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A Systematic Review Of Surgical Approaches For Temporal Brow Lift
Gabriela Cinotto1, Daniel Bczar1, Maria Huayllani1, Farid Hackme2, Humza Saleem1, Galen Perdikis3, Antonio Jorge Forte4.
1Mayo Clinic Florida, jacksonville, FL, USA, 2Hospital da Plastica, Rio de Janeiro, Brazil, 3Vanderbilt University Medical Center, Nashville, TN, USA, 4Mayo Clinic Florida, Jacksonville, FL, USA.

Purpose: Temporal brow lift is one of the goals of surgical aesthetics procedures and it is responsible to determine the facial expression. We performed a systematic review of the literature regarding endoscopic and non-endoscopic temporal brow lift procedures with different types of fixations and dissection planes. The aim of our study is to explore and compare the temporal brow lift techniques used by different authors.
Methods: The search was done using the following keywords: "temporal AND brow lift" Eligibility criteria included investigations reporting data studies evaluating patients that underwent endoscopic or non-endoscopic temporal brow lift, with minors extensions outside the temporal anatomy. Abstracts, presentations, reviews, meta-analyses, case reports, nonclinical studies, and studies with less than 10 patients were also excluded.
Results: The search resulted in 94 potential papers, but only 24 studies fulfilled the study eligibility criteria. The total number of patients was 2796. The endoscopic technique was performed in 1276 patients and non-endoscopic in 1520 patients. Regarding the technique, the majority of incision access was temporal with the dissection at the upper side of the deep temporal fascia and subperiosteal dissection plane at the frontal area. The most used fixation method was a suture. Satisfactory lateral brow elevation was obtained in most of the patients.
Conclusion: All in all, patients experienced successful with an endoscopic and non-endoscopic brow lift. There are many techniques intended for a temporal brow lift procedure, which are associated with different types of temporal fixations. To make the proper technique choice it must be based on technical knowledge and on personal needs such as ethnicity, age, and physical structure. The lack of prospective, randomized studies and the nonstandardization of the obtained results make it difficult to create protocols. In order to enrich the evidence to support this practice, we suggest future retrospective and prospective studies.


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