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.
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Imaging Studies
Preoperative photographs should be obtained as before any cosmetic procedure.
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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.
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Media Gallery
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Direct brow lift. Typical patient for direct brow excision (McKinney, 1991). Courtesy of Springer-Verlag. Used with permission.
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Direct brow lift. Innervation by the supraorbital and supratrochlear nerves (Seckel, 1994). Courtesy of Quality Medical Publishing. Used with permission.
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Direct brow lift. Ideal brow position.
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Marking for direct brow lift.
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Direct brow lift. Preoperative marking for eyebrow ptosis after partial facial nerve resection.
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Direct brow lift. Excision to the level of the frontalis.
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Direct brow lift. Beveling the incision.
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Direct brow lift. Injury to the temporal (frontal) branch of the facial nerve in a patient referred for treatment.
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Direct brow lift. Fixation of brow and closure.
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Direct brow lift. Placement of deep dermal sutures.
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Direct brow lift. Closed wound.
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