Brow reduction, reshaping and suspension by a 20-degree beveled brow incision technique.
BACKGROUND
A huge number of procedures for forehead and brow rejuvenation have been described. Nevertheless, the surgical approach of brow aesthetics in terms of correction of brow fullness and symmetry has not been systematically evaluated in the literature. We recently proposed a 20-degree beveled brow incision technique for direct brow lifting. The aim of the present study is to evaluate the 20-degree beveled brow incision technique for brow reduction, reshaping and correction of brow symmetry.


METHODS
Eighteen patients underwent brow reshaping by using the 20-degree beveled brow incision technique combined or not with other lifting procedure (brow lift, blepharoplasty, face lift). The surgical outcome was evaluated by photographic documentation and a questionnaire on patient satisfaction. Follow-up was at least 6 months.


RESULTS
The surgical outcome in terms of brow symmetry, fullness and scaring was very good in 14 of 18 patients, good in 2 patients and poor in 2 patients. The last two patients were smokers. Motor or sensibility disorders were not observed.


CONCLUSIONS
The 20-degree beveled brow incision technique seems to be saved and effective as surgical procedure to improve brow aesthetics in terms of symmetry and fullness while a supplement lifting maneuver is easily to perform.
Institute of Plastic, Reconstructive and Aesthetic Surgery, Dufourstrasse 38, 8702 Zürich-Zollikon, Switzerland. Electronic address: dr.feinendegen@feinendegen.ch.
Dominik L
DL
Feinendegen
Department of Plastic and Hand Surgery (Chair: Prof. M.A. Constantinescu, MD), University Berne, Inselspital, 3010 Berne, Switzerland. Electronic address: mihai.constantinescu@insel.ch.
Mihai A
MA
Constantinescu
Clinic for Aesthetic Surgery, Bahnhofstrasse 39, 2502 Biel/Bienne, Switzerland. Electronic address: dknutti@bluewin.ch.
Daniel A
DA
Knutti
Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center Hamburg at UKE, Hamburg, Germany; Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Children's Hospital Wilhelmstift, Hamburg, Germany. Electronic address: jcamilo.roldan@yahoo.com.
J Camilo
JC
Roldán
D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000379:methods; D004954:Esthetics; D005138:Eyebrows / Q000033:anatomy & histology; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D015361:Rhytidoplasty / Q000379:methods; D013518:Surgery, Plastic / Q000379:methods*
Brow lift; Brow reduction; Brow reshaping; Brow symmetry; Dermal wound healing