Dominik L Feinendegen1, Mihai A Constantinescu2, Daniel A Knutti3, J Camilo Roldán4. 1. Institute of Plastic, Reconstructive and Aesthetic Surgery, Dufourstrasse 38, 8702 Zürich-Zollikon, Switzerland. Electronic address: dr.feinendegen@feinendegen.ch. 2. Department of Plastic and Hand Surgery (Chair: Prof. M.A. Constantinescu, MD), University Berne, Inselspital, 3010 Berne, Switzerland. Electronic address: mihai.constantinescu@insel.ch. 3. Clinic for Aesthetic Surgery, Bahnhofstrasse 39, 2502 Biel/Bienne, Switzerland. Electronic address: dknutti@bluewin.ch. 4. Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center Hamburg at UKE, Hamburg, Germany; Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Children's Hospital Wilhelmstift, Hamburg, Germany. Electronic address: jcamilo.roldan@yahoo.com.
Abstract
BACKGROUND: A huge number of procedures for forehead and brow rejuvenation have been described. Nevertheless, the surgical approach of brow aesthetics in terms of correction of brow fullness and symmetry has not been systematically evaluated in the literature. We recently proposed a 20-degree beveled brow incision technique for direct brow lifting. The aim of the present study is to evaluate the 20-degree beveled brow incision technique for brow reduction, reshaping and correction of brow symmetry. MATERIALS AND METHODS: Eighteen patients underwent brow reshaping by using the 20-degree beveled brow incision technique combined or not with other lifting procedure (brow lift, blepharoplasty, face lift). The surgical outcome was evaluated by photographic documentation and a questionnaire on patient satisfaction. Follow-up was at least 6 months. RESULTS: The surgical outcome in terms of brow symmetry, fullness and scaring was very good in 14 of 18 patients, good in 2 patients and poor in 2 patients. The last two patients were smokers. Motor or sensibility disorders were not observed. CONCLUSION: The 20-degree beveled brow incision technique seems to be saved and effective as surgical procedure to improve brow aesthetics in terms of symmetry and fullness while a supplement lifting maneuver is easily to perform.
BACKGROUND: A huge number of procedures for forehead and brow rejuvenation have been described. Nevertheless, the surgical approach of brow aesthetics in terms of correction of brow fullness and symmetry has not been systematically evaluated in the literature. We recently proposed a 20-degree beveled brow incision technique for direct brow lifting. The aim of the present study is to evaluate the 20-degree beveled brow incision technique for brow reduction, reshaping and correction of brow symmetry. MATERIALS AND METHODS: Eighteen patients underwent brow reshaping by using the 20-degree beveled brow incision technique combined or not with other lifting procedure (brow lift, blepharoplasty, face lift). The surgical outcome was evaluated by photographic documentation and a questionnaire on patient satisfaction. Follow-up was at least 6 months. RESULTS: The surgical outcome in terms of brow symmetry, fullness and scaring was very good in 14 of 18 patients, good in 2 patients and poor in 2 patients. The last two patients were smokers. Motor or sensibility disorders were not observed. CONCLUSION: The 20-degree beveled brow incision technique seems to be saved and effective as surgical procedure to improve brow aesthetics in terms of symmetry and fullness while a supplement lifting maneuver is easily to perform.