J Korean Soc Plast Reconstr Surg.  2005 Mar;32(2):262-266.

Eyebrow Lift and Malar Fat Lift by Absorbable Suture Fixation with Subperiosteal Dissection

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. lyh2374@snu.ac.kr
  • 2Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University, Seoul, Korea.

Abstract

In some blepharochalasis patients, upper blepharoplasty alone is not satisfactory because of narrow distance between eyebrow and eyelash. On that occasion, eyebrow lift is advisable. There are many methods of classical eyebrow lift, such as direct excision, transblepharoplasty approach, anterior hairline technique, and so on. But they are not so effective, have a tendency to recur and also give rise to side effects; unacceptable scar, facial nerve palsy, sensory loss and hematoma, etc. Some patients who have prominent nasolabial folds, are reluctant to perform face lift procedure due to psychologic or economic burden. The authors performed the eyebrow lift procedure separately or simultaneously with face lift or forehead lift. After making 2 or 3 slit incisions, we passed absorbable suture material, 3-0 vicryl, through suborbicularis oculi fat layer. Then it was passed through subperiosteal plane and fixated to the temporalis fascia. When patients complain prominent nasolabial folds, malar fat pad was elevated also in the same manner. This methods is effective and has minimal complication such as facial nerve palsy, scar, sensory loss. Recurrent tendency was rarely observed during follow- up. Dimples were observed at slit incision sites but they disappeared within 2 or 3 weeks. Eyebrow lift and malar fat lift by absorbable suture elevation with subperiosteal dissection is a simple and less morbid. Because of its effectiveness and little side effect or complication, this procedure can be a useful method.

Keyword

Eyebrow lift; Malar fat lift; Absorbable suture; Subperiosteal dissection

MeSH Terms

Adipose Tissue
Blepharoplasty
Cicatrix
Eyebrows*
Facial Nerve
Fascia
Forehead
Hematoma
Humans
Nasolabial Fold
Paralysis
Polyglactin 910
Rhytidoplasty
Sutures*
Polyglactin 910
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