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Related Experiment Videos

The extended browlift

H S Byrd1

  • 1Division of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, USA.

Clinics in Plastic Surgery
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

The endoscopic extended browlift effectively rejuvenates the upper face by repositioning muscles and lifting the malar pad. While generally safe, surgeons must master temporal anatomy to avoid complications like temporary nerve weakness.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Minimally Invasive Procedures

Background:

  • Aging affects the upper face, leading to concerns like brow ptosis and malar sagging.
  • The endoscopic extended browlift offers a solution for facial aging, addressing both isolated upper face concerns and more advanced aging.
  • It repositions the orbicularis oculi muscle and malar pad, improving the transition to the lower face.

Observation:

  • The study followed 42 patients who underwent the endoscopic extended browlift.
  • Initial cases experienced temporary forehead weakness and temporal fat atrophy.
  • The most common postoperative issue was the recurrence of pre-existing brow asymmetry.

Findings:

  • The endoscopic extended browlift effectively lifts the malar pad and repositions the orbicularis oculi muscle.

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  • It corrects orbital festoons and malar bags, reducing the upper nasolabial fold.
  • Temporary facial nerve weakness and asymmetry were observed but resolved in most cases.

    • Implications:

    • This procedure offers an alternative for smokers with limited SMAS-skin undermining.
    • Thorough understanding of temporal anatomy and facial nerve is crucial for successful outcomes.
    • While effective, addressing pre-existing brow asymmetry remains a challenge.