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Related Experiment Video

Updated: Jun 12, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Brow ptosis correction: a comparison of five techniques.

Dan Georgescu1, Richard L Anderson, John D McCann

  • 1Center for Facial Appearances, Salt Lake City, Utah, USA. dan.oculoplastics@gmail.com

Facial Plastic Surgery : FPS
|June 5, 2010
PubMed
Summary

Endoscopic brow-lift offers the greatest brow elevation for ptosis repair. Combining techniques like brow pexy and depressor removal enhances results, particularly for lateral and medial brow lifting.

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Area of Science:

  • Oculoplastic Surgery
  • Facial Plastic Surgery
  • Ophthalmology

Background:

  • Brow ptosis can affect vision and aesthetics.
  • Various surgical techniques exist for brow ptosis repair.
  • Understanding the comparative effectiveness of these techniques is crucial.

Purpose of the Study:

  • To evaluate and compare the efficacy of five surgical brow ptosis repair techniques.
  • To determine the optimal technique for brow elevation.
  • To assess the impact of adjunct procedures on brow position.

Main Methods:

  • Retrospective study of 120 patients undergoing brow ptosis repair.
  • Evaluation of five techniques: internal brow release (IBR), IBR with brow pexy (IBR + BP), IBR with corrugator/depressor removal (IBR + CDR), direct brow-lift (DB), and endoscopic brow-lift (EB).

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  • Preoperative and postoperative brow position measurements (medial, central, lateral).

    • Main Results:

    • Endoscopic brow-lift (EB) yielded the greatest brow elevation (3.44 mm).
    • IBR + CDR showed significant medial and central brow elevation compared to IBR and IBR + BP.
    • IBR + BP was more effective than IBR for lateral brow elevation (P < 0.05).

    Conclusions:

    • Endoscopic brow-lift is highly effective for brow elevation.
    • Adjunctive brow pexy enhances lateral brow lift.
    • Removal of medial brow depressors improves medial and central brow elevation.