eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Direct Brow Lift: Follow-up

Author: Mounir Bashour, MD, CM, FRCS(C), PhD, FACS, Assistant Professor of Ophthalmology, McGill University; Clinical Assistant Professor of Ophthalmology, Sherbrooke University; Medical Director, Cornea Laser and Lasik MD
Contributor Information and Disclosures

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

See Endoscopic Forehead Lift.

 


More on Direct Brow Lift

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

References

  1. 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].

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

  3. 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].

  4. Fagien S. Eyebrow analysis after blepharoplasty in patients with brow ptosis. Ophthal Plast Reconstr Surg. 1992;8(3):210-4. [Medline].

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

  6. 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].

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

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

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

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

  11. Paul MD. Subperiosteal transblepharoplasty forehead lift. Aesthetic Plast Surg. Mar-Apr 1996;20(2):129-34. [Medline].

  12. Putterman AM. Intraoperatively controlled small-incision forehead and brow lift. Plast Reconstr Surg. Jul 1997;100(1):262-6. [Medline].

  13. 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].

  14. Sozer O, Biggs TM. Our experience with endoscopic brow lifts. Aesthetic Plast Surg. Mar-Apr 2000;24(2):90-6. [Medline].

  15. 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

Contributor Information and Disclosures

Author

Mounir Bashour, MD, CM, FRCS(C), PhD, FACS, Assistant Professor of Ophthalmology, McGill University; Clinical Assistant Professor of Ophthalmology, Sherbrooke University; Medical Director, Cornea Laser and Lasik MD
Mounir Bashour, MD, CM, FRCS(C), PhD, FACS is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American College of International Physicians, American College of Surgeons, American Medical Association, American Society of Cataract and Refractive Surgery, American Society of Mechanical Engineers, American Society of Ophthalmic Plastic and Reconstructive Surgery, Biomedical Engineering Society, Canadian Medical Association, Canadian Ophthalmological Society, Contact Lens Association of Ophthalmologists, International College of Surgeons US Section, Ontario Medical Association, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Medical Editor

Mimi S Kokoska, MD, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences; Chief, Department of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System
Mimi S Kokoska, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American College of Surgeons, American Head and Neck Society, and Arkansas Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

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

Managing Editor

Keith A LaFerriere, MD, Clinical Professor, Fellowship Director, Department Otolaryngology-Head and Neck Surgery, University of Missouri at Columbia
Keith A LaFerriere, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Missouri State Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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