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Brow Lift Through The Upper Blepharoplasty Incision: Prospective Clinical Study

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  • Oculoplastic
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Abstract

Background

Eyebrow tail ptosis is usually associated with dermatochalasis of the upper eyelid, and it is necessary to treat them together. For these associated procedures to be incorporated as a routine in upper eyelid surgeries, they should preferably be less invasive with consequent fewer complications.

Objective

We describe a minimally invasive technique for the correction of mild-to-moderate eyebrow tail ptosis corrected together with superior dermatochalasis through the blepharoplasty incision.

Methods

A phase 2 clinical trial was conducted from February 2020 to December 2021. A total of 50 patients underwent conventional upper blepharoplasty surgery associated with the proposed eyebrow lift technique: internal pexia in the periosteum, dissection, and posterior fixation of the orbicularis muscle to the arcus marginalis, removal of the lateral part of the orbicularis muscle, and loosening of the orbital retention ligament. Evaluation of the height of the eyebrow tail was performed with digital photography in the initial consultation and at 30–90 days postoperatively and analyzed with ImageJ software.

Results

Mean difference in brow height at 1-month and 3-month postoperative evaluations compared to the preoperative period was 3.45–3.33 mm, respectively.

Conclusion

Our study demonstrated a minimally invasive surgical technique for the treatment of mild-to-moderate eyebrow ptosis with significant eyebrow tail lift results that remained stable during the study period.

Level of Evidence II

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Funding

The authors received no financial support for the research and authorship of this article.

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Authors and Affiliations

  1. Department of Oculoplastic, Santa Luzia Foundation, Rua Amalia Bernardino de Souza 532, apt 3004,Boa Viagem, Recife, PE, CEP: 51021150, Brazil

    Jerrar Janedson Xavier Silva

  2. Department of Ophthalmology, Santa Luzia Foundation, Recife, Brazil

    Rinalva Tenório Vaz

  3. Federal University of Pernambuco, Recife, Brazil

    Miyuki lucila Ohmuro & Eduarda Santos de Santana

  4. Department of Ophthalmology, Federal university of Pernambuco, Recife, Brazil

    Rodrigo Pessoa Cavalcanti Lira

Authors
  1. Jerrar Janedson Xavier Silva
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  2. Rinalva Tenório Vaz
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  3. Miyuki lucila Ohmuro
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  4. Eduarda Santos de Santana
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  5. Rodrigo Pessoa Cavalcanti Lira
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Correspondence to Jerrar Janedson Xavier Silva.

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Conflict of interest

The authors declared no conflicts of interest with respect to the authorship and publication of this article.

Informed Consent

Consent for publication of the work was received by all authors and co-authors.

Informed Consent

Informed consent regarding the use of patient images.

Human Rights

The study was approved by the Research Ethics Committee, CAAE no. 26796819.5.0000.5532, and registered in the Brazilian Clinical Trials Registry (REBEC) under no. RBR-75n8453 https://ensaiosclinicos.gov.br/rg/RBR-75n8453.

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Silva, J.J.X., Vaz, R.T., Ohmuro, M.l. et al. Brow Lift Through The Upper Blepharoplasty Incision: Prospective Clinical Study. Aesth Plast Surg 47, 1851–1858 (2023). https://doi.org/10.1007/s00266-023-03548-z

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  • DOI: https://doi.org/10.1007/s00266-023-03548-z

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