Journal of Surgery
Volume 2, Issue 6, December 2014, Pages: 93-97
Received: Dec. 8, 2014;
Accepted: Dec. 14, 2014;
Published: Dec. 19, 2014
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James D. Frame, Post-Graduate Medical Institute, Anglia Ruskin University, Chelmsford, Essex CM1 1SQ
Bassem M. Mossaad, Post-Graduate Medical Institute, Anglia Ruskin University, Chelmsford, Essex CM1 1SQ
As their face ages, a significant number of individuals require elevation of the eyebrows to improve brow-ptosis and pseudo-ptosis of the upper eyelids. This may be for functional disability, i.e. when there is a reduction in visual fields, or for purely cosmetic reasons. Eyebrow elevation can be achieved by non-surgical or by direct surgical methods. There are advantages and disadvantages to the non-surgical use of Botulinum Toxin or fillers, and minimally invasive techniques such as endoscopic methods or Endotine® fixation. Bicoronal brow lift procedures appear to be reducing in popularity compared to the other methods. Suture suspension of the brow is not new but recently Minitac®, a kit system that allows intra-osseous fixation using two non-absorbable paired needle sutures, has been introduced. Whilst this system was primarily developed for ligament to bone approximation, we demonstrated in this mini-series that it can be adapted to provide a simple and effective means for brow lifting, whilst controlling the vectors of elevation. Due care and the understanding of anatomy are essential.
James D. Frame,
Bassem M. Mossaad,
Suture Suspension Brow-Lifting: The Minitac System, Journal of Surgery.
Vol. 2, No. 6,
2014, pp. 93-97.
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