Independent Correction of Eyebrow Asymmetry in an Endoscopic Browlift

Goals/Purpose:   We describe a suture suspension technique for correction of eyebrow height and shape in each individual eyebrow as an adjunct to an endoscopic brow lift.

Methods/Technique:   We conducted a retrospective chart review of all patients in the last 10 years (2003-2013) whom have undergone an endoscopic brow lift and brow height and/or shape correction via the senior author's suture technique. 

Results/Complications: One-hundred-fifteen patients (111 females and 4 males) were reviewed.  The average age was 60 years old.  The average follow-up was 1 year; the longest follow-up was 10 years.  Three patients (2.6%) required a revision of the brow lift for eyebrow asymmetries.  There were 8 (6.9%) minor complications.  There were no major complications.     

Conclusion:  The author's technique of independent brow suspension in an endoscopic brow lift creates long lasting correction of brow height and/or shape asymmetries with minimal complications.  Furthermore, there are no additional implantable devices required making this an economical adjunct to a standard endoscopic brow lift.