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Mid Forehead Brow Lift Workup

  • Author: Frank S Ciminello, MD; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
 
Updated: Apr 13, 2016
 

Laboratory Studies

See the list below:

  • Preoperative laboratory tests are normally not required in the typical patient. A template bleeding time may be useful in patients with suggested anticoagulant use (eg, prescriptive, over-the-counter, herbal).
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Imaging Studies

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  • Imaging is normally not required for this condition.
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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, American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

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

Disclosure: Received salary from Medscape for employment. for: Medscape.

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 Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Society for Reconstructive Microsurgery, Association for Academic Surgery, Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Chief Editor

Zubin J Panthaki, MD, CM, FACS, FRCSC Professor of Clinical Surgery, Department of Surgery, Division of Plastic Surgery, Associate Professor Clinical Orthopedics, Department of Orthopedics, University of Miami, Leonard M Miller School of Medicine; Chief of Hand Surgery, University of Miami Hospital; Chief of Hand Surgery, Chief of Plastic Surgery, Miami Veterans Affairs Hospital

Zubin J Panthaki, MD, CM, FACS, FRCSC is a member of the following medical societies: American College of Surgeons, American Society for Surgery of the Hand, American Society of Plastic Surgeons, Canadian Society of Plastic Surgeons, American Council of Academic Plastic Surgeons, Miami Society of Plastic Surgeons, Medical Council of Canada, Canadian Military Engineers Association

Disclosure: Nothing to disclose.

Additional Contributors

R C A Weatherley-White, MD MA (Cantab), FACS, FAAP, FRSM, Associate Clinical Professor in Surgery (Plastic), University of Colorado School of Medicine; Medical Director, Cleft Palate/Craniofacial Center, Rose Medical Center

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

Disclosure: Nothing to disclose.

Bhupendra Patel, MD, FRCS Professor of Ophthalmic Plastic and Facial Cosmetic Surgery, Department of Ophthalmology and Visual Sciences, John A Moran Eye Center, University of Utah School of Medicine

Bhupendra Patel, MD, FRCS is a member of the following medical societies: American Academy of Ophthalmology, American Society of Ophthalmic Plastic and Reconstructive Surgery, Royal College of Surgeons of England, Royal Society of Medicine

Disclosure: Nothing to disclose.

Simon F Taylor, MBBS FRANZCO, FRACS, Clinical Senior Lecturer, Oculoplastic Surgery, Save Sight Institute, University of Sydney, Australia

Simon F Taylor, MBBS is a member of the following medical societies: Australian Medical Association, Royal Australasian College of Surgeons

Disclosure: Nothing to disclose.

Acknowledgements

Matthew J Trovato, MD Fellow, Division of Plastic Surgery, Rutgers New Jersey Medical School

Disclosure: Nothing to disclose.

References
  1. van den Bosch WA, Leenders I, Mulder P. Topographic anatomy of the eyelids, and the effects of sex and age. Br J Ophthalmol. 1999 Mar. 83(3):347-52. [Medline].

  2. Forte AJ, Andrew TW, Colasante C, Persing JA. Perception of Age, Attractiveness, and Tiredness After Isolated and Combined Facial Subunit Aging. Aesthetic Plast Surg. 2015 Dec. 39 (6):856-69. [Medline].

  3. Warren RJ. The modified lateral brow lift. Aesthet Surg J. 2009 Mar-Apr. 29(2):158-66. [Medline].

  4. Koch RJ, Pope K. Quantitative assessment of brow position: a new measurement system. Plast Reconstr Surg. 2004 Apr 1. 113(4):1290-1. [Medline].

  5. Frankel AS, Kamer FM. The effect of blepharoplasty on eyebrow position. Arch Otolaryngol Head Neck Surg. 1997 Apr. 123(4):393-6. [Medline].

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

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

  8. Troilius C. A comparison between subgaleal and subperiosteal brow lifts. Plast Reconstr Surg. 1999 Sep. 104(4):1079-90; discussion 1091-2. [Medline].

  9. Honig JF, Frank MH, Knutti D, de La Fuente A. Video endoscopic-assisted brow lift: comparison of the eyebrow position after Endotine tissue fixation versus suture fixation. J Craniofac Surg. 2008 Jul. 19(4):1140-7. [Medline].

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

  11. Angelos PC, Stallworth CL, Wang TD. Forehead lifting: state of the art. Facial Plast Surg. 2011 Feb. 27(1):50-7. [Medline].

  12. Hamamoto AA, Liu TW, Wong BJ. Identifying ideal brow vector position: empirical analysis of three brow archetypes. Facial Plast Surg. 2013 Feb. 29(1):76-82. [Medline].

  13. Brennan HG, Rafaty FM. Midforehead incisions in treatment of the aging face. Arch Otolaryngol. 1982 Nov. 108(11):732-4. [Medline].

  14. Lemke BN, Stasior OG. The anatomy of eyebrow ptosis. Arch Ophthalmol. 1982 Jun. 100(6):981-6. [Medline].

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Mid forehead brow lift. Transverse forehead incisions may be broken as shown to improve the appearance of the final result. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Dissection is performed in the subcutaneous plane. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Transverse incisions are made in the galea to access the corrugator and procerus muscles. These incisions are kept in the middle to prevent injury to the supraorbital nerve branches. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Once exposed, the corrugator and procerus muscles are attenuated. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. The galea is shortened as desired and sutures are placed. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Elevation of the cutaneous structures is obtained and appropriate trimming is performed. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Meticulous subcuticular closure is achieved with no tension on the skin edges. Courtesy of Bhupendra Patel, MD, FRCS.
Several different incisions for mid forehead lifts have been proposed. Here, incisions are placed at different heights to prevent a long horizontal scar. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Preoperative. A 68-year-old man with markedly overactive corrugator and procerus muscles. Note the particularly heavy sebaceous forehead skin and evidence of long standing overactivity of the orbital orbicularis oculi muscles, all conspiring to create a particularly menacing appearance. Such a patient would not do well with an endoscopic forehead lift. Courtesy of Bhupendra Patel, MD, FRCS.
Mid forehead brow lift. Postoperative. Note that even 5 months following the repair, some pinkness of the incision site is present. When a patient has a great degree of actinic keratosis and secondary telangiectatic vessels, such as in this man, such persistent pinkness in the incision site is not uncommon. However, a reasonable elevation of his brows and weakening of his uncommonly powerful corrugator and procerus muscles has been achieved. Courtesy of Bhupendra Patel, MD, FRCS.
Coronal section of scalp that shows layers of the scalp.
Diagram of the sensory and motor supply of the face.
 
 
 
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