The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal area and interfascial and subcutaneous dissection planes were made in order to elevate the lateral brow using a vertical vector. The study population consisted of 34 patients with a five-year follow-up who agreed to take part in it; elevation of the tail of the brow and lateral hooding of the orbital skin were evaluated by independent examiners giving a one to four rating on each of the parameters. The independent assessment showed an acceptable one-year follow-up result (brow position and lateral hooding ‘markedly better’ in 50% of patients) and a drop of the marks (‘markedly better’ in 28% of patients regarding both parameters) in the five-year follow-up. Evaluating long-term results of any facial plastic surgery procedure is always a difficult task. The modified Fogli procedure provides a simple, safe and reliable technique for lateral brow elevation, but the surgeon should not offer the patient a long-lasting effect since it will not be in 70% of cases. Endoscopic brow lift technique with complete release of the soft tissues of the upper third of the face and myotomies of the procerus, corrugator and orbicularis oculi remains the mainstay of treatment. However, not every patient is a good candidate for this and more simple techniques like this one will always have a place in the armamentarium of a facial plastic surgeon.

Long-term use of the Fogli temporal lift technique.
Verpaele AM, Tonnard PL, Hamdi M.

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Eduardo Morera Serna

Hospital Universitario Son Espases, Palma de Mallorca, Spain.

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