Coombs Demetrius M, Sinclair Nicholas R, Kochuba Andrew, Grow Jacob, Couto Rafael A, Matarasso Alan, Zins James E
Aesthet Surg J. 2023 Dec 14;44(1):1-8. doi: 10.1093/asj/sjad207.
In 2001, Elkwood and Matarasso published an American Society of Plastic Surgeons (ASPS) member survey detailing brow lift practice patterns. Interval changes in practice patterns have not been studied.
The previous survey was revised to elucidate current trends in brow lift surgery.
A 34-question descriptive survey was distributed to a random group of 2360 ASPS members. Results were compared to the 2001 survey.
A total of 257 responses were collected (11% response rate; ± 6% margin of error at 95% CI). The most frequent technique for the correction of brow ptosis in both surveys was the endoscopic approach. The use of hardware fixation has increased in endoscopic brow lifting, whereas the use of cortical tunnels has decreased. Although coronal brow lifting has decreased in frequency, hairline and isolated temporal lift have increased. Neuromodulators have replaced resurfacing techniques as the most common nonsurgical adjunct. Frequent use of neuromodulators has risen from 11.2% to 88.5%. Nearly 30% of current surgeons feel that neuromodulators have replaced formal brow lifting procedures to a significant degree.
In comparing the 2001 and current ASPS member survey there has been a clear transition to less invasive procedures over time. Although the endoscopic approach was the most popular means of forehead correction in both surveys, coronal brow lifting has decreased in frequency and the hairline and temporal approaches have increased. Neurotoxins have replaced laser resurfacing and chemical peeling methods as an adjunct, and in some cases replaced the invasive procedure entirely. Possible explanations for these findings will be discussed.
2001年，埃尔克伍德和马塔拉索发表了一项美国整形外科医师协会（ASPS）成员调查，详细介绍了提眉手术的实践模式。尚未对实践模式的间隔变化进行研究。
对之前的调查进行修订，以阐明提眉手术的当前趋势。
向2360名随机抽取的ASPS成员发放了一份包含34个问题的描述性调查问卷。将结果与2001年的调查进行比较。
共收集到257份回复（回复率为11%；95%置信区间的误差幅度为±6%）。在两项调查中，矫正眉下垂最常用的技术都是内镜入路。在内镜提眉术中，硬件固定的使用有所增加，而皮质隧道的使用有所减少。尽管冠状提眉术的频率有所下降，但发际线提升术和孤立颞部提升术有所增加。神经调节剂已取代皮肤磨削技术，成为最常用的非手术辅助手段。神经调节剂的频繁使用率已从11.2%升至88.5%。近30%的现任外科医生认为神经调节剂在很大程度上已取代了正规的提眉手术。
比较2001年和当前的ASPS成员调查结果可知，随着时间的推移，手术方式已明显向侵入性较小的方向转变。尽管内镜入路在两项调查中都是最受欢迎的额部矫正方法，但冠状提眉术的频率有所下降，发际线提升术和颞部入路有所增加。神经毒素已取代激光皮肤磨削术和化学剥脱术成为辅助手段，在某些情况下甚至完全取代了侵入性手术。将对这些发现的可能解释进行讨论。
