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Comparison of Two Surgical Techniques for Endoscopic Brow Lift: Bone Tunnel Fixation Versus Temporary Tape Fixation:
Shahriar Haddady-Abianeh1,2, Javad Rahmati1,2, Ali Yavari1,2
1Department of Plastic & Reconstructive Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Background:
We compared two endoscopic brow lift fixation techniques in a 2023 randomized clinical trial: bone tunnel fixation versus temporary tape fixation. The primary objective was to evaluate the stability of the brow lift over time.
Methods:
Patients were randomly assigned to either the bone tunnel group or the tape fixation group, where a mesh tape was secured to the scalp and removed 7-10 days post-surgery. In total, 36 individuals participated in the study, including 18 patients in the Taping group and 18 patients in the Bony Fixation group. Pre-operative eyebrow measurements were taken, and patients were followed up at one and nine months to assess outcomes.
Results:
While the bone tunnel technique required a significantly longer surgical time, it was more effective at maintaining the brow lift in both the medial and lateral regions of the eyebrow after nine months. Complication rates were similar between the two groups.
Conclusion:
Bone tunnel fixation provides superior long-term stability for endoscopic brow lift compared to temporary tape fixation, despite the longer procedure duration. Further research with extended follow-up is recommended to confirm long-term outcomes.
