Plowes Hernandez Olga, Montes Bracchini Jose Juan
Department of Facial Plastic Surgery, Cirugia Plastica Facial, Mexico, Ciudad de Mexico, Mexico.
Facial Plast Surg. 2018 Feb;34(1):36-42. doi: 10.1055/s-0037-1617422. Epub 2018 Feb 6.
One of the first signs of aging belongs to the upper third of the face. With the aging process, mestizo facial features become more prominent. The thicker skin-soft tissue envelope (S-STE) has a tendency to sag more, hooding of the eyelids tends to be more pronounced, and there is a tendency for eyebrows to droop, specifically the tail of the brows, because of the loss of support. A "tired" or "sad" look implies that the complex eyebrow-upper eyelid is showing one or more of these signs. Different surgical as well as non-surgical techniques 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 brow lifting, consisting on minimal incisions, a biplanar dissection, and a different fixation technique designed for helping reshape the brow. 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 heavy eyebrows in mestizo patients.
衰老的最初迹象之一出现在面部上三分之一处。随着衰老过程，混血人种的面部特征变得更加明显。较厚的皮肤软组织包膜（S-STE）更容易下垂，眼睑的遮盖往往更明显，并且由于支撑力丧失，眉毛尤其是眉尾有下垂的趋势。“疲惫”或“悲伤”的神情意味着复杂的眉-上睑区域出现了这些迹象中的一种或多种。已经描述了不同的手术和非手术技术来治疗该区域，每种技术都旨在使患者看起来放松自然。本研究的目的是描述一种内窥镜提眉技术，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毛的不同固定技术。这种特殊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混血人种患者厚重眉毛的另一种选择。
