Endoscopic pretrichial brow lift: surgical indications, technique and outcomes.
OBJECTIVE
To present an alternative technique for rejuvenating the upper face of patients with high hairlines.


METHODS
A chart review was performed to ascertain the longevity and aesthetic quality of endoscopically assisted pretrichial brow lifts. The charts of a single surgeon were reviewed (2000 to 2003). The technique was noted to be consistent, and in the majority of cases, additive to other concurrent procedures. Morbidity was defined as asymmetry, poor longevity, and patient dissatisfaction. All patients were included who had the procedure performed. No exclusions were recognized for race, age, gender, medical history, or any other patient demographic.


RESULTS
Results for the clinical outcome were graded as excellent, good, fair, or poor. Subjective and objective assessments were made by using history, examination, and photos. A rating of excellent incorporates symmetry, longevity, smoothness of the brow skin, and patient satisfaction both with the recovery process and with the results.


CONCLUSIONS
In properly selected cosmetic patients, the endoscopic pretrichial brow lift is an effective method for rejuvenating the upper face. A more youthful appearance is achieved with the procedure, and it is easily combined with eyelid rejuvenation. We believe that this technique is the procedure of choice for addressing brow ptosis in patients with high hairlines.
Tower
Robert N
RN
Oregon Health Sciences University, Casey Eye Institute, 3375 SW Terwilliger Boulevard, Portland, OR 79239-4197, U.S.A.
Dailey
Roger A
RA
D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005138:Eyebrows; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012060:Rejuvenation; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000379:methods*; D016896:Treatment Outcome