Subcutaneous Lateral Eyebrow Lifting with Barbed Threads Versus Subperiosteal Lift: A Prospective Cohort Study

Abstract

Introduction: Eyebrow lifting with a temporal approachis an increasingly widespread technique. Many surgical proceduresare described, but the long-term stability is dependenton the effectiveness of the anchorage of elevated tissues andapproach for elevation.Objective: In our study we compared 2 commonly utilizedlateral brow lift techniques (subcutaneous temporal brow liftsand subperiosteal brow lift with barbed PDO threads as regardefficacy, longevity, safety, and patient satisfaction. This study intendsto provide evidence-based insights into the advantages andlimitations of each technique, aiding clinicians in making informeddecisions and optimizing patient satisfaction outcomes.Patients and Methods, Results: 20 consecutive patientsaged between 40 to 60 with mild to moderate lateral brow ptosis,underwent temporal brow lift. Patients were divided into 2groups; group 1, anchorage was performed with PDO barbedsuture through closed subcutaneous approach, group 2 anchoragewas performed with same suture material through openlateral temporal approach in subperiosteal plane.The amount of brow elevation was assessed by patientsatisfaction and by comparing the distance between interpupillaryline and superior eyebrow hairline. The distance (mm)between this line and the upper edge of each eyebrow weremeasured in 2 points: Pupil, and lateral canthus. The follow-up < br />was 3,6, 12-week and 6 months.Conclusion: Subperiosteal lateral eyebrow lifting provideshigher satisfaction rate and less risk of complicationspost-operatively.