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JAMA Facial Plastic Surgery Classics
May/Jun 2013

Open and Closed, or Endoscopic, Brow-lifts Revisited

Author Affiliations


JAMA Facial Plast Surg. 2013;15(3):238-240. doi:10.1001/jamafacial.2013.955

A Retrospective Comparison of Open and Endoscopic Brow-liftsPuig CM, LaFerriere KAArch Facial Plastic Surg. 2002;4(4):221-225.

Objectives: To measure and compare surgical brow elevation with open and endoscopic techniques; to compare patients who did and did not undergo an eyelid procedure in the same setting as the brow-lift; and to determine whether a learning curve exists for a successful endoscopic brow-lift procedure.

Design: A retrospective review of patients who underwent coronal, trichophytic, and endoscopic brow-lift surgery from January 1, 1993, to December 31, 1997 (performed by K.A.L.). We analyzed preoperative and postoperative photographs obtained from 10 to 56 months after surgery while masked to the surgical technique used. Measurements included a horizontal baseline drawn through the midpoint of the right and left medial canthi, and extended laterally across the face; the distance from the baseline to the superior border of the medial eyebrow on the right and left sides; and the distance from the baseline to the highest point of the brow on the right and left sides. A second, nonbiased observer analyzed a random sampling of patient photographs to determine the degree of interobserver variation.

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