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Published in: Aesthetic Plastic Surgery 6/2017

01-12-2017 | Original Article

Objective Evaluation of Eyebrow Position After Autologous Fat Grafting to the Temple and Forehead

Author: Cheng-Hung Chiu

Published in: Aesthetic Plastic Surgery | Issue 6/2017

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Abstract

Background

Fat grafting can be used to correct age-related volume loss in the face. However, the degree of rejuvenation is difficult to be evaluated.

Objectives

The author sought to objectively verify the change in patients’ eyebrow position after fat grafting to the upper face.

Methods

The charts of 175 consecutive patients who underwent autologous fat grafting to the forehead and temple were reviewed. Perioperative changes in the heights of medial, middle, and lateral segments of the eyebrow and the eyebrow slant were recorded and compared. Key prevention strategies to avoid potential complications were discussed.

Results

The eyebrow slant was increased by 2.4° after the operation which was statistically significant (p < 0.05). On the other hand, the medial eyebrow height was decreased, while the middle and lateral eyebrow heights were increased after the surgery which were of no significance. No major complications such as vision loss or vascular compromise were noted.

Conclusions

Simultaneous autologous fat grafting to the temple and forehead significantly increased the slant of the eyebrows and corrected the loss of upper facial fullness as well. Collectively, these changes made the patient look younger and aesthetically more pleasant.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
1.
2.
go back to reference Fitzgerald R (2015) Contemporary concepts in brow and eyelid aging. Clin Plastic Surg 40:21–42CrossRef Fitzgerald R (2015) Contemporary concepts in brow and eyelid aging. Clin Plastic Surg 40:21–42CrossRef
3.
go back to reference Yaremchuk MJ, O’Sullivan N, Benslimane F (2007) Reversing brow lifts. Aesthetic Surg J 27:367–375CrossRef Yaremchuk MJ, O’Sullivan N, Benslimane F (2007) Reversing brow lifts. Aesthetic Surg J 27:367–375CrossRef
4.
go back to reference Goldberg RA (2005) The three periorbital hollows: a paradigm for periorbital rejuvenation. Plast Reconstr Surg 116(6):1796–1804CrossRefPubMed Goldberg RA (2005) The three periorbital hollows: a paradigm for periorbital rejuvenation. Plast Reconstr Surg 116(6):1796–1804CrossRefPubMed
5.
go back to reference Yousif NJ, Matloub H, Adam N, Summers AN (2002) Discussion of the midface sling: a new technique to rejuvenate the midface. Plast Reconstr Surg 110(6):4CrossRef Yousif NJ, Matloub H, Adam N, Summers AN (2002) Discussion of the midface sling: a new technique to rejuvenate the midface. Plast Reconstr Surg 110(6):4CrossRef
6.
go back to reference Lambros V (2007) Observations on periorbital and midface aging. Plast Reconstr Surg 120(5):1367–1376CrossRefPubMed Lambros V (2007) Observations on periorbital and midface aging. Plast Reconstr Surg 120(5):1367–1376CrossRefPubMed
7.
go back to reference Cotofana S, Fratila AAM, Schnook TL et al (2016) The anatomy of the aging face: a review. Facial Plast Surg 32:253–260CrossRefPubMed Cotofana S, Fratila AAM, Schnook TL et al (2016) The anatomy of the aging face: a review. Facial Plast Surg 32:253–260CrossRefPubMed
8.
go back to reference Little JW (2000) Three-dimensional rejuvenation of the midface: volumetric resculpture by malar imbrication. Plast Reconstr Surg 105(1):267–285CrossRefPubMed Little JW (2000) Three-dimensional rejuvenation of the midface: volumetric resculpture by malar imbrication. Plast Reconstr Surg 105(1):267–285CrossRefPubMed
9.
go back to reference Donofrio LM (2000) Fat distribution: a morphologic study of the aging face. Dermatol Surg 26(12):1107–1112CrossRefPubMed Donofrio LM (2000) Fat distribution: a morphologic study of the aging face. Dermatol Surg 26(12):1107–1112CrossRefPubMed
