Frontalis Muscle Suspension for Correcting the Ptotic Brow.

BACKGROUND

The aim of this study was to describe and evaluate a new surgical browlift technique with functional results and minimal visible scarring.

METHODS

The authors retrospectively reviewed all charts of patients who underwent the alternative browlift procedure between January 2015 and June 2019 ( n = 41). To assess the cosmetic and functional outcome after surgery, the authors contacted all operated patients to fill in a nonvalidated questionnaire.

RESULTS

The study included 29 of the 41 patients, who were treated during the period January 2015 to June 2019. The questionnaires validated the authors' findings with 72.4% of the patients being satisfied or very satisfied about the final scar formation. Twenty-one (72.4%) of patients experienced long-term symptom improvement with a mean improvement of 7.71 ± 2.09 on a 1 to 10 point scale. Fifteen (51.7%) patients experienced recurrence with a recurrence time of 19.2 (±13.5) months, none of which required redo surgery. Seven (24.1%) patients underwent a blepharoplasty surgery in a second stage.

CONCLUSION

The authors conclude that for brow ptosis the authors' novel procedure is a suitable, cheaper alternative to treat brow ptosis with little to no complications compared to more standardized techniques (i.e. direct, open, or endoscopic browlift).