Brow Lifting and Upper Facial Esthetics: Current Techniques and Considerations

AbstractPurpose of ReviewTo review contemporary considerations regarding upper facial esthetics and modern brow lifting techniques, including their selection criteria and efficacy.Recent FindingsMitek suture anchor and K-wire fixation were found to be viable endoscopic fixation techniques with various advantages over other methods. There has been a significant focus on developing minimally invasive lateral brow lifts. These often vary in degrees of lift and durability, with techniques such as browpexy/transblepharoplasty lifts having questionable efficacy, to subcutaneous temporal and combination lifts which appear to produce reliable results with maximum accessibility due to minimal anesthesia requirements. Botulinum toxin injection remains the gold standard for brow lifting when compared to other non-surgical techniques, such as thread lifts and skin tightening.SummaryThe overall trend regarding recent upper facial esthetics often focuses on maximizing the accessibility of lateral temporal brow lifts. As such, several techniques and variations have been recently developed which are less invasive and easier to perform. While some variations, such as subcutaneous temporal lifts, appear to be flexible and effective techniques, others have questions regarding their efficacy and durability. Selection will often depend on patient/surgeon ’s preference and the degree of brow ptosis. These decisions can also continually evolve with changing esthetic standards. This review should ...
Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research