Contemporary Management of the Aging Brow and Forehead

Management of the aging brow and forehead has recently evolved based on available innovative technologies. Likewise, procedure‐specific indications have changed based on collective surgical experiences. No longer is the approach based solely on hair pattern or degree of brow ptosis. Patients require...

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Bibliographic Details
Published in:The Laryngoscope 1997-06, Vol.107 (6), p.710-715
Main Authors: Koch, R. James, Troell, Robert J., Goode, Richard L.
Format: Article
Language:English
Subjects:
Aging - physiology
Anti-Dyskinesia Agents - therapeutic use
Biological and medical sciences
Botulinum Toxins - therapeutic use
Endoscopy
Eyebrows - surgery
Forehead - surgery
Humans
Medical sciences
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery, Plastic
Treatment Outcome
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Summary:Management of the aging brow and forehead has recently evolved based on available innovative technologies. Likewise, procedure‐specific indications have changed based on collective surgical experiences. No longer is the approach based solely on hair pattern or degree of brow ptosis. Patients require varying combinations of brow elevation (prior to blepharoplasty), correction of brow asymmetries, and hairline‐preserving forehead elevation. Some may only require excisional or paralytic procedures of the frontalis muscle (horizontal forehead creases), corrugator supercilii muscles (vertical glabellar furrows), and procerus muscle (horizontal glabellar furrows). We present a 3‐year experience using a problem‐specific approach. This incorporates endoscopic technology, botulinum toxin type A purified neurotoxin complex (Botox, Allergan, Irvine, CA) intramuscular injection, and traditional procedures such as the coronal, pretrichial, midforehead, and direct browlift. Current indications, patient selection, and results are also discussed.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199706000-00002