다양한 눈썹처짐 교정술에 따른 눈썹올림효과 분석

Clinical Outcomes of Browlift Using Various Methods

Purpose: The present study investigated the outcomes of browlift using various surgical methods including direct browplasty, endoscopic browlift and transblepharoplasty browlift.<br /> Methods: Twenty-eight brow ptosis cases in 19 patients were treated in the present study. The mean patient age was 67.9 ± 9.7 years, and the mean observation period was 9.0 ± 3.8 months. Nine cases were treated with direct browplasty, eight cases with endoscopic browlift and 11 cases with transblepharoplasty browlift. Photographs of patients were taken before surgery and two months, six months and on the final follow-up after surgery. The brow-to-pupil distance (BPD), brow-to-medial canthus distance (BMCD), and brow-to-lateral canthus distance (BLCD) were analyzed by the Image J Program.<br /> Results: BPD increased 1.88 ± 0.99 mm, BMCD increased 1.06 ± 1.21 mm and BLCD increased 1.36 ± 1.17 mm in all patients six months after surgery. Regarding the change in BPD, direct browplasty increased 1.79 ± 1.29 mm, endoscopic browlift increased 1.94 ± 0.80 mm and transblepharoplasty browlift increased 1.90 ± 0.94 mm without significant difference among the groups on the final follow-up. In terms of brow shape, direct browplasty effectively elevated the lateral brow and endoscopic browlift effectively elevated the medial brow compared to other procedures. No significant complications were observed in any patient.<br /> Conclusions: Browlift techniques such as direct browplasty, endoscopic browlift and transblepharoplasty browlift are safe and effective surgical methods to correct brow height and shape in patients with brow ptosis without any significant complications.<br /> J Korean Ophthalmol Soc 2014;55(4):473-479