Advertisement
Research Article|Articles in Press

The modified mini direct bone-anchored browlift for frontal paralysis

  • Christopher D. Pool
    Affiliations
    Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania
    Search for articles by this author
  • Jessyka G. Lighthall
    Correspondence
    Address reprint requests and correspondence: Jessyka G. Lighthall, MD FACS, Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, H091, Hershey, PA 17033-0850.
    Affiliations
    Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania
    Search for articles by this author
      A myriad of techniques have been described to correct brow ptosis via a blepharoplasty incision, mid-forehead incision, endoscopic approach, pretrichial incision, coronal approach or direct brow lift. There are varying risks and results for each technique including paresthesia, facial nerve injury, alopecia, and unsightly scars. In this article we describe the mini-direct browlift technique that utilizes bone anchored sutures and allows for good cosmesis and control of brow height with minimal morbidity. A myriad of techniques have been described to correct brow ptosis via a blepharoplasty incision, mid-forehead incision, endoscopic approach, pretrichial incision, coronal approach or direct brow lift. There are varying risks and results for each technique including paresthesia, facial nerve injury, alopecia, and unsightly scars. In this article we describe the mini-direct browlift technique that utilizes bone anchored sutures and allows for good cosmesis and control of brow height with minimal morbidity.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Karimi N
        • Kashkouli MB
        • Sianati H
        • et al.
        Techniques of eyebrow lifting: A narrative review.
        J Ophthalmic Vis Res. 2020; 15: 218-235
        • Pascali M
        • Bocchini I
        • Avantaggiato A
        • et al.
        Direct brow lifting: Specific indications for a simplified approach to eyebrow ptosis.
        Indian J Plast Surg. 2016; 49: 66-71
        • Jawad BA
        • Raggio BS.
        Direct Brow Lift. 2020;
        • Massry GG.
        The external browpexy.
        Ophthalmic Plast Reconstr Surg. 2012; 28: 90-95
        • Mokhtarzadeh A
        • Massry GG
        • Bitrian E
        • et al.
        Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty.
        Orbit. 2017; 36: 102-109