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Erschienen in: Aesthetic Plastic Surgery 1/2018

02.11.2017 | Original Article

What Neurotoxins Have Taught Us About the Brow: The Reintroduction and Review of the Transpalpebral Browpexy

verfasst von: Michael Patrick Ogilvie, Julius Warren Few Jr., Alec James Semersky, Natasha Tamagni Kulick, Mary Katherine Vorisek

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 1/2018

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Abstract

Introduction

The use of neuromodulators has grown substantially in our society, particularly in the temporary treatment of brow ptosis. This study revisits the use of the transpalpebral browpexy for upper face and brow rejuvenation in the context of what has been learned from neuromodulators.

Methods

A retrospective review of 97 subjects was conducted who had transpalpebral browpexy performed for lateral brow ptosis. Qualitative degree of brow elevation after the procedure was determined by examining before and after photographs for each patient.

Results

Out of 97 patients, 95 (98%) experienced aesthetically optimal brow elevation for their respective gender. Two patients required surgical revision, both of which experienced extenuating circumstances. Two patients experienced edema and one patient experienced periodic eruptions of chalazia along the upper eyelid.

Conclusion

Transpalpebral browpexy is a reliable, minimally invasive surgical procedure that effectively emulates the results of neuromodulator injections for a much longer period of time. While it cannot replace traditional brow-lifting techniques, transpalpebral browpexy does have solid indications with proven long-lasting results, which can be effective in a significant portion of patients with brow ptosis.

