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What Neurotoxins Have Taught Us About the Brow: The Reintroduction and Review of the Transpalpebral Browpexy.

Authors:
Michael Patrick Ogilvie Julius Warren Few Alec James Semersky Natasha Tamagni Kulick Mary Katherine Vorisek

Aesthetic Plast Surg 2018 Feb 2;42(1):126-136. Epub 2017 Nov 2.

Washington University, Saint Louis, MO, USA.

Introduction: The use of neuromodulators has grown substantially in our society, particularly in the temporary treatment of brow ptosis. This study revisits the use of the transpalpebral browpexy for upper face and brow rejuvenation in the context of what has been learned from neuromodulators.

Methods: A retrospective review of 97 subjects was conducted who had transpalpebral browpexy performed for lateral brow ptosis. Qualitative degree of brow elevation after the procedure was determined by examining before and after photographs for each patient.

Results: Out of 97 patients, 95 (98%) experienced aesthetically optimal brow elevation for their respective gender. Two patients required surgical revision, both of which experienced extenuating circumstances. Two patients experienced edema and one patient experienced periodic eruptions of chalazia along the upper eyelid.

Conclusion: Transpalpebral browpexy is a reliable, minimally invasive surgical procedure that effectively emulates the results of neuromodulator injections for a much longer period of time. While it cannot replace traditional brow-lifting techniques, transpalpebral browpexy does have solid indications with proven long-lasting results, which can be effective in a significant portion of patients with brow ptosis.

Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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http://dx.doi.org/10.1007/s00266-017-0988-7DOI Listing
February 2018

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What Neurotoxins Have Taught Us About the Brow: The Reintroduction and Review of the Transpalpebral Browpexy.

Authors:
Michael Patrick Ogilvie Julius Warren Few Alec James Semersky Natasha Tamagni Kulick Mary Katherine Vorisek

Aesthetic Plast Surg 2018 Feb 2;42(1):126-136. Epub 2017 Nov 2.

Washington University, Saint Louis, MO, USA.

Introduction: The use of neuromodulators has grown substantially in our society, particularly in the temporary treatment of brow ptosis. This study revisits the use of the transpalpebral browpexy for upper face and brow rejuvenation in the context of what has been learned from neuromodulators.

Methods: A retrospective review of 97 subjects was conducted who had transpalpebral browpexy performed for lateral brow ptosis. Read More

View Article and Full-Text PDF
February 2018
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Discussion: Morphometric long-term evaluation and comparison of brow position and shape after endoscopic forehead lift and transpalpebral browpexy.

Authors:
Ruth Graf

Plast Reconstr Surg 2012 Dec;130(6):841e-842e

Curitiba, Paraná, Brazil From the Federal University of Paraná.

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December 2012
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Morphometric long-term evaluation and comparison of brow position and shape after endoscopic forehead lift and transpalpebral browpexy.

Authors:
Niklas Iblher Saskia Manegold Christine Porzelius G Björn Stark

Plast Reconstr Surg 2012 Dec;130(6):830e-840e

Freiburg, Germany From the Department of Plastic and Hand Surgery, University Medical Center Freiburg and Erich Lexer Clinic, and the Institute of Medical Biometry and Medical Informatics, University of Freiburg.

Background: Although a multitude of proposed forehead rejuvenation procedures have been described, long-term and systematic morphometric evaluation is rare. There are no studies comparing endoscopic forehead lifts and transpalpebral browpexy techniques according to their efficacy in raising and reshaping the brow.

Methods: In a retrospective study, standardized photographic documentations of patients undergoing an endoscopic forehead lift or a transpalpebral browpexy were morphometrically analyzed. Read More

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December 2012
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Transpalpebral browpexy.

Authors:
Igor Niechajev

Plast Reconstr Surg 2004 Jun;113(7):2172-80; discussion 2181

Lidingö-kliniken, Stockholm-Lidingö, Sweden.

Transpalpebral browpexy could be performed as an adjuvant procedure to the upper blepharoplasty or as a separate procedure. It is done by separating interdigitalizing connections between the orbicularis and frontalis muscles, moving the orbicular part of the orbicularis muscle with overlying brow to the more cephalad position and again uniting both of these muscles with nonresorbable sutures in a new higher position. During the years 1990 to 1999, 55 patients (47 women and eight men) were operated on with this technique, which was partially developed by the author. Read More

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June 2004
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