Park Soo Yeon, Kim Soo-Bin, Wan Jovian, Techapichetvanich Thanya, Tsay Ti Jo, Sirisuk Thanawan, Yi Kyu-Ho
Made-Young Plastic Surgery Clinic, Seoul, Korea.
Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea.
J Cosmet Dermatol. 2024 Dec;23(12):4140-4145. doi: 10.1111/jocd.16505. Epub 2024 Aug 12.
Tailoring surgical interventions to target age-related transformations is paramount. Many candidates seeking blepharoplasty commonly exhibit eyebrow ptosis, underscoring the necessity for surgeons to possess a comprehensive understanding of techniques for brow and forehead rejuvenation.
Various surgical techniques are available for eyebrow and forehead enhancement, contrasting the standardized approaches in upper and lower blepharoplasty. Thread lifting has gained popularity for forehead lifting, although a more precise term would be eyebrow lifting. The thread lifting methods using V and I techniques with floating-type threads (Secret Line, Hyundai Meditech., Inc., Wonju-si, Republic of Korea) are used.
The natural aging process often causes the forehead and eyebrows to sag under the influence of gravity, leading to the appearance of heavy eyelids. Elevating the eyebrows can mitigate droopiness, enhance vision clarity, and rejuvenate the facial aesthetic. While non-surgical methods like Botulinum Toxin A can weaken muscles and potentially aid in brow elevation, their visible effects may be somewhat constrained.
Surgical methods encompass endoscopic forehead lift, eyebrow lift techniques, and scalp excision-based forehead reduction surgery, each with specific advantages and drawbacks. Thread lifting bridges the gap between surgical and non-surgical modalities. Forehead areas often lack subcutaneous fat, requiring precise anatomical understanding for effective thread lifting. Cannula usage with partial tunneling ensures efficacy even in patients with strong adhesions. Presented cases showcase successful eyebrow lifting using cog threads, illustrating immediate and gradual post-procedure changes.
Eyebrow thread lifting demands periodic procedures, offering subtler improvements than surgery. Anatomical knowledge is crucial, and the technique presents discomfort. Effects last about 6 months, requiring re-treatment as effects regress. Thread lifting, a middle ground between surgical and non-surgical methods, can rejuvenate brows with less downtime.
使手术干预适应与年龄相关的变化至关重要。许多寻求眼睑成形术的患者通常表现出眉下垂，这凸显了外科医生全面了解眉和额部年轻化技术的必要性。
有多种手术技术可用于眉和额部的改善，这与上下眼睑成形术的标准化方法形成对比。线雕已在额部提升中受到欢迎，尽管更准确的术语应为眉提升。使用了采用V形和I形技术以及浮动型线（Secret Line，韩国现代医疗科技公司，韩国原州市）的线雕方法。
自然衰老过程常导致前额和眉毛在重力影响下下垂，导致上睑沉重的外观。抬高眉毛可减轻下垂，提高视力清晰度，并恢复面部美感。虽然像A型肉毒杆菌毒素这样的非手术方法可使肌肉松弛并可能有助于眉抬高，但其可见效果可能有所局限。
手术方法包括内镜下额部提升、眉提升技术以及基于头皮切除的额部缩小手术，每种方法都有特定的优缺点。线雕弥合了手术和非手术方式之间的差距。额部区域通常缺乏皮下脂肪，需要精确的解剖学知识才能有效进行线雕。即使在粘连严重的患者中，使用套管针并进行部分隧道操作也能确保效果。所展示的病例显示使用齿形线成功进行了眉提升，说明了术后即时和渐进的变化。
眉线雕需要定期进行，与手术相比改善更为细微。解剖学知识至关重要，且该技术会带来不适。效果持续约6个月，随着效果消退需要再次治疗。线雕作为手术和非手术方法之间的中间地带，可在较短的停工期内使眉部年轻化。
