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Surgical correction of aesthetically deformed eyebrows using local transposition flaps
Douglas Haddad1, Rolf Gemperli
1Plastic Surgery Department, University of Santo Amaro School of Medicine, São Paulo, Brazil.
Aesthetic Plastic Surgery
|June 10, 2010
Summary
This study introduces a Z-plasty technique to correct medial eyebrow deformities. The Z-flaps improve eyebrow positioning, leading to a more harmonious facial appearance.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Reconstructive Surgery
Background:
- Eyebrow shape, thickness, length, and spacing significantly influence facial harmony.
- A large distance between eyebrows and a downward-slanting medial brow can create an awkward facial appearance due to an enlarged glabellar area.
Purpose of the Study:
- To present a surgical technique for correcting medial eyebrow deformities.
- To improve facial aesthetics by addressing issues with eyebrow positioning.
Main Methods:
- The study proposes a method involving two Z-plasties in the medial brow and glabellar region.
- Z-shaped flaps are created, with the eyebrow centered in the lower portion and hairless skin in the upper portion.
- Flaps are transposed and sutured to reposition the eyebrow.
Main Results:
- Transposition of the Z-flaps lifts the brow flap into the glabellar region.
- This technique results in the horizontal positioning of the medial and central thirds of the eyebrow.
Conclusions:
- The Z-flap transposition effectively corrects deformities of the medial and central eyebrow portions.
- The described technique yields aesthetically satisfactory results for eyebrow reconstruction.
