Department of Oculoplastic, Santa Luzia Foundation, Rua Amalia Bernardino de Souza 532, apt 3004,Boa Viagem, Recife, PE, CEP: 51021150, Brazil.
Department of Ophthalmology, Santa Luzia Foundation, Recife, Brazil.
Aesthetic Plast Surg. 2023 Oct;47(5):1851-1858. doi: 10.1007/s00266-023-03548-z. Epub 2023 Aug 17.
Eyebrow tail ptosis is usually associated with dermatochalasis of the upper eyelid, and it is necessary to treat them together. For these associated procedures to be incorporated as a routine in upper eyelid surgeries, they should preferably be less invasive with consequent fewer complications.
We describe a minimally invasive technique for the correction of mild-to-moderate eyebrow tail ptosis corrected together with superior dermatochalasis through the blepharoplasty incision.
A phase 2 clinical trial was conducted from February 2020 to December 2021. A total of 50 patients underwent conventional upper blepharoplasty surgery associated with the proposed eyebrow lift technique: internal pexia in the periosteum, dissection, and posterior fixation of the orbicularis muscle to the arcus marginalis, removal of the lateral part of the orbicularis muscle, and loosening of the orbital retention ligament. Evaluation of the height of the eyebrow tail was performed with digital photography in the initial consultation and at 30-90 days postoperatively and analyzed with ImageJ software.
Mean difference in brow height at 1-month and 3-month postoperative evaluations compared to the preoperative period was 3.45-3.33 mm, respectively.
Our study demonstrated a minimally invasive surgical technique for the treatment of mild-to-moderate eyebrow ptosis with significant eyebrow tail lift results that remained stable during the study period.
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眉尾下垂通常与上睑皮肤松弛症有关，需要同时治疗。为了使这些相关手术常规应用于上睑手术，最好采用微创技术，以减少并发症。
我们描述了一种通过眼睑成形术切口矫正轻度至中度眉尾下垂和上睑皮肤松弛的微创技术。
2020 年 2 月至 2021 年 12 月进行了 2 期临床试验。共有 50 例患者接受了常规上睑成形术联合提出的眉毛提升技术：骨膜内固定、眼轮匝肌解剖、后部固定于眶缘、切除眼轮匝肌外侧部分和松解眶隔韧带。在初始咨询和术后 30-90 天，通过数字摄影评估眉尾的高度，并使用 ImageJ 软件进行分析。
术后 1 个月和 3 个月的眉高与术前相比，平均差值分别为 3.45-3.33mm。
我们的研究显示，对于轻度至中度眉尾下垂，采用微创外科技术可显著提升眉尾，且在研究期间保持稳定。
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