Comparison of the effectiveness and safety of the “endoscope-assisted polypropylene mesh lift” and “gliding brow lift” techniques for the treatment of lateral brow ptosis

Abstract

There are many techniques used to treat lateral brow ptosis. This study compared two techniques that are used for lateral brow rejuvenation in terms of effectiveness and safety-namely, endoscope-assisted polypropylene mesh lift (EAML) and gliding brow lift (GBL). Eighty-six patients who underwent brow lift surgery between March 2018 and June 2020 were included in this retrospective study. Forty-four patients were operated on using the EAML technique, whereas 42 patients were operated on using the GBL technique. The measurement of defined distances in photographs was carried out using a software, and the Brow Positioning Grading Scale (BPGS) and Global Aesthetic Improvement Scale (GAIS) were applied in the pre and postoperative periods. The measurement results obtained in the postoperative period were better than those obtained in the preoperative period for both the techniques, whereas the results obtained at postoperative month 3 were found to be better than those obtained at month 12 (p<0.05). The results were similar between the measurements at postoperative months 3 and 12 for both the techniques. The loss of brow height from postoperative months 3-12 was greater in the GBL group (p<0.05). The postoperative scores on the BPGS were found to be better in both techniques than the preoperative scores (p<0.05). The GAIS score at postoperative month 12 was found to be better in the EAML group. The two groups had similar rates of complications. The two techniques were found to have similar effectiveness and safety profiles for brow rejuvenation.