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Page 8 of 9 Sforza et al. Plast Aesthet Res 2018;5:2 I http://dx.doi.org/10.20517/2347-9264.2017.35

eyebrow ptosis but also could promote a full fronto-temporal rejuvenation. The complexity of endoscopic
lifts still limits this procedure to a select group of surgeons and the strong market presence of toxin botulinic
and fillers in hemarket immensely reduced the request for a surgical approach to the forehead. However,
these non-surgical procedures are not very effective on the eyebrow ptosis.

[12]
Sokol and Sokol in 1982 was the first to propose a transpalpebral browlift, eliminating forehead scars. They
used a complicate interposition of flaps (muscle and periosteum) that inevitably made this technique to fall
in oblivion.

In the future, papers comparing the ROOF resection with the eyebrow lift are necessary to expand the
benefits of both techniques.

Albeit, McCord and Doxanas in 1990 presented his transpalpebral eyebrow lift, called browplasty. His
[13]
procedure consisted of a wider dissection the sub-brow space and a muscle plication with two to three
mattress sutures to fixate the brow at the desired position. This very successful procedure is easily adjuncted
to the conventional upper blepharoplasty and doesn’t add any extra scars to the patient. Nowadays, McCord’s
procedure is probably one of the most used worldwide. In his series, it is related a prolonged brow anesthesia
and paresthesia up to 6 months and also some incidence of hematoma. The authors believe that through
reducing the undermined area, they could limit these complications, as no causes of permanent anesthesia
or hematoma was detected.

Thereupon, many techniques have been described to promote eyebrow lift; the presented procedure is as easy
to reproduce as effective. In recent years, techniques have evolved not only to improve aesthetic results but
also to minimize complications. Hence, 20 years later after McCord’s original work, this paper presents a
simplified version of his technique.

DECLARATIONS
Authors’ contributions
Concept and design: Sforza M
Data collection and analysis: Sforza M, Zaccheddu R
Write up: Sforza M, Sforza D
Review and final approval: Sforza M, Zaccheddu R, Sforza D

Data source and availability
Data was collected by the both senior authors’ personal series.

Financial support and sponsorship
None.

Conflicts of interest
This work was presented by the first author as a Lecture at the ISAPS Course (International Society of Aesthetic
Plastic Surgery), Almathy, 2011.

Patient consent
A written consent for the outlined procedure was obtained from all patients.

Ethics approval
This clinical audit followed the Declaration of Helsinki guidelines.