it presents predictable and satisfactory clinical outcomes as to the patients’ expectations. It also presents easy healing with extensive durability with minimal chance of complications. Level of evidence: Level V—Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.

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