Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study

Document Type : Original Article

Authors

The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University

Abstract

Introduction: Eyebrow lifting with a temporal approach
is an increasingly widespread technique. Many surgical procedures
are described, but the long-term stability is dependent
on the effectiveness of the anchorage of elevated tissues and
approach for elevation.
Objective: In our study we compared 2 commonly utilized
lateral brow lift techniques (subcutaneous temporal brow lifts
and subperiosteal brow lift with barbed PDO threads as regard
efficacy, longevity, safety, and patient satisfaction. This study intends
to provide evidence-based insights into the advantages and
limitations of each technique, aiding clinicians in making informed
decisions and optimizing patient satisfaction outcomes.
Patients and Methods, Results: 20 consecutive patients
aged between 40 to 60 with mild to moderate lateral brow ptosis,
underwent temporal brow lift. Patients were divided into 2
groups; group 1, anchorage was performed with PDO barbed
suture through closed subcutaneous approach, group 2 anchorage
was performed with same suture material through open
lateral temporal approach in subperiosteal plane.
The amount of brow elevation was assessed by patient
satisfaction and by comparing the distance between interpupillary
line and superior eyebrow hairline. The distance (mm)
between this line and the upper edge of each eyebrow were
measured in 2 points: Pupil, and lateral canthus. The follow-up < br />was 3,6, 12-week and 6 months.
Conclusion: Subperiosteal lateral eyebrow lifting provides
higher satisfaction rate and less risk of complications
post-operatively.

Keywords

Main Subjects

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