Background: Brow lift can be done by numerous methods, whether for rejuvenation due to aging or ptosis due to nerve damage, surgical correction can be done through trans-blepharoplasty and endoscopic approaches.
Aim of work: Comparative study of endoscopic and trans-blepharoplasty approaches for brow lifting and evaluation of the outcome according to anthropometric measurements of the medial and lateral ends of the eyebrow in relation to the nasal ala, along with patient satisfaction.
Patients and methods: The study included 20 patients having eyebrow lift procedures in two groups, Group 1: treated by Trans-blepharoplasty approach Group 2: treated by Endoscopic approach. Follow up was done in 6 months duration.
Results: Trans-blepharoplasty achieved best results in patients having mild brow ptosis with upper eyelid dermatochalasis. Although it gave a fair amount of lift post-operative, the amount of relapse in the first 6 month was substantial. Endoscopic approach is the best in eyebrow reshaping more than mere lift that cannot be done with other approaches, relapse started as early as one-month post-operative and continued gradually till 6 months post-operative.
Conclusion:
Trans-blepharoplasty is best in treating mild cases which also complain of upper eyelid dermatochalasis, where Endoscopic approach is best in eyebrow reshaping when performing eyebrow lift.