摘要

Objectives: The aim of this study is to investigate the clinical efficiency of combining three modalities: threads, botulinum toxin type A (BTX), and Hyaluronic acid (HA) fillers in non-surgical eyebrow reshaping and patient satisfaction. Introduction: The eyebrow form and overall eye shape hold a remarkable significance in enhancing facial beauty. The eyebrows serve as an artistic frame, harmonizing facial features and accentuating the eyes. Patients often seek an eyebrow lift to achieve a refreshed andyouthful appearance. The aim of this study is to investigate the clinical efficacy ofcombining barbed threads, Botulinum toxin type A (BTX), and Hyaluronic acid (HA)fillers for the treatment of brow ptosis. Materials / method: 7 patients were treated with non-surgical lift of the eyebrows. Patients were assessed for brow ptosis, eyelid skin excess, lower and upper temple hollowness, presence of A frame deformity, and the constrictor effect of the orbicularis oculi. Patients had BTX treatment initially, followed two weeks after by polycaprolactone and polylactic acid barbed threads, and temple filler using HA fillers if indicated. Results were compared based on filled FACEQ questionnaires direct after the threads, 1 month and 6 months later. Adverse effects were looked at 48 hours after thread treatment. Results: Combining the 3 modalities for non-surgical eyebrow lift and reshaping, achieved a significant patient satisfaction level and no complications. Conclusion: Combining the 3 modalities for non-surgical eyebrow lift and reshaping, achieved a significant patient satisfaction level. The followed methodology in this study can help exploring the proper etiologies for brow ptosis in the treated patient and showed that addressing the volume loss, muscle hyperfunction, and skin laxity can optimize theresults. Studies with higher number of included subjects are needed to achieve more conclusive results.