Clinical classification of brow ptosis

INTRODUCTION: The study of the eyebrow is a great challenge for plastic surgery because of its complex relationship with facial structures. The present study aims to describe a clinical classification of brow ptosis. METHODS: A cross-sectional study with patients of both sexes and ages r...

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Main Authors: Daniel Sundfeld Spiga Real, Rodrigo Pacheco Reis, Roney Gonçalves Fechini Feitosa, Elvio Bueno Garcia, Masako Ferreira
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-09-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1763/en_v31n3a10.pdf
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author Daniel Sundfeld Spiga Real
Rodrigo Pacheco Reis
Roney Gonçalves Fechini Feitosa
Elvio Bueno Garcia
Masako Ferreira
author_facet Daniel Sundfeld Spiga Real
Rodrigo Pacheco Reis
Roney Gonçalves Fechini Feitosa
Elvio Bueno Garcia
Masako Ferreira
author_sort Daniel Sundfeld Spiga Real
collection DOAJ
description INTRODUCTION: The study of the eyebrow is a great challenge for plastic surgery because of its complex relationship with facial structures. The present study aims to describe a clinical classification of brow ptosis. METHODS: A cross-sectional study with patients of both sexes and ages ranging from 18 to 100 years, subdivided into 3 groups according to age. Group 1: 18 to 30 years of age, Group 2: 31 to 60 years of age, and Group 3: 61 to 100 years of age. Three measurements were taken on each side by different examiners blinded to each other's results. RESULTS: A total of 90 patients, with ages ranging from 18 to 94, including 39 (43.3%) men and 51 (56.7%) women, were studied. Group 1, with a mean age of 26.7 years was considered normal, with mean brow ptosis of 2.14 cm. In Group 2, with a mean age of 44.2 years, the mean brow measurement was 1.9 cm. In Group 3, the mean age was 72.6 years and the mean brow measurement was 1.27 cm. The table outlining the brow ptosis classification assigns a degree of ptosis to each interval, ranging from I to IV. Each degree was correlated with a numerical range in which > 1.8 cm is normal, 1.7-1.5 cm corresponds to degree I ptosis, 1.4-1.2 cm to degree II ptosis, 1.1-0.9 cm to degree III ptosis, and < 0.8 cm to degree IV ptosis. Surgery was indicated for degrees II, III, and IV. CONCLUSION: The objective measurement of brow tail position enabled classification of the degree of ptosis and guides surgical decision-making.
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spelling doaj-art-2f89d29487f24c02a8b7fa84e236b2692025-08-20T03:15:58ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352016-09-01310335436110.5935/2177-1235.2016RBCP0058Clinical classification of brow ptosisDaniel Sundfeld Spiga Real0Rodrigo Pacheco Reis1Roney Gonçalves Fechini Feitosa2Elvio Bueno Garcia3Masako Ferreira4Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: The study of the eyebrow is a great challenge for plastic surgery because of its complex relationship with facial structures. The present study aims to describe a clinical classification of brow ptosis. METHODS: A cross-sectional study with patients of both sexes and ages ranging from 18 to 100 years, subdivided into 3 groups according to age. Group 1: 18 to 30 years of age, Group 2: 31 to 60 years of age, and Group 3: 61 to 100 years of age. Three measurements were taken on each side by different examiners blinded to each other's results. RESULTS: A total of 90 patients, with ages ranging from 18 to 94, including 39 (43.3%) men and 51 (56.7%) women, were studied. Group 1, with a mean age of 26.7 years was considered normal, with mean brow ptosis of 2.14 cm. In Group 2, with a mean age of 44.2 years, the mean brow measurement was 1.9 cm. In Group 3, the mean age was 72.6 years and the mean brow measurement was 1.27 cm. The table outlining the brow ptosis classification assigns a degree of ptosis to each interval, ranging from I to IV. Each degree was correlated with a numerical range in which > 1.8 cm is normal, 1.7-1.5 cm corresponds to degree I ptosis, 1.4-1.2 cm to degree II ptosis, 1.1-0.9 cm to degree III ptosis, and < 0.8 cm to degree IV ptosis. Surgery was indicated for degrees II, III, and IV. CONCLUSION: The objective measurement of brow tail position enabled classification of the degree of ptosis and guides surgical decision-making.http://www.rbcp.org.br/export-pdf/1763/en_v31n3a10.pdfclassificationeyebrowsliftanthropometry
spellingShingle Daniel Sundfeld Spiga Real
Rodrigo Pacheco Reis
Roney Gonçalves Fechini Feitosa
Elvio Bueno Garcia
Masako Ferreira
Clinical classification of brow ptosis
Revista Brasileira de Cirurgia Plástica
classification
eyebrows
lift
anthropometry
title Clinical classification of brow ptosis
title_full Clinical classification of brow ptosis
title_fullStr Clinical classification of brow ptosis
title_full_unstemmed Clinical classification of brow ptosis
title_short Clinical classification of brow ptosis
title_sort clinical classification of brow ptosis
topic classification
eyebrows
lift
anthropometry
url http://www.rbcp.org.br/export-pdf/1763/en_v31n3a10.pdf
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AT masakoferreira clinicalclassificationofbrowptosis