Brow Suspension Suture Procedure

Abstract

Introduction: This article describes a safe, effective, straightforward brow-suspension lifting technique that minimizes surgical time and can be performed under local anesthesia with predictable outcomes. Mersilene suture and a Keith needle were used to lift the medial and/or lateral brow, producing excellent surgical results. Materials and Methods: A retrospective study of 9 patients with medial or lateral brow ptosis were included in the study based on the following criteria: men with a brow height below the superior orbital rim either medially, laterally, or both; women with a brow position at or lower than the superior orbital rim medially, laterally, or both. The details of the procedure are presented. Results: All 9 patients who had the brow-suspension suture procedure reported a satisfactory result: normal brow level was restored for both men and women. Patients experienced no pain during the procedure, which was done under local anesthesia, and all were able to return to daily activities the next day. All patients indicated that if they had to undergo a brow lift again, they would prefer to have this procedure instead of the more conventional brow-lifting procedures. All of the procedures, including those that involved both medial and lateral brows, were performed under 30 minutes. Conclusions: The brow-suspension suture procedure is a safe, straightforward, minimally invasive alternative to conventional brow-lifting surgeries. It is time and cost efficient and produces effective outcomes.