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Burnstine, Michael A. et al.: 2020 Ophthalmic Plastic Surgery of the Upper Face DOI: 10.1055/b-0039-172755
Section II Mechanical Ptosis

7 A Guide to Eyebrow Contouring Options

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Book

Editors: Burnstine, Michael A.; Dresner, Steven C.; Samimi, David B.; Merritt, Helen A.

Authors: Attas-Fox, Liat; Bergman, Mica Y.; Blessing, Nathan W.; Brundridge, Wesley L.; Bernardini, Francesco P.; Carruthers, Jean; Chang, Jessica R.; Codère, François; Delgado, Juan A.; Devoto, Martín H.; Duarte, Ana F.; Dolman, Peter J.; DeBacker, Christopher M.; Foster, Jill A.; Fante, Robert G.; Gennai, Alessandro; Gokoffski, Kimberly K.; Gildener-Leapman, Juliana; Greer, Christine; Hamill, Eric B.; Heymann, Hans B.; Hartstein, Morris E.; Holck, David E. E.; Holds, John B.; Kakizaki, Hirohiko; Kim, Jonathan W.; Kalyam, Krishnapriya; Lee, Wendy W.; Lee, Diana K.; Lucarelli, Mark J.; Malhotra, Raman; Martin, John J.; Mahoney, Nicholas R.; Murdock, Jennifer; Ng, John D.; Patel, Vivek R.; Pakdel, Farzad; Pereira, Alice V.; Pfeiffer, Margaret L.; Putterman, Allen M.; Sabundayo, Maria Suzanne; Tan, Jeremy; Ting, Magdalene Y. L.; Yen, Michael T.; Ullrich, Katja; Zhang-Nunes, Sandy

Title: Ophthalmic Plastic Surgery of the Upper Face

Subtitle: Eyelid Ptosis, Dematochalasis, and Eyebrow Ptosis

Print ISBN: 9781626239210; Online ISBN: 9781626239227; Book DOI: 10.1055/b-006-149698

2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart

Subjects: Plastic, Reconstructive and Cosmetic Surgery;Ophthalmology, Optometry

Thieme Clinical Collections (English Language)



 
David B. Samimi

Abstract

Eyebrow shape and position play a powerful role in expression of mood, youth, and, at times, the ability to maintain superior field of vision. Advances in our understanding of facial aging have shifted the focus on brow enhancement surgery from altering vertical position with a browlift to conceptual considerations for the shape of the brow in three dimensions. This book includes a description of several modern approaches to eyebrow rejuvenation. Incisionless approaches include muscular denervation with neurotoxin and volume replacement with synthetic filler or autologous fat. Surgical rejuvenation may be approached through an incision in the eyelid crease, above eyebrow cilia, in central forehead rhytids, and at or behind the superior forehead hairline. A focused history and physical exam should be performed to choose the optimal procedure. This chapter helps the reader understand how to integrate a patient’s goals and anatomy to choose the optimal eyebrow rejuvenation approach.

Key words

browlift - eyebrow lift - forehead lift - facial rejuvenation