Har-Shai Yaron, Gil Tamir, Metanes Issa, Scheflan Michael
Carmel Medical Center, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Aesthet Surg J. 2008 Sep-Oct;28(5):512-7. doi: 10.1016/j.asj.2008.07.009.
Eyebrow ptosis and hooding gives the eye a sad, heavy look that often disturbs the visual field.
A direct extended scalpel-shaped brow lift is proposed to correct this functional and aesthetic disfigurement. This manuscript reviews our experience with the presented technique and evaluates the clinical results in the light of ongoing concerns regarding the appearance of the postoperative scar. In addition, the indications and patient selection criteria are elaborated.
An incision was made along the superior border of the brow, extending laterally and downward, often within a "crow's feet" crease. The upper border of the incision joined the 2 extremities of the skin outline of the lower incision in a gentle convex curve. The general outline of the incision resembled the shape of a No. 20 scalpel blade, in which the maximal width is located laterally at the temple "crow's feet" area.
Fourteen patients, including 8 males (48-74 yrs of age) and 6 females (67-71 yrs of age) underwent this procedure. The surgical scar was hardly noticeable after 6 to 9 months, and often fell within a preexisting crow's feet crease. Elimination of some of the crow's feet occurred in all the patients. Subjective and objective functional relief with respect to the vision field and the heavy-feeling brow and satisfaction with the aesthetic result were reported by all patients.
The most appropriate candidates for the direct extended scalpel-shaped brow lift are patients older than 50 years of age, with eyebrow ptosis accompanied with lateral hooding, well developed crow's feet, and forehead skin laxity; long, dense eyebrows, and low transverse forehead wrinkles aid in concealment of the scar.
眉下垂和上睑皮肤松弛使眼睛呈现出悲伤、沉重的样子，常常会干扰视野。
提出一种直接延长的手术刀形状的提眉术来矫正这种功能和美学缺陷。本文回顾了我们使用该技术的经验，并根据对术后瘢痕外观的持续关注评估临床结果。此外，还阐述了适应证和患者选择标准。
沿着眉的上缘做切口，向外下方延伸，通常在“鱼尾纹”皱襞内。切口的上缘以柔和的凸曲线连接下切口皮肤轮廓的两端。切口的总体轮廓类似于20号手术刀刀片的形状，其最大宽度位于颞部“鱼尾纹”区域的外侧。
14例患者接受了该手术，其中男性8例（年龄48 - 74岁），女性6例（年龄67 - 71岁）。6至9个月后手术瘢痕几乎不明显，且常常位于原有的鱼尾纹皱襞内。所有患者的一些鱼尾纹都有所减轻。所有患者均报告视野和沉重感眉得到主观和客观的功能改善，对美学效果满意。
直接延长的手术刀形状提眉术最合适的候选者是年龄大于50岁、伴有外侧上睑皮肤松弛的眉下垂、鱼尾纹明显、前额皮肤松弛的患者；长而浓密的眉毛以及低的横向额纹有助于隐藏瘢痕。
