Annals of Optometry and Contact Lens 2019;18(1):10-14.
Published online March 25, 2019.
The Clinical Outcomes of Small-incision Browpexy
Sun Young Ryu, Hyun Min Ahn, Hye Young Kim
Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea, Department of Ophthalmology, National Health Insurance Service Ilsan Hospital2, Goyang, Korea
Received: 15 November 2018   • Revised: 5 December 2018   • Accepted: 5 December 2018
Abstract
Purpose: To present clinical outcomes of small-incision browpexy in patients with mild brow ptosis without significant suprabrow skin redundancy.
Methods: Eleven patients who underwent small-incision browpexy procedures were clinically evaluated over a period of 6 months, including a review of their charts. Small-incision browpexy was performed through two 5 mm incisions in the central and lateral brow. Measurements and comparisons were made of the preoperative and 6-month postoperative brow-to-pupil distance (BPD), the brow-to-medial canthus distance (BMCD), and the brow-to-lateral canthus distance (BLCD).
Results: Postoperative BPD, BMCD, and BLCD increased 1.10 ± 0.89 mm, 0.20 ± 0.54 mm, and 1.37 ± 1.04 mm, respectively, in 11 patients (21 eyes). Results were statistically significant, in terms of change with BPD and BLCD (p=0.009, p<0.001), but not with BMCD (p=0.477).
Conclusions: The small-incision browpexy is a useful brow-lifting procedure in mild brow ptosis. The procedure is quick, minimally invasive, and particularly effective in central and lateral brow ptosis.
Key Words: Blepharoptosis; Brow lift; Browpexy; Eyebrow ptosis
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