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DOI: 10.1055/a-1883-0483
Functional Browlifting
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Abstract
Brow ptosis is an abnormal descent of the eyebrow resulting in a displeased appearance and/or functional deficit. While most cases of brow ptosis do not result in a functional impairment, functional brow surgery is generally reserved for individuals with severe brow asymmetry or visual field deficit related to excess soft tissue pushing downward on the eyelid. A combination of both intrinsic and extrinsic anatomic factors contributes to an unfavorable brow shape, contour, and position. Proper management of brow ptosis requires an understanding of both surgical and nonsurgical modalities. Traditionally, individuals with functional brow ptosis are treated by browpexy via blepharoplasty approach, direct browlift, mid-forehead browlift, or less commonly endoscopic browlift.
Keywords
browlift - functional browlift - brow ptosis - mid-forehead browlift - direct browlift - facial paralysisAuthor's Contribution
B.S.D. was involved in lead conceptualization, resources, writing, reviewing, and editing of the original draft.
Publication History
Accepted Manuscript online:
23 June 2022
Article published online:
02 September 2022
© 2022. Thieme. All rights reserved.
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References
- 1 Feser DK, Gründl M, Eisenmann-Klein M, Prantl L. Attractiveness of eyebrow position and shape in females depends on the age of the beholder. Aesthetic Plast Surg 2007; 31 (02) 154-160
- 2 Hohman MH, Kim SW, Heller ES, Frigerio A, Heaton JT, Hadlock TA. Determining the threshold for asymmetry detection in facial expressions. Laryngoscope 2014; 124 (04) 860-865
- 3 Perumal B, Meyer DR. Facial asymmetry: brow and ear position. Facial Plast Surg 2018; 34 (02) 230-234
- 4 Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. Laryngoscope 2014; 124 (07) E283-E293
- 5 De Jong R, Hohman MH. Brow Ptosis. Accessed May 30, 2022 at: http://www.ncbi.nlm.nih.gov/pubmed/32809597
- 6 Garritano FG, Quatela VC. Surgical anatomy of the upper face and forehead. Facial Plast Surg 2018; 34 (02) 109-113
- 7 Lettieri S. Frontal branch of the facial nerve: galeal temporal relationship. Aesthet Surg J 2008; 28 (02) 143-146
- 8 Hamamoto AA, Liu TW, Wong BJ. Identifying ideal brow vector position: empirical analysis of three brow archetypes. Facial Plast Surg 2013; 29 (01) 76-82
- 9 Patel BC, Malhotra R. Mid Forehead Brow Lift. Accessed May 30, 2022 at: http://www.ncbi.nlm.nih.gov/pubmed/30571073
- 10 Nair AG, Santhanam A. Clinical photography for periorbital and facial aesthetic practice. J Cutan Aesthet Surg 2016; 9 (02) 115-121
- 11 Blepharoplasty, Blepharoptosis, and Brow Ptosis Repair - United Healthcare Coverate Determination Guidelines. United Healthcare Coverage Determination Guidelines. Accessed May 30, 2022 at: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/blepharoplasty-blepharoptosis-brow-ptosis-repair.pdf
- 12 Karimi N, Kashkouli MB, Sianati H, Khademi B. Techniques of eyebrow lifting: a narrative review. J Ophthalmic Vis Res 2020; 15 (02) 218-235
- 13 Booth AJ, Murray A, Tyers AG. The direct brow lift: efficacy, complications, and patient satisfaction. Br J Ophthalmol 2004; 88 (05) 688-691
- 14 Mokhtarzadeh A, Massry GG, Bitrian E, Harrison AR. Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty. Orbit 2017; 36 (02) 102-109
- 15 Eftekhari K, Peng GL, Landsberger H, Douglas R, Massry GG. The brow fat pad suspension suture: safety profile and clinical observations. Ophthal Plast Reconstr Surg 2018; 34 (01) 7-12