Savetsky Ira L, Matarasso Alan
Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y.
Clinical Professor of Surgery, Northwell Health System/Hofstra University, Zucker School of Medicine, Manhattan Eye, Ear and Throat Hospital, New York, N.Y.
Plast Reconstr Surg Glob Open. 2020 Apr 24;8(4):e2764. doi: 10.1097/GOX.0000000000002764. eCollection 2020 Apr.
Numerous techniques have been described to correct brow aesthetics in facial rejuvenation. We report the senior author's (A.M.) current approach for eyebrow elevation utilizing a lateral subcutaneous brow lift and, when indicated, a medial subgaleal brow lift. Furthermore, a systematic review of the literature was performed comparing the different surgical approaches and techniques.
A systematic review of the literature was performed using the MEDLINE, PubMed, and Cochrane Central Register of Controlled Trials databases. Studies were included if the content was original, provided outcome data, and complications.
The senior author (A.M.) has performed over 500 lateral temporal subcutaneous brow lifts for lateral brow ptosis. The vast majority was highly satisfied with the outcome and there were minimal complications. This represents the largest series of patients utilizing this technique. Twenty-six articles were reviewed and 5 met our screening criteria and were analyzed critically for inclusion and further objective review. All of the studies were retrospective in nature and report high patient satisfaction with an acceptable risk profile.
In this study, we described the largest series of patients undergoing lateral subcutaneous brow lifts (n > 500), as well as a systematic review of the current literature. The current literature described an overall high degree of patient satisfaction with low complication rates, similar to the senior author's (A.M.) experience. This technique has emerged as a reliable technique for lateral brow elevation with a very low and acceptable risk profile.
在面部年轻化中，已有多种技术用于矫正眉部美学。我们报告资深作者（A.M.）目前采用的外侧皮下眉上提术，必要时联合内侧帽状腱膜下眉上提术来抬高眉毛。此外，还对文献进行了系统回顾，比较不同的手术方法和技术。
使用MEDLINE、PubMed和Cochrane对照试验中央注册库数据库对文献进行系统回顾。纳入的研究需内容原创、提供结果数据及并发症情况。
资深作者（A.M.）已为外侧眉下垂患者实施了500余例颞部外侧皮下眉上提术。绝大多数患者对手术效果高度满意，并发症极少。这是采用该技术治疗患者数量最多的系列研究。共检索到26篇文章，其中5篇符合筛选标准，对其进行了严格分析以确定是否纳入及进一步客观评价。所有研究均为回顾性研究，报告患者满意度高且风险可接受。
在本研究中，我们描述了接受外侧皮下眉上提术患者数量最多的系列研究（n>500），并对当前文献进行了系统回顾。当前文献表明患者总体满意度较高，并发症发生率较低，与资深作者（A.M.）的经验相似。该技术已成为一种可靠的外侧眉抬高技术，风险极低且可接受。
