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Related Concept Videos

Muscles for Facial Expressions01:14

Muscles for Facial Expressions

The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
Nose and Nasal Cavity01:24

Nose and Nasal Cavity

The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Rhinoplasty and brow modification: a powerful combination.

Rollin K Daniel1, Aaron Kosins, Ali Sajjadian

  • 1Dr Daniel is a Clinical Professor and Dr Kosins is a Clinical Assistant Professor WOS at The Aesthetic & Plastic Surgery Institute, University of California-Irvine, Orange, California.

Aesthetic Surgery Journal
|September 11, 2013
PubMed
Summary

Combining rhinoplasty with brow modification enhances facial aesthetics by altering the perceived size of the nose. This study explored anatomical dissections and patient outcomes for combined procedures, showing significant aesthetic improvements.

Keywords:
browliftbrowplastyendoforehead liftglabellarhinoplasty

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetics
  • Anatomical Studies

Background:

  • Chin augmentation is common with rhinoplasty for facial balance.
  • Brow modification is less frequently combined with rhinoplasty.
  • Altering the middle facial third can make the nose appear smaller.

Purpose of the Study:

  • To describe anatomical dissections of the brow and nose region.
  • To report outcomes of concurrent browlift and rhinoplasty procedures.
  • To investigate the aesthetic impact of combining rhinoplasty with brow modification.

Main Methods:

  • Anatomical dissections of the nose and central forehead in 7 cadavers.
  • Retrospective chart review of 24 patients undergoing combined rhinoplasty and brow modification.
  • Differentiated techniques based on patient age: central browlift (CBL) for younger patients and endoscopic forehead lifting (EFL) for older patients.

Main Results:

  • The study included 24 patients (ages 14-60), with 13 undergoing CBL and 11 undergoing EFL.
  • Mean follow-up was 18 months.
  • Minor complications included fluid accumulation and a request for nasal tip refinement.

Conclusions:

  • Central brow modification significantly alters the aesthetic appearance of the nose/glabellar region.
  • CBL with muscle excision benefits younger patients needing a defined nasion and older secondary rhinoplasty patients with a heavy upper nose.
  • Endoscopic forehead lifting enhances facial appearance in older patients where rhinoplasty alone has limited impact.