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Extended Suprabrow Lift with Relief of Glabellar Wrinkles

  • Original Article
  • Facial Surgery
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Eyebrows define one’s facial appearance; brow ptosis, which can occur with aging, can convey a negative expression. Various methods have been used to correct eyebrow position and shape. We endeavored to repair brow ptosis and glabellar wrinkles and present the outcome.

Methods

This retrospective study reviewed 40 patients who underwent extended suprabrow lift accompanied by relief of glabellar wrinkles between January 2018 and August 2020. The procedure was considered when patients exhibited brow ptosis, glabellar wrinkles, and a wide forehead. Fat graft was implemented after glabellar muscle division. The results were assessed based on measurements performed preoperatively and at 6 and 18 months postoperatively.

Results

Overall, patients were satisfied with the outcomes. To assess glabellar wrinkles, the Modified Fitzpatrick Wrinkle Assessment score revealed adequate correction during neutral and furrowed gazes (P < 0.05). The forehead and brow heights were also analyzed after repair, exhibiting decreased forehead height and elevated brow position (P < 0.05). At 6 and 18 months after surgery, adequate maintenance of the repair was evident (P < 0.05). A visible scar was observed in two patients, which was managed using a fractional ablative laser procedure.

Conclusion

Extended suprabrow lift, when based on preoperative measurements, led to the correction of brow ptosis, glabellar wrinkles, and a wide forehead. For periorbital rejuvenation, it is imperative to decide locations where the skin and soft tissues should be preserved or removed. The use of fat grafts for wrinkle repair effectively maintains the repair postoperatively.

Level of Evidence IV

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Authors and Affiliations

  1. Yonsei Natural Beauty Plastic Surgery Clinic, Seoul, Korea

    Eun Jung Lee

  2. Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 05030, Korea

    Chan Eol Seo & Myung Chul Lee

Authors
  1. Eun Jung Lee
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  2. Chan Eol Seo
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  3. Myung Chul Lee
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Corresponding author

Correspondence to Myung Chul Lee.

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Conflict of interest

The authors have no conflicting or vested interest whatsoever with respect to this research. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Human or Animal Rights

The study was performed in accordance with the ethical standards of the 1964 Declaration of Helsinki and its later amendments.

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Required informed consent was obtained when recognizable patient data were shown.

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Lee, E.J., Seo, C.E. & Lee, M.C. Extended Suprabrow Lift with Relief of Glabellar Wrinkles. Aesth Plast Surg 47, 156–165 (2023). https://doi.org/10.1007/s00266-022-03007-1

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  • DOI: https://doi.org/10.1007/s00266-022-03007-1

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