10.
11.
go back to reference Lam SM, Glasgold MJ, Glasgold RA (2006) Complementary fat grafting. Lippincott Williams & Wilkins, Philadelphia Lam SM, Glasgold MJ, Glasgold RA (2006) Complementary fat grafting. Lippincott Williams & Wilkins, Philadelphia
12.
go back to reference Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367PubMed Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367PubMed
13.
go back to reference Fontdevila J, Serra-Renom JM, Raigosa M et al (2008) Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography. Aesthet Surg J 28:380–386CrossRefPubMed Fontdevila J, Serra-Renom JM, Raigosa M et al (2008) Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography. Aesthet Surg J 28:380–386CrossRefPubMed
14.
go back to reference Gonzalez AM, Lobocki C, Kelly CP, Jackson IT (2007) An alternative method for harvest and processing fat grafts: an in vitro study of cell viability and survival. Plast Reconstr Surg 120:285–294CrossRefPubMed Gonzalez AM, Lobocki C, Kelly CP, Jackson IT (2007) An alternative method for harvest and processing fat grafts: an in vitro study of cell viability and survival. Plast Reconstr Surg 120:285–294CrossRefPubMed
15.
go back to reference Coleman SR (1995) Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg 19:421–425CrossRefPubMed Coleman SR (1995) Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg 19:421–425CrossRefPubMed
16.
go back to reference Thorne CH, Beasley RW, Aston RJ, Bartlett SP, Gurtner GC, Spear SL (eds) (2007) Grabb & Smith’s plastic Surgery, 6th edn. Lippincott Williams & Wilkins, Philadelphia Thorne CH, Beasley RW, Aston RJ, Bartlett SP, Gurtner GC, Spear SL (eds) (2007) Grabb & Smith’s plastic Surgery, 6th edn. Lippincott Williams & Wilkins, Philadelphia
17.
go back to reference Coleman SR, Grover R (2006) The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J 26(1S):S4–S9CrossRefPubMed Coleman SR, Grover R (2006) The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J 26(1S):S4–S9CrossRefPubMed
18.
go back to reference Matros E, Garcia JA, Yaremchuk MJ (2009) Changes in eyebrow position and shape with aging. Plast Reconstr Surg 124(4):1296–1301CrossRefPubMed Matros E, Garcia JA, Yaremchuk MJ (2009) Changes in eyebrow position and shape with aging. Plast Reconstr Surg 124(4):1296–1301CrossRefPubMed
19.
go back to reference Troilius C. Subperiosteal brow lifts without fixation. Plast Reconstr Surg. 2004;114:1595–1603; discussion 1604–1605 Troilius C. Subperiosteal brow lifts without fixation. Plast Reconstr Surg. 2004;114:1595–1603; discussion 1604–1605
20.
go back to reference Behmand RA, Guyuron B (2006) Endoscopic forehead rejuvenation: II long-term results. Plast Reconstr Surg. 117:1137–1143CrossRefPubMed Behmand RA, Guyuron B (2006) Endoscopic forehead rejuvenation: II long-term results. Plast Reconstr Surg. 117:1137–1143CrossRefPubMed
21.
go back to reference Swift RW, Nolan WB, Aston SJ et al (1999) Endoscopic brow lift: objective results after 1 year. Aesthetic Surg J 19:287–292CrossRef Swift RW, Nolan WB, Aston SJ et al (1999) Endoscopic brow lift: objective results after 1 year. Aesthetic Surg J 19:287–292CrossRef
22.
go back to reference Klein JA (1988) Anesthesia for liposuction in dermatologic surgery. J Dermatol Surg Oncol 14(10):1124–1132CrossRefPubMed Klein JA (1988) Anesthesia for liposuction in dermatologic surgery. J Dermatol Surg Oncol 14(10):1124–1132CrossRefPubMed
23.
go back to reference Kamakura T, Kataoka J, Maeda K et al (2015) Platelet-rich plasma with basic fibroblast growth factor for treatment of wrinkles and depressed areas of the skin. Plast Reconstr Surg 136(5):931–939CrossRefPubMed Kamakura T, Kataoka J, Maeda K et al (2015) Platelet-rich plasma with basic fibroblast growth factor for treatment of wrinkles and depressed areas of the skin. Plast Reconstr Surg 136(5):931–939CrossRefPubMed
