|Title||Brow ptosis - Is transblepharoplasty internal browpexy suitable for everyone?|
|Submitted by||arie nemet|
|Review Result||poster presentation|
Transcutaneous internal browpexy (IB) can provide patients with mild-to-moderate lateral brow ptosis, stabilization and modest lift of the lateral brow. Questions regarding effectiveness of this procedure and appropriate indications remain.
We measured consecutive patients who underwent upper eyelid blepharoplasty with transblepharoplasty internal browpexy (TIB) 9/2014-12/2017. Pre- and postoperative brow elevation was assessed based on before and after photographs of each patient. Patient photographs were assessed for medial and lateral brow elevation, brow contouring and asymmetry. Optimal lateral brow elevation was classiﬁed as bilateral symmetrical and above the supraorbital rim for women, and symmetrical and at the supraorbital rim for men.
A total of 239 patients underwent bilateral TIB and 39 underwent unilateral TIB. Pre- and post-operative measurements were taken in 98 patients (41%), with an average elevation of the lateral brow position of 2.54 mm.
Transblepharoplasty internal browpexy is an important tool that can be used in most patients with lateral and central brow ptosis, asymmetric brow ptosis and irregular contour of the brow. Additionally, browpexy adds to the success and longevity of upper blepharoplasty, while preventing early recurrence of lateral upper eyelid hooding. Patients with signiﬁcant ptosis, heavy brows, medial greater than lateral ptosis, and post-facial palsy may not be good candidates for this procedure.
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