Coronoplasty Brow Lift Workup

  • Author: Frank S Ciminello, MD; Chief Editor: Lars M Vistnes, MD, FRCSC, FACS   more...
 
Updated: Apr 9, 2012
 

Laboratory Studies

  • General medical evaluation and clearance for local anesthesia with sedation are required for all patients undergoing elective facial aesthetic procedures.
  • CBC, coagulation, and electrolyte studies are performed at the discretion of the surgeon and anesthesiologist. Generally accepted medical guidelines based on age and clinical conditions should be followed.
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Other Tests

  • Some patients have significant visual field obstruction secondary to brow ptosis and upper eyelid skin excess. A referral for visual field studies is indicated in patients desiring possible insurance coverage for brow or forehead lift procedures. Visual field defects are often graded as to severity, and coverage is often based on individual third-party payer criteria. A referral to an ophthalmologist who performs visual field studies on a regular basis is recommended.
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Contributor Information and Disclosures
Author

Frank S Ciminello, MD  Director of Craniofacial Surgery, University Hospital, New Jersey Medical School

Frank S Ciminello, MD is a member of the following medical societies: American College of Surgeons and American Society of Plastic and Reconstructive Surgery

Disclosure: Nothing to disclose.

Coauthor(s)

Matthew J Trovato, MD  Fellow, Division of Plastic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School

Disclosure: Nothing to disclose.

Specialty Editor Board

R C A Weatherley-White, MD  Associate Clinical Professor of Surgery (Plastic), University of Colorado; Medical Director, Department of Plastic Surgery, Columbia Rose Medical Center

R C A Weatherley-White, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, Colorado Medical Society, and Royal Society of Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Jorge I de la Torre, MD, FACS  Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Lars M Vistnes, MD, FRCSC, FACS  Professor of Surgery, Emeritus, Stanford University Medical Center

Lars M Vistnes, MD, FRCSC, FACS is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

References

  1. Lyon DB. Upper blepharoplasty and brow lift: state of the art. Mo Med. Nov-Dec 2010;107(6):383-90. [Medline].

  2. Matros E, Garcia J, Yaremchuck. Changes in eyebrow position and shape with aging. Plast Reconstr Surgery. 2009;124:1296-1301.

  3. Trovato MJ, Ciminello FS, Rauscher GE. Redefining the brow-lift: A quantitative topographic assessment of age-related changes and operative techniques. Presented at the American Society of Aesthetic Plastic Surgery, May 3, 2009.

  4. Stuzin JM, Wagstrom L, Kawamoto HK, Wolfe SA. Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad. Plast Reconstr Surg. Feb 1989;83(2):265-71. [Medline].

  5. Communication with John Q. Owsley, M.D. 2008.

  6. Graham DW, Heller J, Kurkjian TJ, Schaub TS, Rohrich RJ. Brow lift in facial rejuvenation: a systematic literature review of open versus endoscopic techniques. Plast Reconstr Surg. Oct 2011;128(4):335e-341e. [Medline].

  7. Guillot JM, Rousso DE, Replogle W. Forehead and scalp sensation after brow-lift: a comparison between open and endoscopic techniques. Arch Facial Plast Surg. Mar-Apr 2011;13(2):109-16. [Medline].

  8. Camirand A. Improvement of the Scars of Temporal and Frontal Face Lifts. In: McKinney P. Yearbook of Plastic Surgery. St. Louis: Mosby; 1993.

  9. Powell B, Younes A, Friedman O. Evaluation of the midforehead brow-lift operation. Arch Facial Plast Surg. Sep-Oct 2011;13(5):337-42. [Medline].

  10. Connell BF, Lambros VS, Neurohr GH. The forehead lift: techniques to avoid complications and produce optimal results. Aesthetic Plast Surg. 1989;13(4):217-37. [Medline].

  11. Connell BF, Marten TJ. The male foreheadplasty. Recognizing and treating aging in the upper face. Clin Plast Surg. Oct 1991;18(4):653-87. [Medline].

  12. Guyuron B. Subcutaneous approach to forehead, brow, and modified temple incision. Clin Plast Surg. Apr 1992;19(2):461-76. [Medline].

  13. Hamra ST. Composite Rhytidectomy. St. Louis: Quality Medical Publishing; 1993.

  14. Hamra ST. Composite rhytidectomy. Finesse and refinements in technique. Clin Plast Surg. Apr 1997;24(2):337-46. [Medline].

  15. Isse NG. Endoscopic facial rejuvenation. Clin Plast Surg. Apr 1997;24(2):213-31. [Medline].

 
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Cross-section of the temporal region showing fascial relationships to the zygomatic arch.
Method for quantitative topographic assessment of age related brow changes and operative technique.
Left - Preoperative view, brow lift Right - Postoperative view at 2 years
Left - Preoperative view, brow lift Right - Postoperative view at 2 years
Left - Preoperative view, brow lift Right - Postoperative view at 2 years
Left - Preoperative view, brow lift Right - Postoperative view at 2 years
 
 
 
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