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Suture Suspension Brow-Lifting: The Minitac System

Received: 8 December 2014     Accepted: 14 December 2014     Published: 19 December 2014
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Abstract

As their face ages, a significant number of individuals require elevation of the eyebrows to improve brow-ptosis and pseudo-ptosis of the upper eyelids. This may be for functional disability, i.e. when there is a reduction in visual fields, or for purely cosmetic reasons. Eyebrow elevation can be achieved by non-surgical or by direct surgical methods. There are advantages and disadvantages to the non-surgical use of Botulinum Toxin or fillers, and minimally invasive techniques such as endoscopic methods or Endotine® fixation. Bicoronal brow lift procedures appear to be reducing in popularity compared to the other methods. Suture suspension of the brow is not new but recently Minitac®, a kit system that allows intra-osseous fixation using two non-absorbable paired needle sutures, has been introduced. Whilst this system was primarily developed for ligament to bone approximation, we demonstrated in this mini-series that it can be adapted to provide a simple and effective means for brow lifting, whilst controlling the vectors of elevation. Due care and the understanding of anatomy are essential.

Published in Journal of Surgery (Volume 2, Issue 6)
DOI 10.11648/j.js.20140206.13
Page(s) 93-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Browlift, Minitac®, Ptosis

References
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[2] Graham DW, Heller J, Kirkjian TJ, Schaub TS, Rohrich RJ. Brow lift in facial rejuvenation: A systematic literature review of open versus endoscopic techniques. Plast Reconstr Surg 2001; 128: 335-341.
[3] Har-Shai Y, Gil T, Metanes I, ScheflanM. Brow lift of the correction of visual field impairment. Aesthet Surg J. 2008; 28/5:512-517.
[4] Elkwood A, Matarasso A, Rankin M, Elkowitz M, Godek CP. National Plastic Surgery Survey: Brow lifting techniques and complications. Plast Reconstr Surg 2001; 108:2143-2150.
[5] Dayan SH, Perkins SW, Vartanian AJ, Wiesman IM. The forehead lift: Endoscopic versus coronal approach. Aesthetic Plast Surg 2001; 25:35–39.
[6] Pascali M, Gualdi A, Bottini C, Botti G, Cervelli V. An original application of the endotine ribbon device for brow lift. Plast Reconstr Surg 2009; 124: 1652.
[7] Fiala TG, Owsley JQ. Use of the Mitek fixation device in endoscopic brow lifting. Plast Reconstr Surg 1998; 101/6: 1700-1703.
[8] Foustanos A, Zafrides H. An alternative fixation technique for the endoscopic brow Lift. Ann Plast Surg 2006; 56: 599–604.
[9] Mckinney P, Sweis I. An accurate technique for fixation in endoscopic brow lift: A 5 year follow-up. Plast Reconstr Surg 2001; 108:1808-1810.
[10] Landecker A, Buck J, Grotting J. A New resorbable tack fixation technique for endoscopic brow lifts. Plast. Reconstr. Surg 2003; 111:880-886.
[11] Rohrich RJ, Beran SJ. Evolving fixation methods in endoscopically assisted forehead rejuvenation: controversies and rationale. Plast Reconstr Surg 1997; 100:1575–1582.
[12] Romo T, Sclafani AP, Yung RT, McCormick SA, Cocker R, McCormick SU. Endoscopic foreheadplasty : A histologic comparison of periosteal refixation after endoscopic versus bicoronal lift. Plast Reconstr Surg 2000;105: 1111-1117.
[13] Jones B, Grover R. endoscopic brow lift: A personal review of 538 patients and comparison of fixation techniques. Plast Reconstr Surg 2004; 113: 1242-1250.
[14] Dorner BK, Owsley JQ. Update on Mitek endoscopic brow fixation system. Plast Reconstr Surg 2004; 113/2:735-736.
[15] Romo T, Sclafani AP, Yung RT. Endoscopic foreheadplasty: Temporary vs. permanent fixation. Aesth Plast Surg 1999; 23:388-394.
Cite This Article
  • APA Style

    James D. Frame, Bassem M. Mossaad. (2014). Suture Suspension Brow-Lifting: The Minitac System. Journal of Surgery, 2(6), 93-97. https://doi.org/10.11648/j.js.20140206.13

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    ACS Style

    James D. Frame; Bassem M. Mossaad. Suture Suspension Brow-Lifting: The Minitac System. J. Surg. 2014, 2(6), 93-97. doi: 10.11648/j.js.20140206.13

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    AMA Style

    James D. Frame, Bassem M. Mossaad. Suture Suspension Brow-Lifting: The Minitac System. J Surg. 2014;2(6):93-97. doi: 10.11648/j.js.20140206.13

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  • @article{10.11648/j.js.20140206.13,
      author = {James D. Frame and Bassem M. Mossaad},
      title = {Suture Suspension Brow-Lifting: The Minitac System},
      journal = {Journal of Surgery},
      volume = {2},
      number = {6},
      pages = {93-97},
      doi = {10.11648/j.js.20140206.13},
      url = {https://doi.org/10.11648/j.js.20140206.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140206.13},
      abstract = {As their face ages, a significant number of individuals require elevation of the eyebrows to improve brow-ptosis and pseudo-ptosis of the upper eyelids. This may be for functional disability, i.e. when there is a reduction in visual fields, or for purely cosmetic reasons. Eyebrow elevation can be achieved by non-surgical or by direct surgical methods. There are advantages and disadvantages to the non-surgical use of Botulinum Toxin or fillers, and minimally invasive techniques such as endoscopic methods or Endotine® fixation. Bicoronal brow lift procedures appear to be reducing in popularity compared to the other methods. Suture suspension of the brow is not new but recently Minitac®, a kit system that allows intra-osseous fixation using two non-absorbable paired needle sutures, has been introduced. Whilst this system was primarily developed for ligament to bone approximation, we demonstrated in this mini-series that it can be adapted to provide a simple and effective means for brow lifting, whilst controlling the vectors of elevation. Due care and the understanding of anatomy are essential.},
     year = {2014}
    }
    

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    UR  - https://doi.org/10.11648/j.js.20140206.13
    AB  - As their face ages, a significant number of individuals require elevation of the eyebrows to improve brow-ptosis and pseudo-ptosis of the upper eyelids. This may be for functional disability, i.e. when there is a reduction in visual fields, or for purely cosmetic reasons. Eyebrow elevation can be achieved by non-surgical or by direct surgical methods. There are advantages and disadvantages to the non-surgical use of Botulinum Toxin or fillers, and minimally invasive techniques such as endoscopic methods or Endotine® fixation. Bicoronal brow lift procedures appear to be reducing in popularity compared to the other methods. Suture suspension of the brow is not new but recently Minitac®, a kit system that allows intra-osseous fixation using two non-absorbable paired needle sutures, has been introduced. Whilst this system was primarily developed for ligament to bone approximation, we demonstrated in this mini-series that it can be adapted to provide a simple and effective means for brow lifting, whilst controlling the vectors of elevation. Due care and the understanding of anatomy are essential.
    VL  - 2
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    ER  - 

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Author Information
  • Post-Graduate Medical Institute, Anglia Ruskin University, Chelmsford, Essex CM1 1SQ

  • Post-Graduate Medical Institute, Anglia Ruskin University, Chelmsford, Essex CM1 1SQ

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