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Objective Evaluation of Eyebrow Position After Autologous Fat Grafting to the Temple and Forehead

  • Original Article
  • Face and Neck Surgery
  • Published:
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Abstract

Background

Fat grafting can be used to correct age-related volume loss in the face. However, the degree of rejuvenation is difficult to be evaluated.

Objectives

The author sought to objectively verify the change in patients’ eyebrow position after fat grafting to the upper face.

Methods

The charts of 175 consecutive patients who underwent autologous fat grafting to the forehead and temple were reviewed. Perioperative changes in the heights of medial, middle, and lateral segments of the eyebrow and the eyebrow slant were recorded and compared. Key prevention strategies to avoid potential complications were discussed.

Results

The eyebrow slant was increased by 2.4° after the operation which was statistically significant (p < 0.05). On the other hand, the medial eyebrow height was decreased, while the middle and lateral eyebrow heights were increased after the surgery which were of no significance. No major complications such as vision loss or vascular compromise were noted.

Conclusions

Simultaneous autologous fat grafting to the temple and forehead significantly increased the slant of the eyebrows and corrected the loss of upper facial fullness as well. Collectively, these changes made the patient look younger and aesthetically more pleasant.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Gerth DJ (2015) Structural and volumetric changes in the aging face. Facial Plast Surg 31:3–9

    Article  CAS  PubMed  Google Scholar 

  2. Fitzgerald R (2015) Contemporary concepts in brow and eyelid aging. Clin Plastic Surg 40:21–42

    Article  Google Scholar 

  3. Yaremchuk MJ, O’Sullivan N, Benslimane F (2007) Reversing brow lifts. Aesthetic Surg J 27:367–375

    Article  CAS  Google Scholar 

  4. Goldberg RA (2005) The three periorbital hollows: a paradigm for periorbital rejuvenation. Plast Reconstr Surg 116(6):1796–1804

    Article  CAS  PubMed  Google Scholar 

  5. Yousif NJ, Matloub H, Adam N, Summers AN (2002) Discussion of the midface sling: a new technique to rejuvenate the midface. Plast Reconstr Surg 110(6):4

    Article  Google Scholar 

  6. Lambros V (2007) Observations on periorbital and midface aging. Plast Reconstr Surg 120(5):1367–1376

    Article  CAS  PubMed  Google Scholar 

  7. Cotofana S, Fratila AAM, Schnook TL et al (2016) The anatomy of the aging face: a review. Facial Plast Surg 32:253–260

    Article  CAS  PubMed  Google Scholar 

  8. Little JW (2000) Three-dimensional rejuvenation of the midface: volumetric resculpture by malar imbrication. Plast Reconstr Surg 105(1):267–285

    Article  CAS  PubMed  Google Scholar 

  9. Donofrio LM (2000) Fat distribution: a morphologic study of the aging face. Dermatol Surg 26(12):1107–1112

    Article  CAS  PubMed  Google Scholar 

  10. Lam SM (2010) A new paradigm for the aging face. Facial Plast Surg Clin North Am 18(1):1–6

    Article  PubMed  Google Scholar 

  11. Lam SM, Glasgold MJ, Glasgold RA (2006) Complementary fat grafting. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  12. Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367

    CAS  PubMed  Google Scholar 

  13. Fontdevila J, Serra-Renom JM, Raigosa M et al (2008) Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography. Aesthet Surg J 28:380–386

    Article  PubMed  Google Scholar 

  14. Gonzalez AM, Lobocki C, Kelly CP, Jackson IT (2007) An alternative method for harvest and processing fat grafts: an in vitro study of cell viability and survival. Plast Reconstr Surg 120:285–294

    Article  CAS  PubMed  Google Scholar 

  15. Coleman SR (1995) Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg 19:421–425

    Article  CAS  PubMed  Google Scholar 

  16. Thorne CH, Beasley RW, Aston RJ, Bartlett SP, Gurtner GC, Spear SL (eds) (2007) Grabb & Smith’s plastic Surgery, 6th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  17. Coleman SR, Grover R (2006) The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J 26(1S):S4–S9

    Article  CAS  PubMed  Google Scholar 

  18. Matros E, Garcia JA, Yaremchuk MJ (2009) Changes in eyebrow position and shape with aging. Plast Reconstr Surg 124(4):1296–1301

    Article  CAS  PubMed  Google Scholar 

  19. Troilius C. Subperiosteal brow lifts without fixation. Plast Reconstr Surg. 2004;114:1595–1603; discussion 1604–1605

  20. Behmand RA, Guyuron B (2006) Endoscopic forehead rejuvenation: II long-term results. Plast Reconstr Surg. 117:1137–1143

    Article  CAS  PubMed  Google Scholar 

  21. Swift RW, Nolan WB, Aston SJ et al (1999) Endoscopic brow lift: objective results after 1 year. Aesthetic Surg J 19:287–292

    Article  Google Scholar 

  22. Klein JA (1988) Anesthesia for liposuction in dermatologic surgery. J Dermatol Surg Oncol 14(10):1124–1132

    Article  CAS  PubMed  Google Scholar 

  23. Kamakura T, Kataoka J, Maeda K et al (2015) Platelet-rich plasma with basic fibroblast growth factor for treatment of wrinkles and depressed areas of the skin. Plast Reconstr Surg 136(5):931–939

