Objectives: Background: Face imperfections such as ptosis of the eyebrows and prominent forehead may be found both in young adults, due to a familial characteristic, and in elderly people as a sign of ageing. According to pathogenesis, the way and invasiveness of treatment change: from para-surgical procedures (ideal for dynamic wrinkles) to real operations: (preferable in case of static rhytid). Brow lift, by reducing the forehead length, aims to give harmony to the superior one third of the face, preserving its morphology and functionality. Despite a growing trend of endoscopic procedures, open techniqu
Introduction: Objective: Describing the main brow lift approaches and their applications in differently featured patients according to the senior author’s experience in a selected population
Materials / method: Methods: Several brow lift techniques have been proposed over years. Our surgical open approaches, start from an accurate clinical evaluation, supported by a meticulous photographic documentation: static and dynamic phases; relation to osteo-muscular structure; eyebrow – hairline distance. 75 cases are herein presented: 40 patients were addressed to the direct brow lift; 8 to midforehead brow lift and 12 to pretrichial hairline lift.
Results: Results: All the patients showed final pleasant results. Scars, inevitable outcome of any surgical procedures, result pathological in 2 cases, necessitating a “touch-up” to ameliorate the aesthetic appearance.
Conclusion: Conclusion: Effective correction of brow ptosis passes through a correct clinical evaluation. Among surgical solutions , open approaches, preferable in selected cases, are still to be considered effective, safe and easily repeatable ..
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