Abstract

Objectives: upgrading the outcomes of thread lifting especially in the peri-orbital area is an important step in order to accept the possibility of using threads as alternative for surgery or to combine both : surgery and threads , to achieve the best results Introduction: brow lift is one of the most requested aesthetic treatments , with or without upper eyelid blepharoplasty, starting from the medical indication in cases of severe ptosis , ending with the trend “ cat eye , fox eye, etc “, we know different non invasive, minimal invasive , and surgical techniques used in order to correct the position of the eyebrow. Materials / method: inverted lifting approach is the latest update of eyebrow lift using “double sharp – double needle” threads , with a new entry point and the simplest technique of implantation , We applied the new approach either as a simple brow lift or during upper lid blepharoplasty with direct anchoring of the subcutaneous layers across the open wound. We suggest 3 different variations of our technique with different levels of stability and durability. Results: we applied AILA technique to more than 25 cases, 35% combining thread lifting with blepharoplasty, 65% simple brow light lift. Analysis of results, comparisons and durability show that: AILA technique is a successful update or upgrade of brow lifting using threads Conclusion: A.I.L.A. technique is a serious alternative of brow lifting with excellent results and feedback, safety and comfort depend on the ability of practitioner to respect anatomy , we observed not only a nice elevation of the brow, but also an improvement of the lateral cantus. Suggesting 3 different variations will expand the area of selection between patients, it will allow practitioners to achieve desired final results.