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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Literatur
1.
Zurück zum Zitat Tower RN, Dailey RA (2004) Endoscopic pretrichial brow lift: surgical indications, technique and outcomes. Ophthal Plast Reconstr Surg 20(4):268–273CrossRefPubMed Tower RN, Dailey RA (2004) Endoscopic pretrichial brow lift: surgical indications, technique and outcomes. Ophthal Plast Reconstr Surg 20(4):268–273CrossRefPubMed
2.
Zurück zum Zitat Yaremchuk MJ, O’Sullivan N, Benslimane F (2007) Reversing brow lifts. Aesthet Surg J 27(4):367–375CrossRefPubMed Yaremchuk MJ, O’Sullivan N, Benslimane F (2007) Reversing brow lifts. Aesthet Surg J 27(4):367–375CrossRefPubMed
3.
Zurück zum Zitat Van Den Bosch W, Leenders I, Mukler P (1999) Topographic anatomy of the eyelids and the effects of sex and age. Br J Ophthamol 83:348–352 Van Den Bosch W, Leenders I, Mukler P (1999) Topographic anatomy of the eyelids and the effects of sex and age. Br J Ophthamol 83:348–352
4.
Zurück zum Zitat Matrox E, Garcia JA, Yaremchuk MJ (2009) Changes in eyebrow shape and position with aging. Plast Reconstr Surg 124(4):1296–1301CrossRef Matrox E, Garcia JA, Yaremchuk MJ (2009) Changes in eyebrow shape and position with aging. Plast Reconstr Surg 124(4):1296–1301CrossRef
5.
Zurück zum Zitat Lambros V (2007) Observations on periorbital and midface aging. Plast Reconstr Surg 120:1367–1376CrossRefPubMed Lambros V (2007) Observations on periorbital and midface aging. Plast Reconstr Surg 120:1367–1376CrossRefPubMed
6.
Zurück zum Zitat Ahn MS, Catten M, Maas CS (2000) Temporal brow lift using botulinum toxin A. Plast Reconstr Surg 105(3):1129–1135CrossRefPubMed Ahn MS, Catten M, Maas CS (2000) Temporal brow lift using botulinum toxin A. Plast Reconstr Surg 105(3):1129–1135CrossRefPubMed
8.
Zurück zum Zitat Sundaram H, Kiripolsky M (2013) Nonsurgical rejuvenation of the upper eyelid and brow. Clin Plast Surg 40(1):55–76CrossRefPubMed Sundaram H, Kiripolsky M (2013) Nonsurgical rejuvenation of the upper eyelid and brow. Clin Plast Surg 40(1):55–76CrossRefPubMed
9.
Zurück zum Zitat Huilgol SC, Carruthers A, Carruthers JD (1999) Raising eyebrows with botulinum toxin. Dermatol Surg 25(5):373–375 (discussion 376) CrossRefPubMed Huilgol SC, Carruthers A, Carruthers JD (1999) Raising eyebrows with botulinum toxin. Dermatol Surg 25(5):373–375 (discussion 376) CrossRefPubMed
10.
Zurück zum Zitat Westmore MG (1975) Facial cosmetics in conjunction with surgery. In: Course presented at the Aesthetic Plastic Surgery Society Meeting, Vancouver, British Columbia. May 1975 Westmore MG (1975) Facial cosmetics in conjunction with surgery. In: Course presented at the Aesthetic Plastic Surgery Society Meeting, Vancouver, British Columbia. May 1975
11.
Zurück zum Zitat Ellenbogen R (1983) Transcoronal eyebrow lift with concomitant upper blepharoplasty. Plast Reconstr Surg 71(4):490–499CrossRefPubMed Ellenbogen R (1983) Transcoronal eyebrow lift with concomitant upper blepharoplasty. Plast Reconstr Surg 71(4):490–499CrossRefPubMed
12.
Zurück zum Zitat Gunter JP, Antrobus SD (1997) Aesthetic analysis of the eyebrows. Plast Reconstr Surg 99(7):1808–1816CrossRefPubMed Gunter JP, Antrobus SD (1997) Aesthetic analysis of the eyebrows. Plast Reconstr Surg 99(7):1808–1816CrossRefPubMed
13.
Zurück zum Zitat Matarasso A, Terino EO (1994) Forehead-brow rhytidoplasty: reassessing the goals. Plast Reconstr Surg 93(7):1378–1389CrossRefPubMed Matarasso A, Terino EO (1994) Forehead-brow rhytidoplasty: reassessing the goals. Plast Reconstr Surg 93(7):1378–1389CrossRefPubMed
14.
Zurück zum Zitat Yalcinkaya E et al (2016) Aesthetic analysis of the ideal eyebrow shape and position. Eur Arch Otorhinolaryngol 273(2):305–310CrossRefPubMed Yalcinkaya E et al (2016) Aesthetic analysis of the ideal eyebrow shape and position. Eur Arch Otorhinolaryngol 273(2):305–310CrossRefPubMed
15.
Zurück zum Zitat Freund RM, Nolan WB (1996) Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg 97(7):1343–1348CrossRefPubMed Freund RM, Nolan WB (1996) Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg 97(7):1343–1348CrossRefPubMed
16.
