Page 21 - Read Online

Sforza et al. Plast Aesthet Res 2018;5:2 I http://dx.doi.org/10.20517/2347-9264.2017.35 Page 7 of 9

A B

Figure 9. (A) preoperative picture: patient 52 years old, male, presenting ptosis of the lateral third of the eyebrow; (B) postoperative
picture: 3 months after upper blepharoplasty with mini eyebrow lift, where we can see the satisfactory effect that the lift gives to the
overall rejuvenation of the eyelid

A B

Figure 10. (A) preoperative picture: same patient with an oblique view; (B) postoperative picture: 3 months after, we can confirm the
effective outcome of the mini eyebrow lift

to all these groups. The stretching of the scalp and the laxity of the connective tissue of the frontal region is
known produce a ptosis on the lateral segment before than the medial.

The first technique for eyebrow lift could possibly be attributed to Passot in 1919. Subsequently, many
techniques using the coronal approach were used to correct the eyebrow ptosis. Nevertheless, it was
[6]
Castañares in 1964 who introduced an isolate eyebrow lift technique with world repercussion. In 1975,
Hinderer using a similar procedure presented the importance of the correction of the position of the
[7]
eyebrow together with the upper blepharoplasty. Unfortunately, all Castañares’ like techniques lead to
noticeable scars and have limited use in plastic surgeons’ practices lately.

Since 1996, Knize is probably one of the few surgeons who dedicated great amount of research to the ideal
[8]
eyebrow position. He also developed the first isolate eyebrow lift technique with scars hidden in the scalp,
which made this procedure tremendously popular on the 90’s amongst all plastic surgeons.

Many other surgeons also emphasized the importance of the eyebrow position and several studies can be
cited on the subject [9,10] . The reference measurements that were used in this technique are the result of an
informal consensus found in these papers .
[11]

Knize’s surgery still has its important stance on the arsenal of techniques to enhance eyebrow lift. However,
on the beginning of the millennium, the advances with endoscopic forehead lift could not only address the