Journal of Cutaneous and Aesthetic Surgery
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Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 93-96

Objective brow height measurements following pretrichial brow lift and upper lid blepharoplasty

1 Grand Rapids Medical Education Partners, State University Plastic Surgery Residency, Department of Plastic Surgery, Michigan
2 University of Virginia Ophthalmology Residency, Department of Ophthalmology, Charlottesville, VA, USA
3 University of Michigan Anesthesiology Residency, Department of Anesthesiology, Ann Arbor, MI, USA
4 Department of Eye Plastic and Facial Cosmetic Surgery; Department of Surgery, Spectrum Health Hospital, Grand Rapids, Michigan

Correspondence Address:
Adam S Hassan
2757 Leonard St NE, Grand Rapids - 49525, MI
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2077.184041

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Background: As the ptotic brow drops below the supraorbital rim, it can exacerbate dermatochalasis by pushing the adjacent skin of the upper lid further down. Aim: The purpose of this study was to evaluate the outcomes associated with a combined pretrichial brow lift and upper lid blepharoplasty in patients with dermatochalasis and mild to moderate brow ptosis. Materials and Methods: A retrospective case series of 46 patients with dermatochalasis and mild to moderate brow ptosis treated with a combined, bilateral pretrichial brow lift and upper lid blepharoplasty from January 2008 to December 2011. Main outcome measures included measurements of brow lift at 3 months post-operatively, complications encountered, patient satisfaction and surgeon satisfaction. Results: Outcomes from 46 patients were evaluated. The mean brow lift was 1.85 mm at the lateral canthus, 1.54 mm at the lateral limbus, 1.31 mm at the mid-pupil, and 1.07 mm at the medial limbus. Brow lift at the lateral canthus was significantly more elevated than at the medial limbus (P < 0.001). Minor complications were encountered in seven of 46 patients (15.2%). Mean patient satisfaction score was 3.20 and surgeon satisfaction 3.24 (max = 4, very satisfied). Conclusions: The modified pretrichial brow lift offered effective lateral lift that complements an upper lid blepharoplasty. This technique was met with a high degree of patient and surgeon satisfaction, and had a minimal complication profile.

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