eMedicine Specialties > Plastic Surgery > Brow Lift

Brow Lift, Direct Brow Lift: Workup

Author: Daniel N Ronel, MD, FAAP, FACS, Clinical Assistant Professor, Department of Pediatrics, Division of Plastic Surgery, University of New Mexico School of Medicine; Consulting Staff, New Mexico Plastic Surgery, St Vincent Surgical Group
Coauthor(s): Martin I Newman, MD, FACS, Consulting Surgical Staff, Department of Plastic and Reconstructive Surgery, Associate Program Director and Educational Director of Plastic Surgery Resident Program, Department of Plastic Surgery, Cleveland Clinic Florida; Anthony Labruna, MD, Assistant Professor, Department of Otolaryngology, Department of Surgery and Plastic Surgery, Cornell University Medical Center; Mia Talmor, MD, Assistant Professor, Department of Surgery, Weill Medical College of Cornell University
Contributor Information and Disclosures

Updated: Jul 23, 2009

Workup

Laboratory Studies

  • Although usually unnecessary, a complete blood cell count and coagulation profile may be obtained at the discretion of the involved surgeon and anesthesiologist, following generally accepted medical guidelines based on age and clinical conditions.

Imaging Studies

  • Preoperative photographs should be obtained as before any cosmetic procedure.

Other Tests

  • A general medical evaluation and clearance for local anesthesia with sedation should be performed, as in all patients undergoing elective facial aesthetic procedures. Medications that may inhibit coagulation or wound healing are stopped at the appropriate interval before surgery. Patients with significant visual impairment may warrant referral to an ophthalmologist.

More on Brow Lift, Direct Brow Lift

Overview: Brow Lift, Direct Brow Lift
Workup: Brow Lift, Direct Brow Lift
Treatment: Brow Lift, Direct Brow Lift
Follow-up: Brow Lift, Direct Brow Lift
Multimedia: Brow Lift, Direct Brow Lift
References
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References

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  2. Campbell R, Benson PJ, Wallace SB, Doesbergh S, Coleman M. More about brows: how poses that change brow position affect perceptions of gender. Perception. 1999;28(4):489-504. [Medline].

  3. American Society of Plastic Surgeons. 2003 Plastic Surgery Statistics. Arlington Heights, Ill: American Society of Plastic Surgeons; 2003:[Full Text].

  4. American Society of Plastic Surgeons (ASPS). National Clearinghouse of Plastic Surgery Statistics. 2009 Report of the 2008 Statistics. ASPS Web site. Available at http://www.plasticsurgery.org/Media/stats/2008-US-cosmetic-reconstructive-plastic-surgery-minimally-invasive-statistics.pdf. Accessed July 23, 2009.

  5. Thorne CHM, Aston SJ. Forehead/brow lift. In: Aston SJ, Beasley RW, Thorne CHM, eds. Grabb and Smith's Plastic Surgery. Philadelphia, Pa: Lippincott Williams & Wilkins; 1997.

  6. McKinney P, Mossie RD, Zukowski ML. Criteria for the forehead lift. Aesthetic Plast Surg. 1991;15(2):141-7. [Medline].

  7. Johnson CM Jr, Anderson JR, Katz RB. The brow-lift 1978. Arch Otolaryngol. Mar 1979;105(3):124-6. [Medline].

  8. Fett DR, Sutcliffe RT, Baylis HI. The coronal brow lift. Am J Ophthalmol. Dec 1983;96(6):751-4. [Medline].

  9. Johnson CM Jr, Waldman SR. Midforehead lift. Arch Otolaryngol. Mar 1983;109(3):155-9. [Medline].

  10. Withey S, Witherow H, Waterhouse N. One hundred cases of endoscopic brow lift. Br J Plast Surg. Jan 2002;55(1):20-4. [Medline].

  11. Knize DM. A study of the supraorbital nerve. Plast Reconstr Surg. Sep 1995;96(3):564-9. [Medline].

  12. Seckel BR. Facial Danger Zones: Avoiding Nerve Injury in Facial Plastic Surgery. St. Louis, Mo: Quality Medical Publishing; 1994.

  13. 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].

  14. Ishikawa Y. An anatomical study on the distribution of the temporal branch of the facial nerve. J Craniomaxillofac Surg. Oct 1990;18(7):287-92. [Medline].

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  16. Freund RM, Nolan WB 3rd. Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg. Jun 1996;97(7):1343-8. [Medline].

  17. Ahn MS, Catten M, Maas CS. Temporal brow lift using botulinum toxin A. Plast Reconstr Surg. Mar 2000;105(3):1129-35; discussion 1136-9. [Medline].

  18. Rafaty FM, Brennan HG. Current concepts of browpexy. Arch Otolaryngol. Mar 1983;109(3):152-4. [Medline].

  19. Marks MW, Marks C, McGrew L, eds. Aesthetic facial surgery: forehead-brow lift. In: Fundamentals of Plastic Surgery. Philadelphia, Pa: WB Saunders; 1997.

  20. Tyers AG. Brow lift via the direct and trans-blepharoplasty approaches. Orbit. Dec 2006;25(4):261-5. [Medline].

  21. Lewis JR Jr. A method of direct eyebrow lift. Ann Plast Surg. Feb 1983;10(2):115-9. [Medline].

  22. Rafaty FM, Goode RL, Fee WE Jr. The brow-lift operation. Arch Otolaryngol. Aug 1975;101(8):467-8. [Medline].

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  28. McCord CD, Doxanas MT. Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg. Aug 1990;86(2):248-54. [Medline].

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  30. Passot R. La chururgie esthetique des rides du visage. Presse Med. 1919;27:258.

  31. Webster RC, Fanous N, Smith RC. Blepharoplasty: when to combine it with brow, temple, or coronal lift. J Otolaryngol. Aug 1979;8(4):339-43. [Medline].

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Further Reading

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Keywords

brow lift, direct brow lift, brow ptosis, forehead ptosis, ptotic brow, brow wrinkles, brow rhytid, brow rhytide, face lift, facelift, direct brow excision, blepharoplasty

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Contributor Information and Disclosures

Author

Daniel N Ronel, MD, FAAP, FACS, Clinical Assistant Professor, Department of Pediatrics, Division of Plastic Surgery, University of New Mexico School of Medicine; Consulting Staff, New Mexico Plastic Surgery, St Vincent Surgical Group
Daniel N Ronel, MD, FAAP, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, and American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Martin I Newman, MD, FACS, Consulting Surgical Staff, Department of Plastic and Reconstructive Surgery, Associate Program Director and Educational Director of Plastic Surgery Resident Program, Department of Plastic Surgery, Cleveland Clinic Florida
Martin I Newman, MD, FACS is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Florida Medical Association, Florida Society of Plastic Surgery, International Confederation for Plastic and Reconstructive Surgery, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.

Anthony Labruna, MD, Assistant Professor, Department of Otolaryngology, Department of Surgery and Plastic Surgery, Cornell University Medical Center
Anthony Labruna, MD is a member of the following medical societies: American Medical Association and American Rhinologic Society
Disclosure: Nothing to disclose.

Mia Talmor, MD, Assistant Professor, Department of Surgery, Weill Medical College of Cornell University
Mia Talmor, MD is a member of the following medical societies: American College of Surgeons and American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

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.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; 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.

CME Editor

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.

 
 
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