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[Freckles and dysplasias of the eyebrows as indicators for genetic abnormalities of the development of the teeth and the jaws].

For the first time the frequency of freckles and of dysplasias of the eyebrows was examinated in 756 pupils. The percentage of the freckles was 21, and of the dysplasias of the eyebrows 28.5 in both sexes. The following examination of 287 orthodontic patients (66 males with hypodontia, 60 males with normal number of the teeth; 92 females with hypodontia, 69 females with normal number of the teeth) has demonstrated the high significance of incidence of freckles and of dysplasias of the eyebrows in patient with hypodontia. This phenomenon is important, because extraoral stigmatas can indicate to disturbances of the development of teeth and also to anomalies of the number of the teeth.

Anodontia↗

Foreign body epithelioid granuloma after cosmetic eyebrow tattooing.

We describe two patients with epithelioid granulomatous inflammation on the eyebrows after undergoing cosmetic eyebrow tattooing. We tried to analyze the causative elements from biopsy specimens and tattoo inks with x-ray microanalysis. We suggest that granuloma caused by cosmetic eyebrow tattooing is a complication worthy of mention.

Adult↗

Eyebrow, face, and neck lifts for males.

Alternate locations to skin excisions adjacent to the eyebrows for correction of eyebrow ptosis have been presented. Excisions in the upper forehead or in the scalp permit flexibility in width and length of skin or scalp to be excised and may be extended laterally to produce a temporal lift which not only improves the lateral canthal area of sagging skin but also may improve the lower eyelid surgical correction results (Figs. 1 and 3). By use of adequate lipectomy and full-width platysma muscle flaps to support the new neck contour, better and longer lasting results have been accomplished. The currently used techniques for eyebrow, face, and neck lifts for males produce better and longer lasting results than could have been accomplished with previously used techniques. The continued search for improvement in techniques by many surgeons in different areas of the world has enabled these longer lasting and better results to be accomplished.

Adult↗

Asymmetries in ear movements and eyebrow raising in men and women and right- and left-handers.

The abilities to move ears and eyebrows were examined in 442 subjects (204 men, 238 women) categorized as right-handed (n = 382) and left-handed (n = 60, including mixed and ambidextrous-handed subjects). Approximately 22% could move one or the other ear and about 18% could move both ears simultaneously, but significantly more men could move both ears simultaneously. Significantly more men than women were able to move both the left and right eyebrow and the left ear. No differences were observed between right- and left-handers. Significant contingency correlations were observed between raising eyebrows and moving ears. Results are discussed with reference to a possible left ear-right hemisphere advantage for localising environmental sounds, primitive ear-moving abilities no longer functional in modern humans, and epiphenomenal by-products of other adaptive sex differences.

Adolescent↗

Cilia regrowth of shaven eyebrows.

OBJECTIVE: To determine if shaving eyebrows can lead to permanent brow loss. METHODS: Five patients had a single brow randomly shaven, while the unshaven brow served as a control. These patients were evaluated prospectively for brow regrowth during 6 months, and photographs were taken at each visit. Two masked observers analyzed the final photographs to determine if they could identify the side that was shaven. RESULTS: All patients had full brow regrowth by 6 months. The masked observers could not identify shaven side with any consistency. One female patient with sparser, lighter-colored brow cilia waited longer than the other patients for full brow regrowth. CONCLUSION: This small study demonstrates for the first time that full brow cilia regrowth is possible after completely shaving an eyebrow.

Adult↗

Quantifying the arch position of the female eyebrow.

