Surgical correction of aesthetically deformed eyebrows using local transposition flaps.
BACKGROUND
Eyebrow positions differ in many ways. They vary in shape, thickness, length, and distance between the eyebrows, making the face more or less harmonious. When a large distance exists between the eyebrows and the medial brow is slanting downward, the glabellar area is larger, giving the face an awkward appearance.


METHODS
To correct this deformity, the authors propose using two Z-plasties to allow transposition of flaps in the region of the medial brow. The Z-shaped flap is outlined at the medial third of the brow, in the glabellar region, with the eyebrow centered in the lower portion of the "Z" and the hairless skin in the upper portion. The flaps then are transposed and sutured.


RESULTS
Transposition of the flaps, lifting the brow flap to the glabellar region, results in horizontal positioning of the medial and central third of the eyebrow.


CONCLUSIONS
The proposed transpositioning of "Z" flaps in this region corrects this type of deformity of the medial and central portions of the eyebrows, with an aesthetically satisfactory result.
Plastic Surgery Department, University of Santo Amaro School of Medicine, São Paulo, Brazil.
Douglas
D
Haddad
Rolf
R
Gemperli
D019882:Blepharoplasty / Q000379:methods*; D004954:Esthetics; D005138:Eyebrows; D006801:Humans; D017060:Patient Satisfaction; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000379:methods*; D013524:Surgical Flaps