Cho Min-Jeong, Carboy Jourdan A, Rohrich Rod J
Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Tex.
Dallas Plastic Surgery Institute, Dallas, Tex.
Plast Reconstr Surg Glob Open. 2018 Oct 15;6(10):e1943. doi: 10.1097/GOX.0000000000001943. eCollection 2018 Oct.
Brow lift has been a part of plastic surgeons' armamentarium for over a century. Although there are multiple different techniques available, there has been a dearth of literature comparing which technique is better and has lesser complications. In this study, we performed a systemic literature review of all brow lift techniques to determine and compare complication rates of each technique.
We performed a computerized search of brow rejuvenation techniques using the MEDLINE database. Data regarding the type of brow lift procedure, number of patients, and complications were collected.
The systematic review was performed in December of 2017. A total of 326 articles were identified initially, and 76 studies remained after final review. The review showed highest revision rate in the hairline brow lift (7.4%), highest numbness rate in the direct brow lift (5.5%), highest asymmetry rate in the temporal/lateral brow lift (1.5%), and highest alopecia rate in the endoscopic brow lift (2.8%). In addition, we found 5 studies in nonsurgical brow rejuvenation (3 botulinum toxin, 1 fat injection, 1 radiofrequency).
Our study shows that each brow technique has a different complication profile, and it is important for plastic surgeons to understand the difference. Furthermore, the study demonstrated the lack of randomized prospective outcome studies and standardization of outcome measures in brow rejuvenation. We believe this information would be the key and next frontier in providing technically safe and long-lasting aesthetic outcomes for the patients.
提眉术作为整形外科医生的手术手段已有一个多世纪。尽管有多种不同技术可供选择，但比较哪种技术更好且并发症更少的文献却很匮乏。在本研究中，我们对所有提眉技术进行了系统性文献综述，以确定并比较每种技术的并发症发生率。
我们使用MEDLINE数据库对眉部年轻化技术进行了计算机检索。收集了有关提眉手术类型、患者数量和并发症的数据。
系统性综述于2017年12月进行。最初共识别出326篇文章，最终评审后留存76项研究。该综述显示，发际线提眉术的最高修复率为7.4%，直接提眉术的最高麻木率为5.5%，颞部/外侧提眉术的最高不对称率为1.5%，内镜提眉术的最高脱发率为2.8%。此外，我们发现了5项非手术眉部年轻化研究（3项肉毒杆菌毒素、1项脂肪注射、1项射频）。
我们的研究表明，每种提眉技术都有不同的并发症特征，整形外科医生了解这些差异很重要。此外，该研究表明在眉部年轻化方面缺乏随机前瞻性结果研究和结果测量的标准化。我们相信这些信息将是为患者提供技术上安全且持久美学效果的关键和下一个前沿领域。
