Objective Comparison of Eyebrow Position after Internal and External Browpexy.

Autor:	Huang PJ; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Mao SH; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Yen CI; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Yang SY; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Hsiao YC; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Yang JY; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Chang SY; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Chuang SS; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital., Chen HC; From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2023 Sep 01; Vol. 152 (3), pp. 414e-423e. Date of Electronic Publication: 2023 Feb 28.
DOI:	10.1097/PRS.0000000000010310
Abstrakt:	Background: Several brow-lift techniques have been used to prevent brow ptosis after blepharoplasty. For example, both internal and external browpexies have been adopted worldwide. However, few studies have compared these two methods. The authors compared postoperative eyebrow position changes between upper eyelid skin excision, internal browpexy, and external browpexy. Methods: The authors retrospectively reviewed the cases of 87 patients who underwent upper blepharoplasty performed by a single clinician at their institute between April of 2018 and June of 2020. Patients with routine outpatient photographs taken before and after surgery were enrolled in the study. ImageJ was used to measure brow height at eight points in each eye. Brow height changes were compared among the three groups. Results: Routine photographs were available for 68 patients (133 eyes). Thirty-nine patients underwent internal browpexy (78 eyes), nine underwent external browpexy (17 eyes), and 20 underwent upper eyelid skin excisions (38 eyes). Three months after surgery, significant elevation was noted on the lateral side of the brow in the internal browpexy group and across the whole brow in the external browpexy group. In the upper eyelid skin excision group, whole brow ptosis was observed. Brow-lift outcomes were better in the external than in the internal browpexy group, whereas both browpexy groups showed better outcomes than the upper eyelid skin excision group. Conclusions: Within 3 months of surgery, both internal and external browpexy provided significant brow-lift effects, preventing brow ptosis caused by blepharoplasty with skin excision. External browpexy had better brow-lift outcomes than did internal browpexy. Clinical Question/level of Evidence: Therapeutic, III. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu