The authors contend that their triangular pattern of Botox administration provides reproducible correction of both static and dynamic forehead wrinkles with minimal risk of brow and upper lid ptosis. Further, by varying dosage and injection technique, mimetic function may be preserved or obliterated.

Seventeen patients with ptosis as a feature of chronic progressive external ophthalmoplegia were managed in accordance with a new protocol. An anterior approach levator advancement was performed on seven patients (13 lids) with more than 4 mm of levator function and a brow suspension procedure on eight patients (14 lids) with minimal levator function, in whom the frontalis muscle was relatively...

OBJECTIVE To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis. METHODS This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or ...

OBJECTIVE Temporal artery biopsy (TAB), performed for the diagnosis of giant cell arteritis, has a low reported rate of complications. One complication is damage to the facial nerve branches, which can result in brow ptosis and/or orbicularis oculi weakness. However, the incidence of facial nerve damage after TAB is unknown. DESIGN Prospective, institutional review board-approved study of all...

BACKGROUND Eyebrow ptosis and hooding gives the eye a sad, heavy look that often disturbs the visual field. OBJECTIVE A direct extended scalpel-shaped brow lift is proposed to correct this functional and aesthetic disfigurement. This manuscript reviews our experience with the presented technique and evaluates the clinical results in the light of ongoing concerns regarding the appearance of th...

The author describes how he augments Endotine Forehead device fixation with a temporary external cortical screw. This prevents the elevated and advanced skin flap from becoming detached from the Endotine, causing a relapse of brow ptosis. This double fixation endobrow technique places initial tension on the cortical screw, allowing tension-free fixation to the Endotine. Early results have been ...

Infiltration of a local anesthetic agent (e.g., lidocaine) in the vicinity of the facial nerve can transiently paralyze the temporal branch of the facial nerve and cause ipsilateral brow ptosis. This typically occurs during surgery to remove skin cancers on the temple. The buccal nerve typically is not prone to transient or permanent damage because it lies deep to the buccal fat pad. A case of ...

OBJECTIVE Infrared (IR) irradiation specialized with wavelengths and contact cooling increases the amount of water in the dermis to protect the subcutaneous tissues against IR damage; thus, it is applied to smooth forehead wrinkles. However, this treatment consistently induces brow ptosis. Therefore, we investigated whether IR irradiation induces muscle thinning. METHODS Rat central back tiss...