Periorbital changes in patients with Poly(Lactic Acid/ Caprolactone) threads for brow augmentation
Lam Phoebe Kar Wai, Luk Wang Lung,
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( Lam Phoebe Kar Wai )
Perfect Skin Solution
( Luk Wang Lung )
Dr. Luk & Partners
Abstract
Background: Overlooked compensatory brow ptosis can lead to patients dissatisfaction and poor surgical results.
Objective: To evaluate the quantitative changes in periorbital dimensions in 11 patients with mild to moderate brow ptosis after browlift with Poly(Lactic Acid/Caprolactone) (P[LA/CL]) sutures.
Method: Retrospective analysis and data collected from reviewing clinical records, 11 patients, with mild to moderate brow ptosis, whom only has P(LA/CL) browlift, fulfilled the criteria and included in the analysis. All patients had 2-dimensional clinical photos and 3-dimensional clinical pictures in 5 standard views at baseline and follow-up. All periorbital measurements determined by the computer and collected for analysis.
Results: There was a significant difference in all periorbital measurements at 4 to 6 months¡¯ follow-up when compared with baseline (p<0.05). Moderate lifting refers to changes in brow height of at least 2 mm at follow-up. A higher proportion of patients with moderate brow lift were able to achieve moderate lifting compared with mild brow ptosis. Moderate lifting is observed in 30% to 60% medial brow and 45% to 60% lateral brow for patients with moderate brow ptosis compared with 25% in those with mild brow ptosis. Infection, significant bruising, or scarring did not occur. Transient side effects, such as bruising and dimpling, eventually resolved.
Conclusion: Preoperative examination is vital to identify pre-existing compensatory brow ptosis. P(LA/CL) thread-lifting for brow augmentation is a simple and effective procedure which can be used as an adjunct to upper eyelid surgery to prevent secondary brow ptosis following eyelid surgery and in turn, improve patients¡¯ satisfaction.
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brow ptosis; face lift; periorbital rejuvenation; thread lifting
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