title: Evaluation of the midforehead brow-lift operation.
abstract: OBJECTIVE
  To examine patients who have undergone midforehead brow-lift to assess the resulting brow position, symmetry, and final scar and overall appearance based on objective evaluations by masked plastic surgeons and laypersons.
  
  
  METHODS
  Twenty-one patients undergoing midforehead brow-lift in a single surgeon's practice were identified with at least 6 months' postoperative photographic documentation. Information was collected concerning patient demographics, the cause of brow ptosis, and the outcome of surgery. Four independent evaluators, including 2 plastic surgeons and 2 laypersons, were recruited to compare preoperative and postoperative photographs for brow symmetry, elevation, and incision scar and overall appearance.
  
  
  RESULTS
  The midforehead brow-lift was found to offer excellent aesthetic results in all patients, with the mean across all categories being greater than 3.5 on the 4.0-point scale (independent of the reviewer background). The mean overall score was 3.60. No patients received the lowest rating of a poor outcome.
  
  
  CONCLUSIONS
  A review of the literature regarding brow-lifts and current practice patterns is provided. We believe that the midforehead brow-lift should hold a prominent place among the current treatments for the aging upper third of the face.
authors.affiliation: Department of Otorhinolaryngology–Head and Neck Surgery, Mayo ClinicSchool of Medicine, Rochester, MN, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Powell
authors.forename: Ahmed
authors.initials: A
authors.lastname: Younes
authors.forename: Oren
authors.initials: O
authors.lastname: Friedman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods; D005260:Female; D005546:Forehead; D006801:Humans; D008297:Male; D008875:Middle Aged; D015361:Rhytidoplasty / Q000379:methods*; D015595:Skin Aging