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Lateral browlift

Ashley A Hamamoto, Tiffany W Liu, Brian J Wong
BACKGROUND: Surgical browlifts counteract the effects of aging, correct ptosis, and optimize forehead aesthetics. While surgeons have control over brow shape, the metrics defining ideal brow shape are subjective. OBJECTIVES: This study aims to empirically determine whether three expert brow design strategies are aesthetically equivalent by using expert focus group analysis and relating these findings to brow surgery. METHODS: Comprehensive literature search identified three dominant brow design methods (Westmore, Lamas and Anastasia) that are heavily cited, referenced or internationally recognized in either medical literature or by the lay media...
February 2013: Facial Plastic Surgery: FPS
Giacomo Bellinvia, Francesco Klinger, Luca Maione, Pietro Bellinvia
BACKGROUND: Upper blepharoplasty is a common aesthetic surgical procedure. Different surgical techniques and markings have been described, some of which may incorporate browpexy or browlifting. Considering the upper periorbital area as an aesthetic unit, various techniques of browpexy and browlifting have been taken into consideration. OBJECTIVES: The authors describe their technique for upper blepharoplasty, which includes an extended cutaneous excision that permits good correction of lateral hooding, reducing the need for browpexy or browlifting...
January 2013: Aesthetic Surgery Journal
Arian Mowlavi, Sylvia Pham, Rolando Lee, Peter Huynh, Bradon Wilhelmi
BACKGROUND: Techniques for endoscopic browlift include bony fixation over the lateral frontal region and soft tissue fixation over the temporal region. Although bony fixation over the lateral frontal region is advocated universally, limited information exists about bicortical thickness in this area. OBJECTIVES: The authors provide bicortical thickness measurements between the frontal midline and the most inferior temporal region to assist surgeons in identifying appropriate fixation planes...
July 2012: Aesthetic Surgery Journal
Devinder P Singh, Antonio J V Forte, John G Apostolides, Jeffrey A Stromberg, Hamid R Zahiri, Nivaldo Alonso, John A Persing
BACKGROUND: A great number of studies have reported on the temporal branch anatomy and its relationship to the fascial layers and various fat pads of the temporal region, but no article has included information on the relationship of the temporal nerve to the retro-orbicularis oculi fat (ROOF) and/or the suborbicularis oculi fat (SOOF). OBJECTIVES: The authors report the results of a series of human cadaver temporal nerve dissections, with particular attention paid to its relation to the ROOF and the SOOF...
January 2011: Aesthetic Surgery Journal
Douglas M Sidle, Benjamin M Loos, Alexander L Ramirez, Sheldon S Kabaker, Corey S Maas
OBJECTIVE: To determine the efficacy, longevity, and safety of BioGlue Surgical Adhesive for periosteal fixation in endoscopic browlifts. METHODS: Retrospective review of 80 patients who underwent endoscopic browlift using BioGlue as the primary means of periosteal fixation. Visits were categorized as preoperative, 1 to 2 months, 3 to 6 months, and 7 to 12 months, and photographs of the first 15 patients were evaluated for change in brow position at each of these visits...
November 2005: Archives of Facial Plastic Surgery
Edwin F Williams III, Samuel M Lam
The middle third of the face has remained a particularly challenging area for facial plastic surgeons to rejuvenate. Many approaches have been advocated, but no one favored technique predominates. The surgical technique of the senior author is reviewed, which has been successfully employed for the past 7 years and which has proven an effective technique in restoring midfacial youth without concomitant lateral-canthal distortion or significant morbidity. The intended objectives of this article are for the reader to understand the specific details of how to perform this technique and the rationale proposed for how a natural midface elevation is achieved by this method...
May 2003: Facial Plastic Surgery: FPS
J E Fulton, Z Saylan, P Helton, A D Rahimi, M Golshani
BACKGROUND: A short-flap S-lift may be helpful for minor jowling or submental laxity in cases of early facial ptosis, revision facelifts, or where skin resurfacing is combined with neck lifting. OBJECTIVE: To develop a safe and effective method to lift the jowl either as a single procedure or combined with other rejuvenation methods. METHODS: After the induction of monitored anesthesia care the skin resurfacing is completed, if necessary, and the submental and lateral S-lift incisions are marked next to the tragus...
January 2001: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
W Huang, A S Rogachefsky, J A Foster
BACKGROUND: Botulinum toxin has been used successfully for the treatment of hyperfunctional facial lines. OBJECTIVE: To determine the alteration in brow position after botulinum toxin treatment of the brow depressor muscles. METHODS: Eleven women, 30-60 years old, were treated. Prior to treatment, brow position was measured relative to the pupil. Relaxed position and elevated position with frontalis contraction were evaluated. Botulinum toxin was injected into bilateral eyebrows...
January 2000: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
T Gallaher, W B Glover, A E Ingram, J B DeLozier
For the past 2 years, we have sought to develop a stable and reliable technique for soft-tissue suspension in the endoscopic browlift, while eliminating the need for permanent or temporary anchoring screws. To this end, we have developed an outer calvarial table fixation technique. This technique allows direct fixation of the periosteum or galea to the outer table of the frontal bone through the use of an outer table calvarial tunnel. The technique has been used in 34 patients, 21 of which were followed for more than a year...
July 1997: Aesthetic Plastic Surgery
C Gasperoni, M Salgarello, G Gargani
Skin redundancy of the upper eyelid is often associated with a variable degree of ptosis of the lateral third of the eyebrow, which increases the extent of the defect. Correcting this condition implies a combination of a temporal lift with a standard upper blepharoplasty. In the temporal lift it is possible to perform an easy subaponeurotic and subperiosteal dissection of the soft tissues of the temporal area through an incision behind the hairline with pleasing and long-lasting results. The brow ptosis is corrected without noticeable scars and with inconspicuous damage to scalp follicles of the temporal region...
1993: Aesthetic Plastic Surgery
P D Dempsey, R M Oneal, P H Izenberg
The subperiosteal browlift and midface lift combination is a total mobilization of the composite full-thickness soft tissues from the bony skeleton with superior suspension. The object is to correct midfacial ptosis and the "tired" look of the lateral eyelids. It is done in conjunction with a browlift so that a composite correction of the upper and midface is achieved. When indicated, a modified lower cheeklift and the usual procedures for correcting neck deformities are utilized in combination. We believe the procedure is safe and the results reported are natural and long-lasting...
January 1995: Aesthetic Plastic Surgery
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