June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Cosmetic and quality of life outcomes of the direct brow lift
Author Affiliations & Notes
  • Srinivas Sai Kondapalli
    Ophthalmology, Loyola University Medical Center, Westchester, IL
  • Craig Czyz
    Ophthalmology, Ohio University, Doctor's Hospital, Columbus, OH
  • Jill Foster
    Ophthalmology, The Ohio State University, Columbus, OH
  • Kenneth Cahill
    Ophthalmology, The Ohio State University, Columbus, OH
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 5345. doi:
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      Srinivas Sai Kondapalli, Craig Czyz, Jill Foster, Kenneth Cahill; Cosmetic and quality of life outcomes of the direct brow lift. Invest. Ophthalmol. Vis. Sci. 2013;54(15):5345.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: The purpose of this study is to evaluate the postoperative changes in quality of life and cosmesis in patients who underwent direct browlifting procedures. The direct brow lift is a superjacent surgical technique designed to improve brow ptosis. Advantages of the procedure include overall effectiveness and minimal bleeding. Disadvantages include a visible facial scar and a potentially unnatural eyebrow contour, that can result in a “surprised” look.

Methods: Patients who underwent direct brow surgery from 2005 to 2012 were asked to participate in a 14 question survey. Those patients who had concurrent eyelid surgeries, such as blepharoplasty, were excluded.

Results: Twenty-five patients participated in the study. Twenty-three (92%) patients responded favorably when asked if they were happy with the results of the surgery. Overall, 15 patients (60%) noted an improvement in vision and 14 (56%) of participants denied having a visible facial scar. The majority of the 11 patients (%) who did note a scar had no cosmetic complaints regarding it (4, 16%). Moreover, 21 (84%), patients denied light sensitivity, 25 (100%) denied any new headaches/pain, and 24 (96%) denied forehead/scalp numbness.

Conclusions: Direct browplasty provides an improvement in vision and overall positive surgical result. Negative outcomes, including a scar, are minimal.

Keywords: 527 face perception • 631 orbit • 765 wound healing  
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