Pascali Michele, Bocchini Ilaria, Avantaggiato Anna, Carinci Francesco, Cervelli Valerio, Orlandi Fabrizio, Quarato Davide
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy.
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Indian J Plast Surg. 2016 Jan-Apr;49(1):66-71. doi: 10.4103/0970-0358.182243.
Brow lifting is an essential element in the rejuvenation of the ageing face. Various surgical techniques have been described. Among these, the direct brow lifting is an easy and effective technique that is often neglected because the scar can remain visible. Thus, this approach is usually reserved for elderly patients and males, with thick bushy brows.
The authors present their result from a series of fifty consecutive patients treated over 2 years with direct brow lift. The aim is to demonstrate when the hairline is high or temporal alopecia is present and whether this technique is the best in bald patients, when some surgical steps are carefully adhered to. In these cases, the scar is less visible, hidden in the brow and is a good solution in women too.
Between January 2011 and January 2013, fifty patients underwent direct brow lift surgery. All were men. In all the cases, brow lifting was undertaken together with an upper blepharoplasty. The amount of brow elevation produced was assessed by comparing the vertical distances between the superior eyebrow hairline and the inter-pupillary line, pre- and post-operatively. The result and the scar quality were assessed both by the patient and the surgeon.
The paired t-test.
The authors obtained statistically significant results in brow elevation in 98% of the patients after a 12-month follow-up. The main complication associated with this procedure was visibility of the scar in two patients.
The direct brow lift technique in bald men and with a high anterior hairline provides excellent and long-lasting results.
提眉是面部年轻化的重要组成部分。已有多种手术技术被描述。其中，直接提眉术是一种简单有效的技术，但常因瘢痕可能可见而被忽视。因此，这种方法通常适用于眉毛浓密的老年患者和男性。
作者展示了连续50例患者接受直接提眉术治疗2年的结果。目的是证明在前发际线较高或存在颞部脱发的情况下，以及在严格遵循一些手术步骤时，该技术对秃发患者是否是最佳选择。在这些情况下，瘢痕不太明显，隐藏在眉毛中，对女性也是一个很好的解决方案。
2011年1月至2013年1月期间，50例患者接受了直接提眉手术。均为男性。所有病例中，提眉术均与上睑成形术同时进行。通过比较术前和术后眉上发际线与瞳孔间线的垂直距离来评估提眉的高度。患者和外科医生均对结果和瘢痕质量进行评估。
配对t检验。
经过12个月的随访，作者在98%的患者中获得了统计学上显著的提眉效果。与该手术相关的主要并发症是两名患者的瘢痕可见。
对于前发际线较高的秃发男性，直接提眉术可提供优异且持久的效果。
