Simplified Lateral Brow Lift under Local Anesthesia for Correction of Lateral Hooding

Area of Science:

• Plastic Surgery
• Ophthalmology
• Facial Aesthetics

Background:

• Limited incision lateral brow lift presented as an alternative to endoscopic or bicoronal approaches.
• A novel, safe, and effective lateral brow lift technique developed for office settings under local anesthesia.

Purpose of the Study:

• To evaluate the safety and efficacy of a limited incision lateral brow lift technique.
• To assess patient outcomes and complication rates associated with the described brow lift procedure.

Main Methods:

• Retrospective review of 150 consecutive patients undergoing brow lift by a senior author.
• Technique involves upper blepharoplasty incision, corrugator division, periorbital retaining ligament release, and subperiosteal dissection via lateral temporal incision.
• Galea advancement with sutures and redundant skin excision.

Main Results:

• Complete resolution of lateral brow hooding in all patients.
• Two temporary frontal nerve neuropraxias (fully resolved), no permanent nerve injuries.
• 7% revision rate, 3% delayed wound healing, no infections.
• 97% of procedures performed with sedation, 35% in-office with light oral sedation.

Conclusions:

• The limited incision lateral brow lift technique provides safe and effective lateral brow elevation.
• Combined with upper blepharoplasty, it achieves excellent, natural-looking upper facial rejuvenation.