Plowes Hernandez Olga, Montes-Bracchini Jose Juan, Ulloa Fausto López, LaFerriere Keith
Department of Facial Plastic Surgery, Cirugia Plastica Facial, Ciudad de Mexico, Mexico.
Department of Otolaryngology - Head and Neck Surgery, University of Missouri Health Care Ringgold Standard Institution, Columbia, Missouri.
Facial Plast Surg. 2016 Dec;32(6):607-614. doi: 10.1055/s-0036-1594255. Epub 2016 Dec 29.
One of the first signs of aging belongs to the upper third of the face. At the same time, the height and shape of the eyebrows are key points of the periorbital aesthetics. A "tired" or "sad" look implies that the complex eyebrow-upper eyelid are showing one or more of these signs. Different surgical techniques as well as nonsurgical have been described to treat this area, every one of them aiming at making the patient look rested and natural. The objective of this study is to describe a technique for endoscopic browlifting, consisting of minimal incisions, a biplanar dissection, and a different fixation technique designed for helping reshape the brow. Twenty-five patients who fulfilled the criteria for the study were analyzed for brow-position changes in height and shape. All the patients were treated by the senior authors using the technique described. This particular surgical technique has shown the advantage of being minimally invasive and effective. Careful analysis of the patient should be made to decide both the technique and the changes desired by the patient and the surgeon. The authors believe the technique described is another option for approaching and fixating the eyebrow.
衰老的最初迹象之一出现在面部上三分之一处。与此同时，眉毛的高度和形状是眶周美学的关键点。“疲惫”或“悲伤”的神情意味着复杂的眉-上睑区域呈现出这些迹象中的一种或多种。已经描述了不同的手术技术以及非手术方法来治疗该区域，它们每一种的目的都是让患者看起来显得休息良好且自然。本研究的目的是描述一种内镜提眉技术，该技术包括微小切口、双平面剥离以及一种旨在帮助重塑眉形的不同固定技术。对符合研究标准的25例患者的眉部高度和形状变化进行了分析。所有患者均由资深作者采用所述技术进行治疗。这种特定的手术技术已显示出微创且有效的优势。应仔细分析患者情况，以确定技术以及患者和外科医生期望的改变。作者认为所描述的技术是处理和固定眉毛的另一种选择。
