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At least 199 records · Page 11Linked to original sources
PubMed2006

The importance of the retaining ligamentous attachments of the forehead for selective eyebrow reshaping and forehead rejuvenation.

BACKGROUND: Forehead rejuvenation procedures can lead to excessive elevation of the medial brow, resulting in the "surprised look." Differential treatment of the medial and lateral brow allows more precise positioning. The purpose of this study was to determine whether retaining structures exist in the forehead that would permit this differential elevation. METHODS: Anatomical dissections were performed in the foreheads of 12 cadavers. Multiplanar dissections at the subperiosteal, subgaleal, and subcutaneous levels were performed on eight hemiforeheads. Clinical correlation for these findings was obtained during endoscopic and open brow-lift surgery. RESULTS: Four retaining structures of the brow were identified: three medial and one lateral. The superomedial attachment begins 13 mm from the midline and 10.8 mm above the supraorbital rim. The superolateral attachment begins 23 mm from the midline and 10.3 mm above the supraorbital rim. The inferomedial attachment begins 12.6 mm from the midline at the level of the supraorbital rim, just medial to the supraorbital nerve. These three structures were found to control the position of the medial brow. Laterally, brow position was controlled by a broad ligamentous attachment extending across the lateral aspect of the supraorbital rim. CONCLUSIONS: Medial retaining structures have been found to extend from the cranium into the forehead musculature. Release of the lateral broad ligamentous attachment was performed, followed by selective preservation of medial retaining structures. With this approach, we were able to gain control of the position of the medial brow and prevent overelevation and lateral spreading.

Dissection↗
PubMed2005

Endoscopic removal of dermoid cysts of the eyebrow in pediatric patients.

Direct excision of dermoid cysts of the brow may lead to a prominent facial scar. These scars can be completely avoided with an endoscopic temporal approach that places the incisions in the hair-bearing portion of the scalp. Over the past 10 years, this approach was offered to every pediatric patient with a cyst in the area of the brow, and outcomes were favorable. The operative technique and results in 8 consecutive patients are reviewed.

Child↗
PubMed1987

Mohs surgery report: an approach to cutaneous surgical defects of forehead and eyebrow following Mohs micrographic surgery.

Elective excisions of the forehead are relatively easy to plan because of the prominence of horizontal skin folds and vertical glabellar furrows. However, the variety of defects in that region which result from Mohs micrographic surgery for cutaneous tumors frequently present reconstructive challenges. Principles applicable to this anatomic region and illustrative cases are presented and discussed.

Cicatrix↗