A Severe Case of Diffuse Telogen Effluvium Status Post Endoscopic Repair of Functional Brow Ptosis

Abstract

Telogen effluvium is the most common cause of transient, nonscarring, diffuse alopecia. In its acute form, it triggers profound anxiety in our patients, and if not allayed with a confident diagnosis, it inevitably cascades to physical and psychological stress. Numerous possible factors have been implicated as a causation of telogen effluvium, yet concrete evidence in their support is still lacking. However, the role of stress as a causative factor must not be overlooked. As cosmetic surgeons, we unwillingly induce stress on our patients, especially through the many facial rejuvenation procedures we perform. Herein, we present a severe case of telogen effluvium status post endoscopic repair of functional brow ptosis. We attempt to aid readers so that they may make an accurate diagnosis and hopefully implement effective intervention, and if possible, prevention.