Abstract • Ptosis of the brow is a significant and often unrecognized portion of aging of the upper face. It contributes to both cosmetic and functional aging. Correction is often mandatory prior to blepharoplasty in that functional problems may be worsened without elevating the brow. Direct and coronal browlifts are the most common approach to the problem. Midforehead browlifts have been reserved for men with receding hairlines. We have, for the past three years, performed midforehead browlifts on all our patients needing ptotic brow correction. Our review of 72 patients treated in this way, including 52 women, shows excellent and long-lasting cosmetic and functional improvement. There have been few complications, and the resultant incisional scars have been very well accepted. Therefore, we feel that the midforehead browlift, performed as we describe, is the ideal surgical correction for the ptotic brow. (Arch Otolaryngol Head Neck Surg 1989;115:163-168) References 1. Rafaty FM, Brennan HG: Current concepts of browpexy . Arch Otolaryngol Head Neck Surg 1983;109:152-154.Crossref 2. Johnson CM, Waldman SR: Midforehead lift . Arch Otolaryngol Head Neck Surg 1983; 109:155-159.Crossref 3. Brennan HG: Correction of the ptotic brow . Otolaryngol Clin North Am 1980;13:265-273. 4. Ellenbogen R: Transcoronal eyebrow lift with concomitant upper blepharoplasty . Plast Reconstr Surg 1983;71:490-499.Crossref 5. Rafaty FM, Goode RL, Abramson NR: The browlift operation in a man . Arch Otolaryngol Head Neck Surg 1978;104:69-71.Crossref 6. Powell N, Humphreys B: The five major aesthetic masses of the face , in Smith JD (ed): Proportions of the Aesthetic Face. New York, Thieme-Stratton Inc, 1984, pp 16-19. 7. Becker FF: Direct approach to browlifting . Facial Plast Surg 1985;3:31-38.Crossref 8. Castanares S: Forehead wrinkles, glabellar furrows, and ptosis of the eyebrows . Plast Reconstr Surg 1986;34:406-413.Crossref 9. Rafaty FM, Goode RL, Fee WE: The browlift operation . Arch Otolaryngol Head Neck Surg 1975;101:467-468.Crossref 10. Adamson PA, Johnson CM, Anderson JR: The forehead lift . Arch Otolaryngol Head Neck Surg 1985;111:325-329.Crossref 11. Brennan HG: The forehead lift . Otolaryngol Clin North Am 1980;13:209-223. 12. Cook TA: Reduction browplasty , in Bernstein L (ed): Plastic and Reconstructive Surgery of the Head and Neck: Aesthetic Surgery . New York, Grune & Stratton, 1981, pp 115-117.
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Feb 1, 1989
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