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Eyebrow
Position Recognition and Correction in Reconstructive and Cosmetic Surgery
Objectives
To improve (1) recognition of eyebrow ptosis, asymmetry, or
deformity and (2) selection of the appropriate surgical
technique based on the patient's underlying etiology.
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Nonrandomized, retrospective study of patients undergoing
surgical correction of eyebrow asymmetry. Forty consecutive
patients were identified as having asymmetric eyebrow
ptosis or deformity. Varying etiologies included
those that were congenital, posttraumatic,
age-related, iatrogenic, or idiopathic, with or
without facial nerve paralysis. Patients underwent a variety
of surgical approaches for correction of the eyebrow
malposition, including transblepharoplasty,
midforehead, coronal, and endoscopic procedures.
Preoperative evaluation of patients, identification of
patient-specific appropriate surgical technique, and photographs
and grading of postoperative results are discussed.
Results All patients had a minimum follow-up
period of at least 4 months (mean, 15 months; range,
4 months to 3 years). Preoperative and postoperative
photographs were obtained and graded. Complete
symmetry was achieved in 8 patients (20%), considerable
improvement in 23 patients (57%), modest improvement in
7 patients (18%), and no improvement in 2 patients (5%). No
notable postoperative complications were reported.
Recommendations for improving results are included.
Conclusions The key to correction of eyebrow
ptosis in patients undergoing reconstructive and
cosmetic surgery is to first recognize the asymmetry.
It is also important to note the effect of
reconstructive and cosmetic surgical procedures on
eyebrow position in order to limit the need to perform
additional procedures to correct resultant eyebrow
asymmetries and deformities. Finally, the surgeon
must consider which eyebrow-lift technique is optimal
for the patient's underlying etiology to improve postoperative
results and patient satisfaction.
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