Soft Tissue Augmentation of the Temporal Brow in Browlifting Surgery

  • David E.E. Holck
  • Jill A. Foster
  • Manuel A. Lopez
  • Kevin A. Kalwerisky


Over the past decade, improved appreciation of facial aging changes have modified management considerations for facial rejuvenation. In the brow region, traditional changes of soft tissue descent due to loss of skin elasticity and gravitational effect have been updated to include soft tissue and bony volume loss (deflation).1,2 Thus, optimal management of age-related brow ptosis should address these changes.


Endoscopic Technique Skin Elasticity Soft Tissue Augmentation Facial Rejuvenation Soft Tissue Volume 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Whitaker LA, Bartlett SP. Skeletal alterations as a basis for facial rejuvenation. Clin Plast Surg 1991;18(1):197–203.PubMedGoogle Scholar
  2. 2.
    Pessa JE, Chen Y. Curve analysis of the aging orbital aperature. Plast Reconstr Surg 2002;111(2):751–755.CrossRefGoogle Scholar
  3. 3.
    Kerth JD, Toriumi DM. Management of the aging forehead. Arch Otolaryngol Head Neck Surg 1990;116(10):1137–1142.PubMedGoogle Scholar
  4. 4.
    Holck DE, Ng JD, Wiseman JB, Foster JA. The endoscopic browlift for forehead rejuvenation. Semin Ophthalmol 1998;13(3):149–157.CrossRefPubMedGoogle Scholar
  5. 5.
    Burroughs JR, Bearden WH, Anderson RL, McCann JD. Internal brow elevation at blepharoplasty. Arch Facial Plast Surg 2006;8(1):36–41.CrossRefPubMedGoogle Scholar
  6. 6.
    Muzaffar AR, Mendelson BC, Adams WP Jr. Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 2002;110(3):873–884.CrossRefPubMedGoogle Scholar
  7. 7.
    McCord CD, Doxanas MT. Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg 1990;86(2):248–254.CrossRefPubMedGoogle Scholar
  8. 8.
    May JW Jr, Fearon J, Zingarelli P. Retro-orbicularis oculus fat (ROOF) resection in aesthetic blepharoplasty: a 6-year study in 63 patients. Plast Reconstr Surg 1990;86(4):682–689.CrossRefPubMedGoogle Scholar
  9. 9.
    Ramirez OM. High-tech facelift. Aesthetic Plast Surg 1998;22(5):318–328.CrossRefPubMedGoogle Scholar
  10. 10.
    Carruthers JD, Carruthers A. Facial sculpting and tissue augmentation. Dermatol Surg 2005;31(11 Pt 2):1604–1612.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • David E.E. Holck
    • 1
    • 2
  • Jill A. Foster
    • 3
  • Manuel A. Lopez
    • 4
  • Kevin A. Kalwerisky
    • 5
  1. 1.Department of OphthalmologyThe University of Texas at San Antonio, Health Sciences CenterUSA
  2. 2.Department of OphthalmologyOculofacial Plastics and Orbital Service, Wilford Hall Medical CenterSan AntonioUSA
  3. 3.The Eye Center of Columbus, Department of OphthalmologyThe Ohio State UniversityColumbusUSA
  4. 4.Health Sciences Center, Wilford Hall Medical Center, Department of OtolaryngologyFacial Plastics Service, The University of Texas at San AntonioSan AntonioUSA
  5. 5.Health Sciences Center, Wilford Hall Medical Center, Department of Ophthalmology, San AntonioOculofacial Plastic Surgery, The University of Texas at San AntonioUSA

Personalised recommendations