Our Experience with Brow Ptosis Correction: A Comparison of 4 Techniques

1 The brow lift is an essential element in the rejuvenation of the aging face. As people age, brow ptosis occurs to varying degrees, changing the shape and position of the brows.1 Various techniques have been described for periorbital rejuvenation and correction of ptotic brow, including the coronal brow lift, the endoscopic brow lift, the anterior hairline forehead plasty, in the subgaleal, subperiosteal, or subcutaneous planes, the subcutaneous temporal brow lift, the transpalpebral brow lift, and the direct brow lift,2,3 with their advantages and limitations. Many differences can be observed in the type of incision and in the plane of dissection, but all of them have a common denominator: an unpredictable degree of relapse. Recurrent eyebrow ptosis mostly occurs because of fixation failure caused by using too weak materials.4 The authors reviewed their experience with brow lift, and they compared 4 different techniques: direct brow lift, brow lift with endotine ribbon device, brow lift with temporoparietalis imbrication, and brow lift with Mersilene mesh (Ethicon Johnson & Johnson Medical Ltd., New Brunswick, N.J.) to provide long-lasting results and to understand potential differences in long-term stability and the effectiveness in the lifting of different segments on the basis of the presurgical diagnosis. Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercialNoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. DOI: 10.1097/GOX.0000000000000310 Our Experience with Brow Ptosis Correction: A Comparison of 4 Techniques