Brow Position after Endoscopic Brow Lift

Background Over the past few years, other methods have been replaced by endoscopic forehead rejuvenation. In many cases, it is the treatment of choice and it is widely used for the rejuvenation of the upper third of the face, especially to raise eyebrows. Objectives Due to the growing number of cosmetic surgeries and particularly endoscopic surgeries, awareness of the effectivity and longevity of endoscopic surgery appears necessary due to relatively high costs and complications that the patient imposes. There is still ambiguity about changes which appear during aging in the forehead area, however, almost all forehead rejuvenation surgeries are based upon the fact that forehead aging causes eyebrow dropping. Methods All patients, who had endoscopic brow lift surgery at Amir Aalam hospital in 2013, were considered in this study. The surgeries were performed at Amir Aalam hospital of Tehran, Iran, by a plastic surgeon and usually on an outpatient basis (day-care basis) and by means of the standard procedures during 1 year. All patients had sub-periosteal endoscopic brow lift surgery, which was performed by 5 separate incisions. Standard photography was performed for all patients with standard views before and after surgery. Complications and surgical techniques were described for the patients in an understandable (simplified) manner. To evaluate the position of the brows before and after surgery, photography was performed before and after the surgery. Results Twenty-five patients had an endoscopic brow lift surgery at Amir Aalam hospital, during year 2013. The information and the photography of 20 patients were evaluated. The average age of the patients was 54 years old. Eighteen patients were female and 2 were male. All patients were Iranian. The photographic comparison before and after surgery clearly showed elevation of the brows. On the medial side, the average elevation was 5.25 mm and on the lateral side that was 4.5 mm. In all cases, there were statistically significant differences (P = 0.001). Conclusions Based on the results of this study, we could conclude that endoscopic forehead rejuvenation surgery, which is used for the rejuvenation of the upper third of the face, has had a clear brow elevation with complete satisfaction in Iranian patients. Most patients (95.2%) were satisfied and only encountered slight side effects.