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Diplopia following endoscopic brow lift


The endoscopic brow lift is the most widely used for the rejuvenation of the upper face nowadays. Even though this procedure has such advantages, there are reports about complications associated with this procedure, including bleeding and hematoma, lagophthalmos, alopecia, and nerve injury. But, there is almost no research reporting on diplopia occurring after an endoscopic brow lift. We would like to report on an analysis about the causes of diplopia with a research literature review since diplopia occurred in 6 cases out of 426 cases of the endoscopic brow lift performed from January 2013 to April 2020. There were characteristic findings of left superior oblique muscle palsy in all 6 patients. The subjective symptoms of double vision were improved in all patients at the follow-up appointment 2 to 4 months after surgery. There is no information on the incidence or mechanisms about diplopia which occurs in endoscopic brow lift. Diplopia should be considered as a possible complication during surgery, and it will be necessary to further discuss the anatomical understanding and cautions in surgical procedures.

Level of evidence: Level V, therapeutic study

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Corresponding author

Correspondence to Jeong Su Shim.

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The authors declare that they have no conflicts of interest.

Ethical approval

This study was approved by the Institutional Review Board of Daegu Catholic University Medical Center (IRB No. CR-20-150-L) and performed in accordance with the principles of the Declaration of Helsinki.

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The patients provided written informed consent for the publication of their data and the use of their images.

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Shim, J.S., Chung, J.M. & Kim, T.M. Diplopia following endoscopic brow lift. Eur J Plast Surg 44, 537–542 (2021).

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  • Endoscopy
  • Brow
  • Forehead
  • Diplopia
  • Complication