    Article  CAS  PubMed  Google Scholar 

  24. Chiu CH (2013) A “solid injection method” to reduce postoperative complications in autologous fat grafting for breast augmentation. Am J Cosmetic Surg. 30(1):1–6

    Article  Google Scholar 

  25. Kaufman MR, Miller TA, Huang C et al (2007) Autologous fat transfer for facial recontouring: is there science behind the art? Plast Reconstr Surg 119(7):2287–2296

    Article  CAS  PubMed  Google Scholar 

  26. Presti P, Yalamanchili H, Honrado CP (2006) Rejuvenation of the aging upper third of the face. Facial Plast Surg 22(2):91–96

    Article  CAS  PubMed  Google Scholar 

  27. Hehman E, Leitner JB, Freeman JB (2014) The face-time continuum: lifespan changes in facial width-to-height ratio impact aging-associated perceptions. Pers Soc Psychol Bull 40(12):1624–1636

    Article  PubMed  Google Scholar 

  28. Sykes JM, Cotofana S, Trevidic P, Solish N et al (2015) Upper face: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg 136(5 Suppl):204S–218S

    Article  CAS  PubMed  Google Scholar 

  29. Charles-de-Sá L, Gontijo-de-Amorim NF, Maeda Takiya C et al (2015) Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells. Plast Reconstr Surg 135(4):999–1009

    Article  PubMed  Google Scholar 

  30. Langelier N, Beleznay K, Woodward J (2016) Rejuvenation of the upper face and periocular region: combining neuromodulator, facial filler, laser, light, and energy-based therapies for optimal results. Dermatol Surg 42:S77–S82 Suppl 2

    Article  CAS  PubMed  Google Scholar 

  31. Sykes JM (2009) Applied anatomy of the temporal region and forehead for injectable fillers. J Drugs Dermatol 8(10 Suppl):S24–S27

    PubMed  Google Scholar 

  32. Freund RM, Nolan WB III (1996) Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg 97:1343–1348

    Article  CAS  PubMed  Google Scholar 

  33. Huijing MA, van der Palen J, van der Lei B (2014) The effect of upper eyelid blepharoplasty on eyebrow position. J Plast Reconstr Aesthet Surg 67(9):1242–1247

    Article  PubMed  Google Scholar 

  34. Dar SA, Rubinstein TJ, Perry JD (2015) Eyebrow position following upper blepharoplasty. Orbit. 34(6):327–330

    Article  PubMed  Google Scholar 

  35. Frankel AS, Kamer FM (1997) The effect of blepharoplasty on eyebrow position. Arch Otolaryngol Head Neck Surg 123(4):393–396

    Article  CAS  PubMed  Google Scholar 

  36. Lee JM, Lee TE, Lee H, Park M, Baek S (2012) Change in brow position after upper blepharoplasty or levator advancement. J Craniofac Surg 23(2):434–436

    Article  PubMed  Google Scholar 

  37. Prado RB, Silva-Junior DE, Padovani CR, Schellini SA (2012) Assessment of eyebrow position before and after upper eyelid blepharoplasty. Orbit. 31(4):222–226

    Article  PubMed  Google Scholar 

  38. Hassanpour SE, Khajouei Kermani H (2016) Brow ptosis after upper blepharoplasty: findings in 70 patients. World J Plast Surg 5(1):58–61

    PubMed  PubMed Central  Google Scholar 

  39. Liew S, Wu WT, Chan HH et al (2016) Consensus on changing trends, attitudes, and concepts of asian beauty. Aesthetic Plast Surg 40(2):193–201

    Article  PubMed  Google Scholar 

  40. Wu WT, Liew S, Chan HH et al (2016) Consensus on current injectable treatment strategies in the asian face. Aesthetic Plast Surg 40(2):202–214

    Article  PubMed  PubMed Central  Google Scholar 

  41. Beleznay K, Carruthers JD, Humphrey S, Jones D (2015) Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 41(10):1097–1117

    Article  CAS  PubMed  Google Scholar 

  42. Flowers FP, Breza TS (2012) Surgical anatomy of the head and neck. In: Bolognia JL, Jorizzo JL, Schaffer JV (eds) Dermatology, 3rd edn. Elsevier, China, pp 2235–2236

    Google Scholar 

  43. Kleintjes WG (2007) Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg 60:593–606

    Article  PubMed  Google Scholar 

  44. Larrabee WF, Makielski KH, Henderson JL (2004) Surgical anatomy of the face, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  45. Jung W, Youn KH, Won SY, Park JT et al (2014) Clinical implications of the middle temporal vein with regard to temporal fossa augmentation. Dermatol Surg 40:618–623

    CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Plastic and Aesthetic Department, Genesis Clinic, No.93-1, Xinglong Rd. Sec. 2, Taipei, Taiwan

    Cheng-Hung Chiu

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  1. Cheng-Hung Chiu
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Correspondence to Cheng-Hung Chiu.

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The author declared no potential conflicts of interest with respect to the research, authorship, and publication of this article.

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Chiu, CH. Objective Evaluation of Eyebrow Position After Autologous Fat Grafting to the Temple and Forehead. Aesth Plast Surg 41, 1342–1350 (2017). https://doi.org/10.1007/s00266-017-0881-4

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  • DOI: https://doi.org/10.1007/s00266-017-0881-4

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