Salama, S., Fayed, A., Gadallah, A. (2024). Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(3), 237-243. doi: 10.21608/ejprs.2024.365349
Sherien Metwally Salama; Amr Mahmoud Fayed; Ahmed Gadallah. "Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 3, 2024, 237-243. doi: 10.21608/ejprs.2024.365349
Salama, S., Fayed, A., Gadallah, A. (2024). 'Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(3), pp. 237-243. doi: 10.21608/ejprs.2024.365349
Salama, S., Fayed, A., Gadallah, A. Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(3): 237-243. doi: 10.21608/ejprs.2024.365349
Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study
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.
Paul M.D.: “The evolution of the brow lift in aesthetic plastic surgery.” Plastic and reconstructive surgery, Vol. 108, 5: 1409-24, 2001. 2- Rohrich R.J. and Beran S.J.: “Evolving fixation methods in endoscopically assisted forehead rejuvenation: controversies and rationale.” Plastic and reconstructive surgery Vol. 100,6: 1575-82; discussion 1583-4, 1997. 3- Wong, Vincent: “The Science of Absorbable Poly(LLactide- Co-ε-Caprolactone) Threads for Soft Tissue Repositioning of the Face: An Evidence-Based Evaluation of Their Physical Properties and Clinical Application.” Clinical, cosmetic, and investigational dermatology, Vol. 14: 45-54, 13 Jan. 2021. 4- Preibisz, Lukasz, et al.: “Barbed Polydioxanone Sutures for Face Recontouring: Six-Month Safety and Effectiveness Data Supported by Objective Markerless Tracking Analysis.” Aesthetic Surgery Journal, Vol. 42, 1: NP41- NP54, 2022. 5 Wu, Woffles T.L.: “Commentary on: Effectiveness, Longevity, and Complications of Facelift by Barbed Suture Insertion.” Aesthetic Surgery Journal, Vvol. 39, 3: 248-253, 2019. 6- Chusak, R.B, and D G Dibbell. “Clinical experience with polydioxanone monofilament absorbable sutures in plastic surgery.” Plastic and reconstructive surgery vol. 72,2 (1983): 217-21. 7- Molea G., et al.: “Comparative study on biocompatibility and absorption times of three absorbable monofilament suture materials (Polydioxanone, Poliglecaprone 25, Glycomer 631).” British Journal of Plastic , Vol. 53, 2: 137-41, 2000. 8- Miller T.A., et al.: “Lateral subcutaneous brow lift and interbrow muscle resection: Clinical experience and anatomic studies.” Plastic and Reconstructive Surgery, Vol. 105, 3: 1120-7; discussion 1128, 2000. Egypt, J. Plast. Reconstr. Surg., July 2024 243 9- Bertossi, Dario et al.: “Effectiveness, Longevity, and Complications of Facelift by Barbed Suture Insertion.” Aesthetic Surgery Journal, Vol. 39, 3: 241-247, 2019. 10- Sulamanidze M.A., Paikidze T.G., Sulamanidze G.M. and Neigel J.M.: Facial lifting with “APTOS” threads: Featherlift. Otolaryngol. Clin. North Am., 38 (5): 1109-111, 2005. 11- Houchman M.: Midface barbed suture lift. Facial Plast. Surg. Clin. North Am., 15 (2): 201-207, 2007. 12- Atiyeh B.S., Dibo S.A., Costagliola M. and Hayek S.N.: Barbed sutures “lunch time” lifting: Evidence-based efficacy. J. Cosmet Dermatol., 9 (2): 132-141, 2010. 13- Rachel J.D., Lack E.B. and Larson B.: Incidence of complications and early recurrence in 29 patients after facial rejuvenation with barbed suture lifting. Dermatol. Surg., 36 (3): 348-354, 2010. 14- Mutaf, Mehmet: “Mesh lift: A new procedure for longlasting results in brow lift surgery.” Plastic and Reconstructive Surgery, Vol. 116, 5: 1490-9; discussion 1500-1, 2005. 15- Real D.S.S., Reis R.P., Feitosa R.G.F., Garcia E.B. and Ferreira L.M.: Clinical classification of brow ptosis. Rev. Bras. Cir. Plást., 31 (3): 354-361, 2016.
View on SCiNiTO
Top