eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery
Direct Brow Lift: Follow-up
Updated: Jul 14, 2009
Outcome and Prognosis
Following brow elevation procedures, the patient should experience an improvement in appearance and a restoration of the superior visual field. In order to achieve these results, the brow repair may have to be combined with a blepharoplasty.
Booth et al reviewed their experience with direct brow lift to establish its efficacy and complication rate.3 The direct brow lift operation was found to give a predictable outcome, with high levels of patient satisfaction. With careful wound closure, postoperative scars were rarely cosmetically unacceptable to the patient. Paraesthesia were common but well-tolerated sequelae. The direct brow lift was found to be a reliable method for treating brow ptosis arising through involutional change or facial nerve palsy in both men and women. The postoperative scars may be more evident in younger patients, so the authors reserve this technique for rehabilitative rather than cosmetic brow lifts in patients of middle age and beyond.
Future and Controversies
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References
Har-Shai Y, Gil T, Metanes I, Scheflan M. Brow lift for the correction of visual field impairment. Aesthet Surg J. Sep-Oct 2008;28(5):512-7. [Medline].
Tyers AG. Brow lift via the direct and trans-blepharoplasty approaches. Orbit. Dec 2006;25(4):261-5. [Medline].
Booth AJ, Murray A, Tyers AG. The direct brow lift: efficacy, complications, and patient satisfaction. Br J Ophthalmol. May 2004;88(5):688-91. [Medline].
Fagien S. Eyebrow analysis after blepharoplasty in patients with brow ptosis. Ophthal Plast Reconstr Surg. 1992;8(3):210-4. [Medline].
Fett DR, Sutcliffe RT, Baylis HI. The coronal brow lift. Am J Ophthalmol. Dec 1983;96(6):751-4. [Medline].
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].
Johnson CM Jr, Waldman SR. Midforehead lift. Arch Otolaryngol. Mar 1983;109(3):155-9. [Medline].
Lewis JR Jr. A method of direct eyebrow lift. Ann Plast Surg. Feb 1983;10(2):115-9. [Medline].
McCord CD, Doxanas MT. Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg. Aug 1990;86(2):248-54. [Medline].
McKinney P, Mossie RD, Zukowski ML. Criteria for the forehead lift. Aesthetic Plast Surg. Spring 1991;15(2):141-7. [Medline].
Paul MD. Subperiosteal transblepharoplasty forehead lift. Aesthetic Plast Surg. Mar-Apr 1996;20(2):129-34. [Medline].
Putterman AM. Intraoperatively controlled small-incision forehead and brow lift. Plast Reconstr Surg. Jul 1997;100(1):262-6. [Medline].
Roberts TL 3rd, Ellis LB. In pursuit of optimal rejuvenation of the forehead: endoscopic brow lift with simultaneous carbon dioxide laser resurfacing. Plast Reconstr Surg. Apr 1998;101(4):1075-84. [Medline].
Sozer O, Biggs TM. Our experience with endoscopic brow lifts. Aesthetic Plast Surg. Mar-Apr 2000;24(2):90-6. [Medline].
Yeatts RP. Current concepts in brow lift surgery. Curr Opin Ophthalmol. Oct 1997;8(5):46-50. [Medline].
Further Reading
Keywords
direct brow lift, browpexy, brow lift, forehead lift, coronal brow lift, mid forehead brow lift, internal browpexy and browplasty, direct brow elevation, coronal forehead lift, endoscopic forehead lift
Follow-up: Direct Brow Lift