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Comparison among three different fixation techniques in temporal brow lift surgery
Michele Pascali1, Anna Avantaggiato, Ilaria Bocchini
1*II Level Master of Plastic and Esthetic Surgery of the Facial District †Specialization School in Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome ‡Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy §Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy.
Comparing three fixation methods for temporal brow lifts, this study found that mesh suspension offered the most stable, long-lasting results for eyebrow elevation. Other techniques showed some degree of relapse over one year.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
Background:
- Temporal brow lifting is a popular surgical technique.
- Long-term stability of brow lifts depends on effective tissue fixation.
- Various fixation methods exist for temporal brow lifts.
Purpose of the Study:
- To compare the long-term stability of three different fixation techniques used in temporal brow lift surgery.
Main Methods:
- Forty-five patients (33-70 years) underwent temporal brow lift.
- Group 1: Endotine Ribbon fixation.
- Group 2: Mersilene mesh fixation.
- Group 3: Prolene suture fixation.
- Brow elevation measured pre- and post-operatively over 1 year.
Main Results:
- All techniques improved brow shape.
- Partial relapse observed in eyebrow body and lateral regions over 1 year.
- Final brow position varied significantly based on the fixation technique used.
Conclusions:
- Different brow elevation and stabilization methods impact final brow shape and position.
- Mesh suspension demonstrated superior long-lasting stability compared to other methods.
