RSS-Feed abonnieren
DOI: 10.5999/aps.2015.42.5.580
Lateral Brow Lift: A Multi-Point Suture Fixation Technique
Background Descent of the lateral aspect of the brow is one of the earliest signs of aging. The purpose of this study was to describe an open surgical technique for lateral brow lifts, with the goal of achieving reliable, predictable, and long-lasting results.
Methods An incision was made behind and parallel to the temporal hairline, and then extended deeper through the temporoparietal fascia to the level of the deep temporal fascia. Dissection was continued anteriorly on the surface of the deep temporal fascia and subperiosteally beyond the temporal crest, to the level of the superolateral orbital rim. Fixation of the lateral brow and tightening of the orbicularis oculi muscle was achieved with the placement of sutures that secured the tissue directly to the galea aponeurotica on the lateral aspect of the incision. An additional fixation was made between the temporoparietal fascia and the deep temporal fascia, as well as between the temporoparietal fascia and the galea aponeurotica. The excess skin in the temporal area was excised and the incision was closed.
Results A total of 519 patients were included in the study. Satisfactory lateral brow elevation was obtained in most of the patients (94.41%). The following complications were observed: total relapse (n=8), partial relapse (n=21), neurapraxia of the frontal branch of the facial nerve (n=5), and limited alopecia in the temporal incision (n=9).
Conclusions We consider this approach to be a safe and effective procedure, with long-lasting results.
Publikationsverlauf
Eingereicht: 15. April 2015
Angenommen: 06. Juli 2015
Artikel online veröffentlicht:
05. Mai 2022
© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Knize DM. An anatomically based study of the mechanism of eyebrow ptosis. Plast Reconstr Surg 1996; 97: 1321-1333
- 2 Chiu ES, Baker DC. Endoscopic brow lift: a retrospective review of 628 consecutive cases over 5 years. Plast Reconstr Surg 2003; 112: 628-633
- 3 Gleason MC. Brow lifting through a temporal scalp approach. Plast Reconstr Surg 1973; 52: 141-144
- 4 Paul MD. The evolution of the brow lift in aesthetic plastic surgery. Plast Reconstr Surg 2001; 108: 1409-1424
- 5 Gasperoni C, Salgarello M, Gargani G. Subperiosteal lateral browlift and its relationship to upper blepharoplasty. Aesthetic Plast Surg 1993; 17: 243-246
- 6 Dempsey PD, Oneal RM, Izenberg PH. Subperiosteal brow and midface lifts. Aesthetic Plast Surg 1995; 19: 59-68
- 7 Byrd HS, Andochick SE. The deep temporal lift: a multiplanar, lateral brow, temporal, and upper face lift. Plast Reconstr Surg 1996; 97: 928-937
- 8 Knize DM. Limited-incision forehead lift for eyebrow elevation to enhance upper blepharoplasty. Plast Reconstr Surg 1996; 97: 1334-1342
- 9 Lassus C. Elevation of the lateral brow without the help of an endoscope. Aesthetic Plast Surg 1999; 23: 23-27
- 10 Miller TA, Rudkin G, Honig M. et al. Lateral subcutaneous brow lift and interbrow muscle resection: clinical experience and anatomic studies. Plast Reconstr Surg 2000; 105: 1120-1127
- 11 Strauch B, Baum T. Correction of lateral brow ptosis: a nonendoscopic subgaleal approach. Plast Reconstr Surg 2002; 109: 1164-1167
- 12 Tuccillo F, Jacovella P, Zimman O. et al. An alternative approach to brow lift fixation: temporoparietalis fascia, galeal, and periosteal imbrication. Plast Reconstr Surg 2007; 119: 692-702
- 13 Marshak H, Morrow AA, Morrow DM. Biplanar temple lift for lateral brow ptosis: comparison with uniplanar dissection technique. Aesthetic Plast Surg 2008; 32: 517-522
- 14 Centurion P, Romero C. Lateral brow lift: a surgical proposal. Aesthetic Plast Surg 2010; 34: 745-757
- 15 Nahai F. Clinical decision-making in brow lift. In: Nahai F. The art of aesthetic surgery: principles & techniques. St. Louis: Quality Medical Pub.; 2005: 536-550
- 16 Elkwood A, Matarasso A, Rankin M. et al. National plastic surgery survey: brow lifting techniques and complications. Plast Reconstr Surg 2001; 108: 2143-2150
- 17 Foustanos A, Zavrides H. An alternative fixation technique for the endoscopic brow lift. Ann Plast Surg 2006; 56: 599-604
- 18 de la Fuente A, Santamaria AB. Endoscopic forehead lift: is it effective?. Aesthet Surg J 2002; 22: 113-120
- 19 Sulamanidze M, Sulamanidze G. APTOS suture lifting methods: 10 years of experience. Clin Plast Surg 2009; 36: 281-306
- 20 Ramirez OM. Endoscopically assisted biplanar forehead lift. Plast Reconstr Surg 1995; 96: 323-333
- 21 Fogli AL. Temporal lift by galeapexy: a review of 270 cases. Aesthetic Plast Surg 2003; 27: 159-165
- 22 de la Fuente A, Honig JF. Video-assisted endoscopic transtemporal multilayer upper midface lift (MUM-Lift). J Craniofac Surg 2005; 16: 267-276
- 23 Lemke BN, Stasior OG. The anatomy of eyebrow ptosis. Arch Ophthalmol 1982; 100: 981-986
- 24 Sullivan PK, Salomon JA, Woo AS. et al. The importance of the retaining ligamentous attachments of the forehead for selective eyebrow reshaping and forehead rejuvenation. Plast Reconstr Surg 2006; 117: 95-104
- 25 Psillakis JM, Rumley TO, Camargos A. Subperiosteal approach as an improved concept for correction of the aging face. Plast Reconstr Surg 1988; 82: 383-394