24.
go back to reference Chiu CH (2013) A “solid injection method” to reduce postoperative complications in autologous fat grafting for breast augmentation. Am J Cosmetic Surg. 30(1):1–6CrossRef Chiu CH (2013) A “solid injection method” to reduce postoperative complications in autologous fat grafting for breast augmentation. Am J Cosmetic Surg. 30(1):1–6CrossRef
25.
go back to reference Kaufman MR, Miller TA, Huang C et al (2007) Autologous fat transfer for facial recontouring: is there science behind the art? Plast Reconstr Surg 119(7):2287–2296CrossRefPubMed Kaufman MR, Miller TA, Huang C et al (2007) Autologous fat transfer for facial recontouring: is there science behind the art? Plast Reconstr Surg 119(7):2287–2296CrossRefPubMed
26.
go back to reference Presti P, Yalamanchili H, Honrado CP (2006) Rejuvenation of the aging upper third of the face. Facial Plast Surg 22(2):91–96CrossRefPubMed Presti P, Yalamanchili H, Honrado CP (2006) Rejuvenation of the aging upper third of the face. Facial Plast Surg 22(2):91–96CrossRefPubMed
27.
go back to reference Hehman E, Leitner JB, Freeman JB (2014) The face-time continuum: lifespan changes in facial width-to-height ratio impact aging-associated perceptions. Pers Soc Psychol Bull 40(12):1624–1636CrossRefPubMed Hehman E, Leitner JB, Freeman JB (2014) The face-time continuum: lifespan changes in facial width-to-height ratio impact aging-associated perceptions. Pers Soc Psychol Bull 40(12):1624–1636CrossRefPubMed
28.
go back to reference Sykes JM, Cotofana S, Trevidic P, Solish N et al (2015) Upper face: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg 136(5 Suppl):204S–218SCrossRefPubMed Sykes JM, Cotofana S, Trevidic P, Solish N et al (2015) Upper face: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg 136(5 Suppl):204S–218SCrossRefPubMed
29.
go back to reference Charles-de-Sá L, Gontijo-de-Amorim NF, Maeda Takiya C et al (2015) Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells. Plast Reconstr Surg 135(4):999–1009CrossRefPubMed Charles-de-Sá L, Gontijo-de-Amorim NF, Maeda Takiya C et al (2015) Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells. Plast Reconstr Surg 135(4):999–1009CrossRefPubMed
30.
go back to reference Langelier N, Beleznay K, Woodward J (2016) Rejuvenation of the upper face and periocular region: combining neuromodulator, facial filler, laser, light, and energy-based therapies for optimal results. Dermatol Surg 42:S77–S82 Suppl 2 CrossRefPubMed Langelier N, Beleznay K, Woodward J (2016) Rejuvenation of the upper face and periocular region: combining neuromodulator, facial filler, laser, light, and energy-based therapies for optimal results. Dermatol Surg 42:S77–S82 Suppl 2 CrossRefPubMed
31.
go back to reference Sykes JM (2009) Applied anatomy of the temporal region and forehead for injectable fillers. J Drugs Dermatol 8(10 Suppl):S24–S27PubMed Sykes JM (2009) Applied anatomy of the temporal region and forehead for injectable fillers. J Drugs Dermatol 8(10 Suppl):S24–S27PubMed
32.
go back to reference Freund RM, Nolan WB III (1996) Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg 97:1343–1348CrossRefPubMed Freund RM, Nolan WB III (1996) Correlation between brow lift outcomes and aesthetic ideals for eyebrow height and shape in females. Plast Reconstr Surg 97:1343–1348CrossRefPubMed
33.
go back to reference Huijing MA, van der Palen J, van der Lei B (2014) The effect of upper eyelid blepharoplasty on eyebrow position. J Plast Reconstr Aesthet Surg 67(9):1242–1247CrossRefPubMed Huijing MA, van der Palen J, van der Lei B (2014) The effect of upper eyelid blepharoplasty on eyebrow position. J Plast Reconstr Aesthet Surg 67(9):1242–1247CrossRefPubMed
