Minimal Incision Lateral Temporal Brow lift: An Evaluation Study

Background and Objective: The lateral brow is crucial for facial aesthetics, often descending with age due to skin laxity, gravity, and the absence of brow retractors. The aim of this study is to elevate the lateral brow using a minimal, inconspicuous incision within the temporal hairline. Methods: This retrospective observational study, conducted in Duhok, Iraq, from October 1, 2022, to the end of March 2023, examines the outcomes of a minimal incision temporal brow lift technique over a 6-month period, involving 25 patients. Inclusion criteria required patients to be over 18 years of age, with no prior brow lift procedures or facial trauma, and a minimum follow-up of 6 months. Patients with unrealistic expectations, such as those who anticipated results beyond the reasonable capabilities of a minimal incision brow lift, were excluded to ensure that patient satisfaction aligned with achievable outcomes. Additionally, specific hair characteristics—such as sparse hair, a wide, non-hairy temporal area, or thin or shaved sideburns in male patients—were taken into account. Preoperative assessments were performed with patients awake and standing to evaluate brow position and any asymmetries. Neurotoxin injections to the orbicularis oculi muscle were administered 14 days postoperatively to prevent brow descent. Results: Gender differences in satisfaction were observed, with a higher satisfaction rate among females (14, 56%) compared to males (1, 4%). Satisfaction was also higher under local anesthesia (9.36%) versus general anesthesia (6.24%). Complications reported included internal stitch exposure 1 (4%), unilateral neuropraxia 1 (4%), skin necrosis 1 (4%), scar alopecia 1 (4%), asymmetry 1 (4%), and chronic postoperative pain 4 (16%). Conclusions: This minimal incision brow lift is a practical, safe method for brow elevation, though further research is needed to confirm long-term benefits.