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Ted A. Cook, MD; Peter J. Brownrigg, MD; Tom D. Wang, MD; Vito C. Quatela, MD

Arch Otolaryngol Head Neck Surg. 1989;115(2):163-168.

Abstract
• Ptosis of the brow is a significant and often unrecognized portion of aging of the upper face. It contributes to both cosmetic and functional aging. Correction is often mandatory prior to blepharoplasty in that functional problems may be worsened without elevating the brow. Direct and coronal browlifts are the most common approach to the problem. Midforehead browlifts have been reserved for men with receding hairlines. We have, for the past three years, performed midforehead browlifts on all our patients needing ptotic brow correction. Our review of 72 patients treated in this way, including 52 women, shows excellent and long-lasting cosmetic and functional improvement. There have been few complications, and the resultant incisional scars have been very well accepted. Therefore, we feel that the midforehead browlift, performed as we describe, is the ideal surgical correction for the ptotic brow.

(Arch Otolaryngol Head Neck Surg 1989;115:163-168)

Author Affiliations
From the Division of Facial Plastic Surgery, Department of Otolaryngology–Head and Neck Surgery, Oregon Health Sciences University, Portland (Drs Cook and Brownrigg); Department of Otolaryngology–Head and Neck Surgery, Mayo Graduate School of Medicine, Rochester, Minn (Dr Wang); and Division of Otolaryngology, University of Rochester (NY) Medical Center (Dr Quatela).

Footnotes
Accepted for publication Aug 15, 1988.

Read before the American Academy of Facial and Reconstructive Surgery, Palm Beach, Fla, April 30, 1988.

Reprint requests to Department of Otolaryngology–Head and Neck Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr Cook).

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