Comprehensive Management of Eyebrow and Forehead Ptosis

    October 2005 in “ Otolaryngologic Clinics of North America ”
    Jonathan A. Hoenig
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    TLDR The document concludes that successful management of eyebrow and forehead ptosis requires a thorough approach, considering anatomy, patient evaluation, and careful selection of surgical techniques.
    The document from 2005 provides a detailed analysis of the management of eyebrow and forehead ptosis, emphasizing the importance of understanding the anatomy and dynamics of the area, patient evaluation, and the selection of appropriate surgical techniques. It outlines various procedures such as direct eyebrow lift, paralytic eyebrow lift, orbicularis plication, midforehead lift, temporal lift, coronal lift, endoscopic lift, and internal eyebrowpexy, each with specific indications and potential outcomes. The paper also discusses the importance of sparing neurovascular structures during surgery and addresses the potential complications, including scarring and alopecia. The endoscopic forehead and eyebrow lift is highlighted for its minimal incisions and rapid recovery, although it requires specialized training. The document underscores the necessity of a comprehensive approach to surgery to achieve aesthetically pleasing and functional results for patients with eyebrow and forehead ptosis.
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