Extended Gliding Brow Lift: An Effective Solution for Brow and Periorbital Rejuvenation
Plastic and reconstructive surgery, cilt.158, sa.2, ss.237-247, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 158 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.1097/prs.0000000000012611
- Dergi Adı: Plastic and reconstructive surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Chemical Abstracts Core, EMBASE, MEDLINE, MLA - Modern Language Association Database, MLA International Bibliography
- Sayfa Sayıları: ss.237-247
- Gazi Üniversitesi Adresli: Evet
Özet
BACKGROUND: The gliding brow lift (GBL) is a minimally invasive technique for brow elevation. Limitations of the GBL include restricted redraping areas, potential surface irregularities, and ineffective results, particularly in patients with a short brow to hairline distance. The extended GBL (E-GBL) was developed as an innovative solution to address these challenges by expanding the dissection surface area and incorporating dual-plane dissection. METHODS: This retrospective study included 122 patients with at least a 1-year follow-up who underwent E-GBL alone or in combination with other facial procedures between August of 2018 and August of 2023. The surgical technique involved subcutaneous dissection in the face, deep-plane dissection in the hair-bearing scalp, connection of these 2 planes, and precise skin redistribution using a surgical net. Brow position analysis was performed by measuring the vertical distance from the midpupil line to the tail of the brow using ImageJ software. Outcomes were assessed at the 1-year follow-up using patient satisfaction surveys evaluating brow shaping. RESULTS: The mean follow-up period was 14.1 months. Minor complications occurred in 12 patients (9.8%), all successfully managed. The mean elevation at the tail of the brow was 3.2 ± 0.8 mm ( P < 0.001). Among all respondents, 47 patients (38.5%) rated their satisfaction as very satisfied and 65 (53.3%) as satisfied ( P < 0.01). CONCLUSION: By expanding the dissection area, incorporating dual-plane techniques, and using advanced skin redistribution with a simple maneuver, E-GBL ensures long-term results and effectively reduces the length of required incisions, demonstrating its practicality and adaptability to diverse patient needs.