A percutaneous approach to eyebrow lift: the Salvadorean option

Surgical eyebrow lift can result in a number of complications. A nonsurgical simple method of lifting the brow is presented.

To raise the eyebrows using a simple, quick, and noninvasive approach.

Twenty-nine patients, 27 women and 2 men, whose ages varied from 24 to 56 years (mean of 32 years) were included in the study. Preoperative and postoperative photographs were taken. In two patients, brow suspension was performed at the time of blepharoplasty. Informed consent was signed by all of the patients. For measuring the degree of satisfaction of the patients, we gave to them a sheet grading it from one to three (with one being the least satisfactory). Local anesthesia (1% lidocaine, 1:400,000 epinephrine), a conveniently sized Keith needle, and prolene 3/0 sutures were used.

Satisfying results were obtained in all cases. The only problem encountered in two patients was temporary edema, and it settled in a few days.

This is a very simple, quick, and noncomplicated method of raising the eyebrows. It can be repeated, revised easily, or combined with other modalities, such as peels, topical tretinoin, oral isotretinoin, fat injection, Goretex, and Botox as part of a facial rejuvenation program.