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Concurrent brow lift and blepharoplasty with a resorbable fixation device

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Ageing changes on the forehead and the periocular area are of much concern to the patient not only from an aesthetic but a functional point of view as well. Many techniques exist for correction of upper periorbital ageing changes. We hereby present our technique of doing a brow lift and upper lid blepharoplasty as a combined procedure using a resorbable fixation device.

Methods

We carried out the study over a period of 36 months from July 2008 to July 2011. Only the patients requiring both brow lift and blepharoplasty were included in the study. Brow lift was performed through the upper lid blepharoplasty incision, and elevation was maintained by the resorbable fixation device screwed into the frontal bone. Following this, excess upper lid skin and muscle was excised to complete the upper lid blepharoplasty.

Results

A total of 25 cases including 17 females and 8 males were operated. The age ranged from 39 to 74 years, and the mean age was 54 years. Seven patients required both upper as well as lower lid blepharoplasty along with a brow lift, whereas 18 patients underwent only upper lid blepharoplasty along with a brow lift. In two of the patients who had a predominantly medial brow ptosis, we placed the Endotine device over the medial eyebrow. All patients were satisfied with the final result, and the device became impalpable over a period of 1 year.

Conclusions

The technique described is simple, reproducible and quick for addressing the upper lid and brow in one surgical sitting. A thorough preoperative discussion and demonstration of achievable result to the patient along with thorough understanding of the anatomy is the key to success.

Level of Evidence:

Level IV, therapeutic study.

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Conflict of Interest

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Authors and Affiliations

  1. Cosmetic Surgery Institute, Mumbai, Maharashtra, India

    Mohan Thomas, James Allan D’Silva & Ateesh Jayram Borole

Authors
  1. Mohan Thomas
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  2. James Allan D’Silva
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  3. Ateesh Jayram Borole
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Correspondence to Mohan Thomas.

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Thomas, M., D’Silva, J.A. & Borole, A.J. Concurrent brow lift and blepharoplasty with a resorbable fixation device. Eur J Plast Surg 36, 213–218 (2013). https://doi.org/10.1007/s00238-012-0762-7

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  • DOI: https://doi.org/10.1007/s00238-012-0762-7

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