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Small-incision frontalis muscle transposition flap for lateral eyebrow ptosis repair
Bryan R Costin1, Julian D Perry
1Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, U.S.A.
Purpose:
To describe a novel technique to correct lateral eyebrow ptosis using a frontalis muscle transposition flap.
Methods:
The charts of all patients undergoing eyebrow ptosis repair using a frontalis muscle transposition flap from December 2013 through April 2014 were reviewed to describe the surgical technique.
Results:
Sixteen patients underwent eyebrow ptosis repair using a frontalis muscle pedicle flap during the study period. Briefly, after local infiltration, a lateral forehead rhytid was marked and incised for approximately 1.5 cm. Blunt dissection exposed the frontalis-orbicularis angle, the frontalis-orbicularis insertion, and the lateral extent of the frontalis muscle. A pedicle flap of lateral frontalis muscle was created, trimmed, and transposed laterally in graded fashion to achieve the optimal eyebrow height and contour. The incision was closed with 5-0 polypropylene suture. All patients reported improvement in eyebrow position.
Conclusions:
This novel technique provides frontalis muscle elevatory force to the lateral eyebrow through a small incision to improve eyebrow ptosis. Further study, including objective measures of long-term results, is required.
