22 Pretrichial Brow Lift

Senmiao Zhan and Kian Eftekhari

Summary

Pretrichial brow lift is a powerful surgical procedure to restore harmony between the upper and lower face in the properly selected patient. This technique can be used in the context of functional or aesthetic surgery to elevate the brow. Understanding the anatomic layers and relationship between the facial mimetic musculature is important to achieve the goals of the procedure. To avoid complications, knowledge of motor and sensory nerves is key. The pretrichial lift has distinct advantages. It allows direct mechanical elevation of tissue and does not require special instrumentation. In addition, pretrichial brow lift can shorten the forehead, which is useful in select patients. The key disadvantage of this procedure is the postoperative scar. Patient selection is critical. There is risk of injury to the facial nerve and sensory nerves and understanding these nuances is important before performing the pretrichial brow lift.

Schlüsselwörter

brow lift - forehead - pretrichial - brow ptosis - temporal branch of facial nerve