Analysis of the Upper Face and Selection of Rejuvenation Techniques

    Jenifer L. Henderson, Wayne F. Larrabee
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    TLDR The document concludes that choosing the right face rejuvenation technique depends on the individual's unique features and aesthetic goals.
    The 2006 document highlights the significance of the upper third of the face, particularly the eyelid/eyebrow complex, in facial aesthetics and aging perception. It details the ideal brow positions for men and women, which differ based on various factors, and discusses the need for patient education on the impact of brow position on upper lid appearance. The paper describes several brow lifting techniques, including the chemical brow lift, temporal lift, direct brow lift, midforehead lift, and temporal extension of a rhytidectomy incision, each with its ideal candidates and outcomes. Additionally, it covers forehead rejuvenation methods like the coronal brow lift, pretrichial/trichophytic incisions, and endoscopic brow lift, noting their suitability for different forehead and brow ptosis conditions, along with associated risks and benefits. The authors emphasize the necessity of tailoring the rejuvenation technique to the patient's individual anatomy and aesthetic desires to ensure optimal satisfaction.
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