Zurück zum Zitat McCord CD, Doxanas MT (1990) Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg 86(2):248–254CrossRefPubMed McCord CD, Doxanas MT (1990) Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg 86(2):248–254CrossRefPubMed
17.
Zurück zum Zitat Niechajev I (2004) Transpalpebral browpexy. Plast Reconstr Surg 113(7):2172–2180 (discussion 2181) CrossRefPubMed Niechajev I (2004) Transpalpebral browpexy. Plast Reconstr Surg 113(7):2172–2180 (discussion 2181) CrossRefPubMed
18.
Zurück zum Zitat La Passot R (1919) chururgie esthetique dew rides du visage. Presse Med 27:258 La Passot R (1919) chururgie esthetique dew rides du visage. Presse Med 27:258
19.
Zurück zum Zitat Hunt HL (1926) Plastic surgery of the head, face, and neck. Lea & Febiger, Philadelphia Hunt HL (1926) Plastic surgery of the head, face, and neck. Lea & Febiger, Philadelphia
20.
Zurück zum Zitat Gonzalez-Ulloa M (1962) Facial wrinkles: integral elimination. Plast Reconstr Surg 29:658CrossRef Gonzalez-Ulloa M (1962) Facial wrinkles: integral elimination. Plast Reconstr Surg 29:658CrossRef
21.
22.
Zurück zum Zitat Isse NG (1992) Endoscopic forehead lift. In: Presented at the annual metting of the Los Angeles County Society of Plastic Surgeons, Los Angeles, September 12, 1992 Isse NG (1992) Endoscopic forehead lift. In: Presented at the annual metting of the Los Angeles County Society of Plastic Surgeons, Los Angeles, September 12, 1992
23.
Zurück zum Zitat Vasconez LO (1992) The use of the endoscope in brow lifiting. In: A video presentation at the annual meeting of the American Society of Plastic and Reconstructive Surgeons, Washington, DC, 1992 Vasconez LO (1992) The use of the endoscope in brow lifiting. In: A video presentation at the annual meeting of the American Society of Plastic and Reconstructive Surgeons, Washington, DC, 1992
24.
Zurück zum Zitat Ramirez OM (2001) Anchor subperiosteal forehead lift: from open to endoscopic. Plast Reconstr Surg 107(3):868–871CrossRefPubMed Ramirez OM (2001) Anchor subperiosteal forehead lift: from open to endoscopic. Plast Reconstr Surg 107(3):868–871CrossRefPubMed
25.
Zurück zum Zitat Friedland JA, Jacobsen WM, TerKonda S (1996) Safety and efficacy of combined upper blepharoplasties and open coronal browlift: a consecutive series of 600 patients. Aesthetic Plast Surg 20(6):453–462CrossRefPubMed Friedland JA, Jacobsen WM, TerKonda S (1996) Safety and efficacy of combined upper blepharoplasties and open coronal browlift: a consecutive series of 600 patients. Aesthetic Plast Surg 20(6):453–462CrossRefPubMed
26.
Zurück zum Zitat Chiu ES, Baker DC (2003) Endoscopic brow lift: a retrospective review of 628 consecutive cases over 5 years. Plast Reconstr Surg 112:628CrossRefPubMed Chiu ES, Baker DC (2003) Endoscopic brow lift: a retrospective review of 628 consecutive cases over 5 years. Plast Reconstr Surg 112:628CrossRefPubMed
27.
Zurück zum Zitat Butz DR, Gill KK, Randle J, Kampf N, Few JW (2016) Facial aesthetic surgery: the safe use of oral sedation in an office-based facility. Aesthet Surg J 36(2):127–131CrossRefPubMed Butz DR, Gill KK, Randle J, Kampf N, Few JW (2016) Facial aesthetic surgery: the safe use of oral sedation in an office-based facility. Aesthet Surg J 36(2):127–131CrossRefPubMed
28.
Zurück zum Zitat Few J Jr, Marco E (2012) Blepharoplasty. Plast Surg, 3rd ed., vol. 2. Edinburgh: Saunders, pp 108–137 Few J Jr, Marco E (2012) Blepharoplasty. Plast Surg, 3rd ed., vol. 2. Edinburgh: Saunders, pp 108–137
29.
Zurück zum Zitat Odunze M, Rosenberg DS, Few JW (2008) Periorbital aging and ethnic considerations: a focus on the lateral canthal complex. Plast Reconstr Surg 121(3):1002–1008CrossRefPubMed Odunze M, Rosenberg DS, Few JW (2008) Periorbital aging and ethnic considerations: a focus on the lateral canthal complex. Plast Reconstr Surg 121(3):1002–1008CrossRefPubMed
Metadaten
Titel
What Neurotoxins Have Taught Us About the Brow: The Reintroduction and Review of the Transpalpebral Browpexy
verfasst von
Michael Patrick Ogilvie
Julius Warren Few Jr.
Alec James Semersky
Natasha Tamagni Kulick
Mary Katherine Vorisek
Publikationsdatum
02.11.2017
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 1/2018
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-0988-7

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