OBJECTIVE: To devise a quantitative aesthetic model for the eyebrow arch position (EAP) in women. METHODS: Full-face frontal magazine photographs of 100 fashion models published between January and July 2001 were analyzed. Apparent EAP relative to a line through the medial canthus parallel to the midline was compared with eyewidth (EW). A similar comparison was made between the lateral limbus (LL) and the EW. Standardized full-face frontal photographs of 105 randomly selected women aged 21 to 61 years were taken after obtaining informed consent. The photographs were analyzed in the same manner as those of the fashion models. Both populations had the medial and lateral extents of their eyebrows analyzed. RESULTS: The mean +/- SD EAP:EW ratio for the fashion models was 0.978 +/- 0.131; the mean +/- SD LL:EW ratio was 0.735 +/- 0.0673. The mean +/- SD EAP:EW ratio for the randomly selected group was 0.929 +/- 0.146; the mean +/- SD LL:EW ratio was 0.762 +/- 0.0420. CONCLUSIONS: The EAP has been described as being above the LL. This does not reflect the EAP seen in both of our study groups. The EAP seems to be 93% to 98% of an EW in the aesthetic model derived from these data.

Adult↗

Asymptomatic eyebrow mass. A rare presenting sign of malignant non-Hodgkin's lymphoma.

A 60-year-old woman had a solitary mass in her left eyebrow that was first thought to be a dermoid cyst and following excision and histological examination was found to be a localized, malignant, non-Hodgkin's lymphoma of the mixed lymphocytic and histiocytic type. Subsequent lymphangiography after excisional biopsy of the left eyebrow mass demonstrated extensive para-aortic and inguinal lymph node involvement.

Eyebrows↗

Rhabdomyoma of the eyebrow region: a light- and electron microscopic study of a recurrent rhabdomyoma of fetal type.

A rhabdomyoma in the region of the right eyebrow in a 9-year-old boy is reported, which recurred 7 months after surgery. A local excision was performed, and the patient is free of disease 6 years later. Rhabdomyomas are exceedingly rare tumors. Hitherto only three unequivocal cases of orbital rhabdomyomas have been observed. A rhabdomyoma of the eyebrow region has to our knowledge not been described. Local excision is sufficient. In particular, a differential diagnosis of rhabdomyosarcoma has to be excluded.

Child↗

Eyebrow asymmetry: ways of correction.

Ocassionally a patient asks for correction of his asymmetric eyelids. In many instances, however, a careful analysis reveals that the actual cause is an asymmetry of the eyebrows. Generally, asymmetric eyebrows are due to excessive muscle dynamics (i.e., a hyperkinesia of the frontalis or the depressor supercilii muscles). Therefore, the asymmetry will not be corrected by an asymmetric blepharoplasty, which will instead disclose the preexisting asymmetry, much to the concern of the patient. Management of the asymmetric brow is demanding and requires a preoperative problem-oriented and detailed analysis of the individual patient to achieve satisfactory results. We present 10-years' experience using a problem-specific approach. This included intramuscular botulinum toxin A injection, superselective neurotomy, endoscopic browlift and traditional procedures such as the coronal and direct browlift. Indication, patient selection, results, and complications are discussed.

Adult↗

[Complications following eyebrow piercing].

BACKGROUND: Piercing as a new form of "body art" is becoming more frequent in western industrialised countries and has achieved a certain social acceptance. Materials used are mainly surgical steel and, less frequently due to higher costs, titanium, gold, silver and niobium. The current literature reports complications such as infections, swellings, allergies, wound healing problems, dental damage and hepatitis following piercing in oral and facial regions. PATIENT: A 22-year-old nurse underwent piercing of her right eyebrow 4 months previously. While piercing of her tongue and nipples had not caused any problems, she first complained of a local inflammation about 3 months after the piercing procedure, which healed spontaneously. Now she complained again about pain, pressure, redness and swelling of her right cheek and face. A dermatologist had recommended tea compresses. On her first visit she presented with a solid, movable, tender, cherry-size swelling of the lateral third of the right eyebrow, a redness of the eyelid and a large swelling of the cheek. Following a systemic antibiotic therapy she underwent surgery and the inflammatory tissue was removed. Histologically, muscle tissue and a piercing canal were visible as well as histiolymphocytotic infiltrates with epitheloid and solitary giant cells. CONCLUSIONS: With an increasing frequency of piercing, the number of complications in the field of ophthalmology is also likely to increase. Considerable costs may arise for the social health care system depending on the severity of the complications.

