12 Pretrichial Temporal Browlift
Book
Editors: Burnstine, Michael A.; Dresner, Steven C.; Samimi, David B.; Merritt, Helen A.
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)
Abstract
In many patients with aging, there can be a loss of volume in the lateral brow. This will cause the brow to descend, resulting in excess skin with hooding in the lateral portion of the upper lid. Failure to address a low brow position when doing an upper eyelid surgery can result in a heavy, undercorrected appearance postoperatively. There have been many procedures described for the elevation of the temporal brow. Many of them use an incision either at or behind the hairline in the lateral forehead. Dissection proceeds inferiorly to the orbital rim. The technique in this chapter uses an incision of an ellipse of skin and subcutaneous tissue in front of the temporal hairline. In contrast to other techniques previously reported, there is no dissection or undermining around the ellipse. Instead, the tissue is closed directly with deep and superficial sutures or staples. The procedure is quick with minimal bruising and swelling while consistently elevating the lateral eyebrow several millimeters.