eMedicine Specialties > Plastic Surgery > Brow Lift
Brow Lift, Endoscopic: Multimedia
Updated: Sep 4, 2008
Multimedia
 | Media file 1: An aesthetic brow. A-B Lateral brow is at or above medial brow. C-D Brow peak is at lateral limbus of the iris or at junction of medial and lateral thirds of brow. A-E Head of medial brow begins at vertical line extending from nasal ala. B-E Lateral brow may extend to a line drawn from ala through lateral canthus of eye (Gunter JP, Antrobus SD: Plast Reconstr Surg 1997; 99(7): 1808). |
 | Media file 2: Cross section illustrating anatomy of temporal region and close relationship between sentinel vein and temporal branch of the facial nerve (VII). |
 | Media file 3: Diagram showing surface anatomy relationship between sentinel vein and temporal branch of facial nerve. Caution zone 10 mm in diameter is drawn at intersection of 2 lines: one extending from the mental foramen to lateral edge of the orbit, and another from the superior edge of the orbit to the junction of the ear helix and zygomatic arch. Perform dissection in this area under endoscopic vision (Trinei, 1998). |
 | Media file 4: Intraoperative photograph, endoscopic brow lift surgery. In balding patients or patients with high foreheads, obtain endoscopic access with small horizontal incisions directly on the forehead. |
 | Media file 5: Endoscopic brow lift. Preoperative photograph of 63-year-old woman. |
 | Media file 6: One year after endoscopic brow lift, no fixation performed. |
 | Media file 7: Prior to endoscopic brow lift surgery, 65-year-old woman with severe corrugator rhytides and brow ptosis. |
 | Media file 8: Postoperative view (2 y), endoscopic brow lift surgery. Patient has improved rhytides and improved brow position; however, note that brow shape has changed little despite medial release. Patient also had laser resurfacing of lower lids. No upper eyelid surgery was performed. |
 | Media file 9: Selective elevation of lateral brow can be accomplished by leaving the periosteum intact centrally between the brows. |
 | Media file 10: Elevating one brow more than the other requires an asymmetric dissection. As illustrated, dissection on patient's left brow stops at the transition zone, which allows a more permanent elevation of the right brow compared with the left. |
 | Media file 11: Fifty-nine-year-old woman at rest, with active corrugator function and asymmetric brow (right lower than left) before endoscopic brow lift surgery. |
 | Media file 12: Postoperative photo 2 years after endoscopic brow lift surgery with improvement in glabella and symmetry. Dissection on the right was complete, with dissection on the left not extending past the transition zone, creating an asymmetric lift. |
 | Media file 13: Elevating entire brow symmetrically requires complete release of brow down to zygomatic arches, including transition zones at insertion of temporalis muscles. |
 | Media file 14: Fifty-five-year-old woman before endoscopic brow lift surgery. |
 | Media file 15: Five months after endoscopic brow lift surgery with temporary fixation (9 d), upper blepharoplasty, and facelift. |
More on Brow Lift, Endoscopic |
| Overview: Brow Lift, Endoscopic |
| Workup: Brow Lift, Endoscopic |
| Treatment: Brow Lift, Endoscopic |
| Follow-up: Brow Lift, Endoscopic |
 Multimedia: Brow Lift, Endoscopic |
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References
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De Cordier B, de la Torre JI. A retrospective analysis of 400 endoscopic forehead lifts. Plast Reconst Surg. 2002;110:1558-1568.
Romo T 3rd, Sclafani AP, Yung RT, et al. Endoscopic foreheadplasty: a histologic comparison of periosteal refixation after endoscopic versus bicoronal lift. Plast Reconstr Surg. Mar 2000;105(3):1111-7; discussion 1118-9. [Medline].
Further Reading
Keywords
brow lift, browlift, endoscopic, endoscopic forehead lift, eye lift, thread lift, eyelid surgery, brow eye, brow-lift, brow lift surgery, eyebrow lift, endoscopic brow lift, endoscopic browlift, endoscopic surgery, eyebrow lift, eye surgery
