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Fogli technique deemed stable over long-term for brow rejuvenation

Surgeon and patient satisfaction with the Fogli temporal lift technique were high for 34 patients after more than 5 years, according to study findings.

A retrospective assessment of clinical preoperative and short- and long-term postoperative photographs was completed by a panel of five lay persons and five plastic surgeons. The panel was asked to rate eyebrow positioning and lateral hooding.

The short-scar temporal lifting procedure was performed by the study’s senior authors in 923 cases during an 8-year period, 738 of which were performed with a minimal access cranial suspension lift procedure. One hundred and eighty-five were performed as isolated procedures or in addition to blepharoplasty.

The researchers observed complications in fewer than 5% of patients. Complications consisted of hematoma, sensory changes, asymmetry and atrophic scars caused by suture placement that was too superficial, according to the researchers. Twelve of the 34 patients who agreed to be followed for 5 years required revision for early relapse.

At 1 year, 51.25% of patients were rated as 4 (markedly better), 43.75% as 3 (somewhat better) and 5% at 2 (no difference) with regard to lateral hooding. By the fifth year, the score of 4 dropped to 28.75%, instead favoring a score of 3; a score of 3 was then seen in 55%, and a score of 2 increased to 16.25%.

In terms of brow position, the researchers observed a score of 4 in 48.75%, of 3 in 42.5% and of 2 in 8.75% at 1 year. Scores were 4 in 27.5%, 3 in 50% and 2 in 22.5% at the fifth year. – by Abigail Sutton

Disclosures: The researchers report no relevant financial disclosures.