The Direct Brow-Lift Using the Flat Incision Technique

Feinendegen, Dominik L.

doi:10.1007/s00266-011-9786-9

Cited by 20 publications

(29 citation statements)

References 6 publications

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“…A first clinical study with 38 patients for direct brow lifts for aesthetic reasons showed a fine and nearly invisible scar. 2 Those results were confirmed in a second clinical study with 18 patients after brow reduction and repositioning in aesthetic surgery. 3 …”

Section: Discussionmentioning

confidence: 65%

“…The first author introduced in 2012 the “flat incision technique” (FIT) for brow aesthetic enhancement by defining brow shape, brow symmetry, and brow suspension through a so-called direct-brow incision at 20°. 2 , 3 The proposed bevelled brow incision enhances the dermal layers of the wound by a factor of 2, in contrast to the vertical incision, providing a markedly improved scarring. 3 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Feinendegen

Tremp

Roldán

2018

Plastic and Reconstructive Surgery - Global Open

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Background:Skin incision is considered to be placed at 90° in reference to the skin to get perfect wound edge adaptation. The incision on hair-bearing tissues, as the scalp, is considered to be bevelled at 45° to promote hair growth through the scar. There is no consensus about the preferred incision angle on the brow. The aim of this article was to demonstrate the feasibility of the “flat incision technique” for brow repositioning, where brow deformation results after forehead reconstruction. A wound-healing model for the bevelled incision is presented.Methods:Brow incisions are bevelled with an angle of 20°. The lower incision is placed inside the brow so that the upper 2 rows of hair are included; the dermis is completely transected and dissection is continued into the subdermal plane. The procedure is presented in a patient who underwent resection of the forehead due to melanoma.Results:The bevelled incision increases the surface area of dermal layer by a factor of 2 compared with the standard vertical skin incision at 90°. Loss of the dermal tissue integrity and continuity due to trauma hinders the recovery of cell migration and function, resulting in a more prominent scar formation. It appears reasonable that with the increased surface area of the dermal layers in the wound edges, the scar quality improves. The case study demonstrates the feasibility of the procedure.Conclusion:The bevelled 20° incision for brow repositioning and reshaping showed to be a viable and predictable procedure.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Feinendegen

Tremp

Roldán

2018

Plastic and Reconstructive Surgery - Global Open

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“…When the direct brow lift is performed, the operative technique is the following: while the patient is awake and in as tending position the new brow form and position including the amount of skin resection and brow thinning, are drawn. 5 After infiltration of 1% lidocaine with 1:500,000 adrenaline, the skin is excised holding the blade of the scalpel parallel to the axis of the eyebrow hair shaft and taking care to deepen the resection not beyond the subcutaneous fat to avoid injuring the sensory and motor nerve endings. The orbicular muscle is never resected.…”

Section: Methodsmentioning

confidence: 99%

Our Experience with Brow Ptosis Correction

Pascali

Bocchini

Avantaggiato

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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Background:Brow elevation is one of the goals of surgical rejuvenation procedures. In this article, the authors reviewed their experience with brow lift, and they compared 4 different techniques: direct brow lift, brow lift with endotine ribbon device, brow lift with temporoparietalis imbrication, and brow lift with Mersilene mesh to provide long-lasting results.Methods:This is a retrospective study of 80 patients (20 for each group), aged between 48 and 75 years undergoing brow lift surgery, between January 2011 and January 2013. In all cases, the brow lift was associated with an upper blepharoplasty. The amount of brow elevation reduced was assessed by comparison of the preoperative and postoperative vertical distances between the superior eyebrow hairline and the midpupil and lateral and medial canthal angle. The average follow-up period was 18 months.Results:No incidences of infection, alopecia, or excessive scarring were noticed. The main complication associated with direct brow lift was visibility of the scar in 2 patients. One patient treated with brow lift with suture had recurrent eyebrow ptosis. Transient frontal paresthesia was noticed in 1 case treated with endotine ribbon device and in 1 case treated with Mersilene mesh, but this sensation returned by 6–12 weeks.Conclusions:In our experience, there does not exist a technique better than the other, but the best procedure depends on eyebrow contour, sex and age of the patient, magnitude of desired correction, presence or absence of patient’s hair, and patient’s expectations.

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“…Eine stärker abgewinkelte Schnittführung (max. 20°), die kaudal bis in die ersten 2–3 oberen Haarreihen hinein reicht, ermöglicht eine kosmetisch günstige Maskierung der Narbe durch nachwachsende Brauenhaare . Nach kranial wird danach die zuvor markierte Inzision im gleichen Winkel durchgeführt.…”

Section: Technikunclassified