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Updated: Jun 24, 2026
19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Reversing brow lifts.
Michael J Yaremchuk1, Niamh O'Sullivan, Fahd Benslimane
1Wang Ambulatory Care Center, Massachusetts General Hospital, Fruit Street, Boston, MA 02114, USA.
Aesthetic Surgery Journal
|April 4, 2009
Summary
This study presents a brow lift reversal surgery technique to correct undesirable brow shape and position after initial surgery. The procedure effectively lowers and reshapes brows, restoring a natural appearance with stable results.
Area of Science:
- Plastic Surgery
- Oculoplastic Surgery
- Facial Aesthetic Surgery
Background:
- Brow lift surgery can lead to undesirable outcomes like overelevation, brow separation, and medial slant.
- Restoring natural brow aesthetics after unsatisfactory brow lift results is a clinical challenge.
Purpose of the Study:
- To describe a surgical procedure for brow lift reversal.
- To restore or improve presurgical brow shape and position after brow lift surgery.
Main Methods:
- Open brow lift reversal surgery utilizing subperiosteal anterior and posterior scalp flaps.
- Anchoring the lowered medial brow and repositioned anterior hairline to the frontal bone.
- Closing scalp defects by advancing the posterior scalp flap, sometimes requiring galeal scoring.
Main Results:
- Successful correction in 22 women, addressing lowered brows and laterally shifted apex.
- Achieved an average medial brow lowering of 6 mm and anterior hairline lowering of 12 mm.
- Stable results observed over 6 months to 3 years with no revisionary surgeries requested; two cases of alopecia noted.
Conclusions:
- Surgically lifted brows can be effectively lowered and reshaped.
- Advancing, repositioning, and fixing the frontal scalp to the skull offers a viable solution for brow lift reversal.
- This technique provides stable and satisfactory aesthetic outcomes for patients with post-brow lift deformities.
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