Adult↗

Eyebrow reconstruction using composite graft and microsurgical transplant.

The pivotal role that eyebrows play in facial expression and aesthetics is widely accepted, along with the difficulties faced by surgeons in reconstructing defects in this area. The case study presented demonstrates reconstruction of a traumatic eyebrow defect using a post-auricular composite graft in combination with a microfollicular hair transplant technique. The advantage of the combined approach is discussed with reference to the fine tuning of the adjoining areas between reconstructed and undamaged hair-bearing regions. The advantages of this technique in control of the direction of hair growth and preservation of hair density are emphasised.

Adolescent↗

Bilateral cataract and corectopia after laser eyebrow [corrected] epilation.

PURPOSE: To report a patient with bilateral cataract and corectopia after laser epilation of the eyebrows. DESIGN: Single interventional case report. METHODS: A 27-year-old woman with a history of bilateral eyebrow laser epilation complained of oval pupils, reduced visual acuity, and photophobia immediately after laser epilation of both upper-eyelid regions. The following examinations were performed: visual acuity, slit-lamp examination, pupillary light reflex, perimetry, tonometry, gonioscopy, and funduscopy with contact lenses. The follow-up period was 9 months. MAIN OUTCOME MEASURES: Visual acuity, intraocular pressure, inflammation, and pupillary distortion. RESULTS: Her best baseline visual acuities were 20/25 (right) and 20/40 (left). Examination showed bilateral corectopia with superior iris atrophy, iris stroma clump at the pupillary margin, and pigment residues in the inferior chamber. A cataract developed in the anterior subcapsular regions of the lenses. CONCLUSIONS: Laser epilation at the eyelid may result in irreversible cataract and iris atrophy.

Adult↗

Association between epidermodysplasia verruciformis-associated human papillomavirus DNA in plucked eyebrow hair and solar keratoses.

Epidermodysplasia-verruciformis-associated human papillomavirus DNA has been demonstrated in squamous cell carcinomas and plucked hair from immunocompetent patients and renal transplant recipients. This study investigated the association between infection with epidermodysplasia-verruciformis-associated human papillomavirus, identified by the detection of viral DNA in plucked eyebrow hairs, and solar keratoses. These lesions are strongly predictive of squamous cell carcinoma. In a cross-sectional study 518 individuals were enrolled from a randomly selected sample of a subtropical Australian community. Epidermodysplasia-verruciformis-associated human papillomavirus DNA in eyebrow hair was detected using a nested polymerase chain reaction specific for epidermodysplasia-verruciformis-associated human papillomavirus types. Epidermo dysplasia-verruciformis-associated human papillomavirus DNA was present in 121 (49%) of 245 men and 116 (44%) of 262 women. There was a strongly significant increase in epidermodysplasia-verruciformis-associated human papillomavirus infection with age (p < 0.00001), with prevalences of 29% in the 25-39 y age group, 42% at 40-59 y and 65% in the 60-79 y age group. Among men there was a strong association between epidermodysplasia-verruciformis-associated human papillomavirus and solar keratoses with an odds ratio, adjusted for age, skin color, and occupational sun exposure, of 3.40 (95% confidence interval, 1.77-6.53). No such association was found among women [odds ratio 1.03 (95% confidence interval 0.59-1.77, after adjustment for the same factors)]. Differences in occupational sun exposure and smoking histories could not explain these apparently different associations between epidermodysplasia-verruciformis-associated human papillomavirus infection and solar keratoses in men and women. In conclusion, epidermodysplasia-verruciformis-associated human papillomavirus infection is associated with solar keratoses in men suggesting that epidermodysplasia-verruciformis-associated human papillomavirus infection, in conjunction with sex specific factors (like androgens), may be involved in neoplastic changes of keratinocytes.

