Suture Suspension Brow-Lifting: The Minitac System
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
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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.
Browlift, Minitac®, Ptosis
To cite this article
James D. Frame, Bassem M. Mossaad, Suture Suspension Brow-Lifting: The Minitac System, Journal of Surgery. Vol. 2, No. 6, 2014, pp. 93-97. doi: 10.11648/j.js.20140206.13
Lee CJ, Kim SG, Han JY. The results of periorbital rejuvenation with botulinum toxin A using two different protocols. Aesthetic Plast Surg 2006; 30/1:65-70.
Graham DW, Heller J, Kirkjian TJ, Schaub TS, Rohrich RJ. Brow lift in facial rejuvenation: A systematic literature review of open versus endoscopic techniques. Plast Reconstr Surg 2001; 128: 335-341.
Har-Shai Y, Gil T, Metanes I, ScheflanM. Brow lift of the correction of visual field impairment. Aesthet Surg J. 2008; 28/5:512-517.
Elkwood A, Matarasso A, Rankin M, Elkowitz M, Godek CP. National Plastic Surgery Survey: Brow lifting techniques and complications. Plast Reconstr Surg 2001; 108:2143-2150.
Dayan SH, Perkins SW, Vartanian AJ, Wiesman IM. The forehead lift: Endoscopic versus coronal approach. Aesthetic Plast Surg 2001; 25:35–39.
Pascali M, Gualdi A, Bottini C, Botti G, Cervelli V. An original application of the endotine ribbon device for brow lift. Plast Reconstr Surg 2009; 124: 1652.
Fiala TG, Owsley JQ. Use of the Mitek fixation device in endoscopic brow lifting. Plast Reconstr Surg 1998; 101/6: 1700-1703.
Foustanos A, Zafrides H. An alternative fixation technique for the endoscopic brow Lift. Ann Plast Surg 2006; 56: 599–604.
Mckinney P, Sweis I. An accurate technique for fixation in endoscopic brow lift: A 5 year follow-up. Plast Reconstr Surg 2001; 108:1808-1810.
Landecker A, Buck J, Grotting J. A New resorbable tack fixation technique for endoscopic brow lifts. Plast. Reconstr. Surg 2003; 111:880-886.
Rohrich RJ, Beran SJ. Evolving fixation methods in endoscopically assisted forehead rejuvenation: controversies and rationale. Plast Reconstr Surg 1997; 100:1575–1582.
Romo T, Sclafani AP, Yung RT, McCormick SA, Cocker R, McCormick SU. Endoscopic foreheadplasty : A histologic comparison of periosteal refixation after endoscopic versus bicoronal lift. Plast Reconstr Surg 2000;105: 1111-1117.
Jones B, Grover R. endoscopic brow lift: A personal review of 538 patients and comparison of fixation techniques. Plast Reconstr Surg 2004; 113: 1242-1250.
Dorner BK, Owsley JQ. Update on Mitek endoscopic brow fixation system. Plast Reconstr Surg 2004; 113/2:735-736.
Romo T, Sclafani AP, Yung RT. Endoscopic foreheadplasty: Temporary vs. permanent fixation. Aesth Plast Surg 1999; 23:388-394.
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