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At the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, Drs Vito C. Quatela and Ted A. Cook and their collaborators, Oregon Health Sciences University, Portland, reported the use of the midforehead browlift in 72 consecutive patients. Brow ptosis creates a tired, angry look for which the midforehead browlift is frequently the preferred treatment (often precluding a blepharoplasty). Dr Quatela suggested that the high point of the brow arch should lie above the lateral canthus of the eye rather than the lateral limbus, which creates a "surprised look."
The advantages of the midforehead browlift with two separate incisions placed at different levels and not connected are as follows: (1) less visible scar than with a direct browlift, which cuts the fine suprabrow hairs; (2) more precise placement of permanent suspension sutures in the periosteum; (3) less risk of nerve damage with dissection
HUNSAKER D. The Versatile Midforehead Browlift. Arch Otolaryngol Head Neck Surg. 1988;114(12):1365–1367. doi:https://doi.org/10.1001/archotol.1988.01860240015010
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