Adult↗

Using a side effect to therapeutic advantage: the darkening of red eyebrow tattoo pigment following Q-switched laser treatment.

BACKGROUND: Q-switched lasers are commonly used to achieve tattoo removal, utilizing the principle of selective photothermolysis. However, certain tattoo pigments may darken following laser pulsing. OBJECTIVE: To determine whether this side effect can be used to therapeutic advantage in a woman who previously had her eyebrows enhanced with a dark tattoo that spontaneously changed to a reddish hue over time. METHOD: The woman's eyebrows were pulsed with the Q-switched Nd:YAG laser at both 532 nm and 1064 nm. RESULTS: The test areas pulsed with the 1064 nm laser revealed partial clearing. However, 532 nm Q-switched Nd:YAG pulses produced darkening of tattoo pigment both at the test sites and in the subsequent treatment. CONCLUSION: Q-switched lasers can produce darkening of red tattoo pigment. In some cases this side effect can be used to therapeutic advantage.

Eyebrows↗

Aesthetic considerations in the elevation of the eyebrow.

In an increasingly diverse and multicultural society, it becomes increasing imperative to understand the aesthetics and proper analysis of the face, particularly as it applies to forehead lifting and elevation of the eyebrow. Most articles published to date have emphasized the surgical anatomy and/or surgical technique of forehead lifting and addressed the question of brow aesthetics in a uniform, generalized fashion. In addition, the emphasis on brow elevation as a means to brow/upper lid rejuvenation can further distract the surgeon from appreciating each person's unique brow aesthetics. This article examines current surgical concepts of brow/upper lid proportion and harmony and compares and contrasts them with cultural notions of the "pleasing brow" as represented by the makeup and fashion industries. There is great variation in what is considered to be a "beautiful brow," and the facial plastic surgeon must understand the nuanced elements of eyebrow configuration that contribute to the overall balance and harmony of the face.

Beauty↗

Orbital roof craniotomy via an eyebrow incision: a simplified anterior skull base approach.

Utilizing the conceptual combination of brain protective skull base surgery and minimalism, a conventional frontal craniotomy for tumors in the subfrontal and parasellar regions is modified to an orbital roof craniotomy. Through a 4 to 5 centimeter (cm) long eyebrow incision an orbital roof craniotomy (measuring 2 cm by 3 cm), including the supraorbital arch, is made as a single piece bone flap. The orbital roof is opened up to the supraorbital fissure and to the optic canal by additional removal of the bone in the orbital roof. This will expose the globe and the orbitofrontal dura mater. When the dural incision is made at the orbital portion of the dura mater, the orbital contents are retracted by tack-up sutures. The tumor is removed utilizing the orbital space rather than the intracranial space. Brain retractors are not necessary and are not used to execute the tumor resection. This technique has been used in three patients with craniopharyngiomas, seven patients with meningiomas, and one patient with a subfrontal teratoma. Gross total resection was achieved in three patients with craniopharyngiomas and in five patients with subfrontal or parasellar meningiomas. Subtotal resection of the tumor was achieved in two patients with recurrent meningiomas and in the patient with a subfrontal teratoma. The surgeon's operating space through this exposure was sufficiently ample to achieve the goals of the operation. The direct eyebrow incision provides an additional vital working space with a width of more than 1 cm at the skull base by eliminating the scalp flap which a coronal incision employs. The surgical technique is described with a report of 11 cases.

Adult↗

Transcoronal eyebrow lift with concomitant upper blepharoplasty.

A technique for eyebrow lift is presented which employs the eyebrow arch used by makeup artists to add subjectively to the operation and prevent the aesthetically displeasing result of a too highly arched brow. The marking technique to achieve the proper life is outlined. A concomitant blepharoplasty technique and its indications are presented.

Adult↗