Surgical Decision-Making and Technique for Direct Brow Lifting

Main Article Content

Joseph D. Walrath, MD

Abstract

Objective: To discuss indications for direct brow lifting, patient selection, aesthetic considerations, and the risks of surgery in the context of the author’s preferred technique. 


 


Design: Review of literature and description of surgical decision-making and technique.


 


Conclusions: Direct brow lifting is effective and in some instances is the preferred aesthetic procedure for brow lifting. With a careful, honest discussion about risks, benefits, and alternatives to direct brow lifting, patients generally have excellent surgical and aesthetic outcomes.

Article Details

How to Cite
WALRATH, Joseph D.. Surgical Decision-Making and Technique for Direct Brow Lifting. Medical Research Archives, [S.l.], v. 11, n. 3, mar. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3685>. Date accessed: 04 dec. 2024. doi: https://doi.org/10.18103/mra.v11i3.3685.
Section
Research Articles

References

Passot R. La chururgie esthetique des rides du visage. Presse Med. 1919;27:258.
Booth AJ, Murray A, Tyers AG. The direct brow lift: Efficacy, complications, and patient satisfaction. Br J Ophthalmol. 2004;88:688–91.
Barker L, Naveed H, Adds PJ, Uddin JM. Supraorbital notch and foramen: positional variation and relevance to direct brow lift. Ophthal Plast Reconstr Surg. 2013;29:67-70.
Pankratz J, Baer J, Mayer C, Rana V, Stephens R, Segars L, Surke CC. Depth transitions of the frontal branch of the facial nerve: implications in SMAS rhytidectomy. JPRAS Open. 2020;26:101-108.
Gunter JP, Antrobus SD. Aethetic analysis of the eyebrows. Plast Reconstr Surg. 1997;99:1808-16.
Kashkouli MB, Abdolalizadeh P, Abolfathzadeh N, Sianati H, Sharepour M, Hadi Y. Periorbital facial rejuvenation; applied anatomy and pre-operative assessment. J Curr Ophthalmol. 2017;29(3):154-68.
Freund R, Nolan WB. Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Recontsr Surg. 1996;97(7):1343-48.
Green JP, Goldberg RA, Shorr N. Eyebrow ptosis. Int Ophthalmol Clin. 1997;37:97-122.
Butler DB, Nagendran S, Malhotra R. Revisiting the direct brow lift in patients with facial palsy: 4 key modifications. Ophthal Plast Reconstr Surg. 2021;37:179-182.
Ueda K, Harii K, Yamada A. Long term follow up study of browlift for treatment of facial paralysis. Ann Plast Surg 1994;32:166-70.