34.
go back to reference Dar SA, Rubinstein TJ, Perry JD (2015) Eyebrow position following upper blepharoplasty. Orbit. 34(6):327–330CrossRefPubMed Dar SA, Rubinstein TJ, Perry JD (2015) Eyebrow position following upper blepharoplasty. Orbit. 34(6):327–330CrossRefPubMed
35.
go back to reference Frankel AS, Kamer FM (1997) The effect of blepharoplasty on eyebrow position. Arch Otolaryngol Head Neck Surg 123(4):393–396CrossRefPubMed Frankel AS, Kamer FM (1997) The effect of blepharoplasty on eyebrow position. Arch Otolaryngol Head Neck Surg 123(4):393–396CrossRefPubMed
36.
go back to reference Lee JM, Lee TE, Lee H, Park M, Baek S (2012) Change in brow position after upper blepharoplasty or levator advancement. J Craniofac Surg 23(2):434–436CrossRefPubMed Lee JM, Lee TE, Lee H, Park M, Baek S (2012) Change in brow position after upper blepharoplasty or levator advancement. J Craniofac Surg 23(2):434–436CrossRefPubMed
37.
go back to reference Prado RB, Silva-Junior DE, Padovani CR, Schellini SA (2012) Assessment of eyebrow position before and after upper eyelid blepharoplasty. Orbit. 31(4):222–226CrossRefPubMed Prado RB, Silva-Junior DE, Padovani CR, Schellini SA (2012) Assessment of eyebrow position before and after upper eyelid blepharoplasty. Orbit. 31(4):222–226CrossRefPubMed
38.
go back to reference Hassanpour SE, Khajouei Kermani H (2016) Brow ptosis after upper blepharoplasty: findings in 70 patients. World J Plast Surg 5(1):58–61PubMedPubMedCentral Hassanpour SE, Khajouei Kermani H (2016) Brow ptosis after upper blepharoplasty: findings in 70 patients. World J Plast Surg 5(1):58–61PubMedPubMedCentral
39.
go back to reference Liew S, Wu WT, Chan HH et al (2016) Consensus on changing trends, attitudes, and concepts of asian beauty. Aesthetic Plast Surg 40(2):193–201CrossRefPubMed Liew S, Wu WT, Chan HH et al (2016) Consensus on changing trends, attitudes, and concepts of asian beauty. Aesthetic Plast Surg 40(2):193–201CrossRefPubMed
40.
41.
go back to reference Beleznay K, Carruthers JD, Humphrey S, Jones D (2015) Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 41(10):1097–1117CrossRefPubMed Beleznay K, Carruthers JD, Humphrey S, Jones D (2015) Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 41(10):1097–1117CrossRefPubMed
42.
go back to reference Flowers FP, Breza TS (2012) Surgical anatomy of the head and neck. In: Bolognia JL, Jorizzo JL, Schaffer JV (eds) Dermatology, 3rd edn. Elsevier, China, pp 2235–2236 Flowers FP, Breza TS (2012) Surgical anatomy of the head and neck. In: Bolognia JL, Jorizzo JL, Schaffer JV (eds) Dermatology, 3rd edn. Elsevier, China, pp 2235–2236
43.
go back to reference Kleintjes WG (2007) Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg 60:593–606CrossRefPubMed Kleintjes WG (2007) Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg 60:593–606CrossRefPubMed
44.
go back to reference Larrabee WF, Makielski KH, Henderson JL (2004) Surgical anatomy of the face, 2nd edn. Lippincott Williams & Wilkins, Philadelphia Larrabee WF, Makielski KH, Henderson JL (2004) Surgical anatomy of the face, 2nd edn. Lippincott Williams & Wilkins, Philadelphia
45.
go back to reference Jung W, Youn KH, Won SY, Park JT et al (2014) Clinical implications of the middle temporal vein with regard to temporal fossa augmentation. Dermatol Surg 40:618–623PubMed Jung W, Youn KH, Won SY, Park JT et al (2014) Clinical implications of the middle temporal vein with regard to temporal fossa augmentation. Dermatol Surg 40:618–623PubMed
Metadata
Title
Objective Evaluation of Eyebrow Position After Autologous Fat Grafting to the Temple and Forehead
Author
Cheng-Hung Chiu
Publication date
01-12-2017
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 6/2017
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-0881-4

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