Transcutaneous Brow Shaping: A Straightforward and Precise Method to Lift and Shape the Eyebrows

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Facial Aesthetics

Background:

• Brow height is secondary to the lateral and medial brow relationship for aesthetic outcomes.
• While various brow-raising surgeries exist, transcutaneous brow shaping (TBS) allows for detailed contouring and correction of minor asymmetries.
• This study focuses on the authors' experience with direct TBS, individually or combined with other facial procedures.

Purpose of the Study:

• To describe the authors' clinical experience with transcutaneous brow shaping (TBS).
• To evaluate the efficacy and patient satisfaction of TBS, alone or with blepharoplasty and facelift procedures.

Main Methods:

• A total of 212 patients underwent TBS performed by the senior author.
• Clinical evaluations and pre- and postoperative photographs were used for assessment.
• Patient questionnaires addressed scar quality and overall satisfaction with aesthetic results.

Main Results:

• No major complications were reported among the 212 patients.
• Scar visibility was minimal following the procedure.
• Patients reported high satisfaction with the aesthetic outcomes of TBS.

Conclusions:

• Transcutaneous brow shaping (TBS) can be performed without visible scarring when specific techniques are followed.
• Accurate planning, volume preservation, limited undermining, and appropriate use of botulinum toxin and vasodilators are crucial for optimal results.
• TBS is presented as the easiest, most precise, and most reliable method for brow shaping, contrary to common misconceptions about browlift scarring.