Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To provide a practical algorithm for treatment of the lower eyelid region either with or without surgery, based on 4 clinical parameters.

Introduction: The lower eyelid regio is perhaps one of the most difficult ones to treat. Often it is unclear whether a surgical or non-surgical approach should be used.

Materials / method: Based on the clinical assessment of 4 clinical parameters (excess skin, props of infraorbital fat, volume loss and vector), we developed an algorithm for decision making.

Results: Severe skin excess is the most important parameter and should be treated with a surgical approach. The prolaps of the IO fat in combination with a negative vector necessitates also a repositioning of that fat.

Conclusion: Here we provide a very easy to use, practical algorithm for decision making of one of the most difficult to treat regions of the face.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To discuss normal brow aesthetics
To present a simple means of diagnosis and treatment
To demonstrate combinations of fat grafting and lifting

Introduction: Browlifting is both an under utilized and over utilized procedure. The objective is not to demonstrate surgical bravado and show amazing lifting effects, but rather to aesthetically enhance and reverse signs of the aging brow and periorbita.

Materials / method: All patients undergo an aesthetic evaluation that includes assessing the degree of photo damage, volume loss, laxity and degree of orbital bone expansion and recession. Recommendations for brow lifting are made based on the position of the eyebrow relative to the supraorbital rim and on the degree of eyelid and brow laxity lateral to the lateral canthus. When indicated a modified subcutaneous gliding brow lift or marionette lift is performed. In patients desiring midface and malar elevation, endoscopic brow lift is recommended with a sub-periosteal, supra-periosteal and sub-SMAS dissection.

Results: Results have been very satisfactory in 90% of patients. In some, mild relapse has occurred, with one patient in the past 5 years requesting revision. Fat grafting results have been best in patients under 55 years of age. Long term outcomes have been documented up to 10 years.

Conclusion: A 3 dimensional approach to brow lifting is recommended based on the anatomical findings. Best outcomes are seen when sun damage, volume loss and laxity as well as pre-existing skeletal deficiencies are simultaneously addressed. Over correction of brows lead to suboptimal results.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability