A comparison between subgaleal and subperiosteal brow lifts.

The author has thought for a long time that the endoscopic subperiosteal brow lift has a better long-term result than the bicoronal subgaleal brow lift; therefore, he stopped doing subgaleal bicoronal brow lifts in 1995 in favor of the endoscopic subperiosteal approach. To discover if this impression could be objectively verified, the author undertook a retrospective study of 120 patients who had a brow lift. They were divided into four groups, depending on the type of operation, and were compared with each other by means of a new digitalized analyzing tool. Measurements of the vertical height from the midpupil to the top of the brow, from the medial canthus to the top of the brow, and from the lateral canthus to the top of the brow were made. Preoperative measurements were compared with postoperative measurements taken after 1 year. No significant difference existed between the preoperative and postoperative values in the patients who had a subgaleal brow lift. In the patients who had a subperiosteal brow lift, there was a mean increase of 7 mm in the vertical height of the brow 1 year after the operation.