Lateral Brow Lift in Forehead Lift: Doubled Angled Percutaneous Sutures (Pulley traction)

Goals/purpose: One of the major challenges on facial rejuvenation is the position of the eyebrows and its relationship with the forehead. Suspension alone won’t bring the desired effect and balance with the entire face. Doubled angled percutaneous sutures enables surgeons better control brows position. The purpose is to describe the doubled angled percutaneous sutures as a pulley traction for lateral brow lifting on facial rejuvenation
Methods/technique: A total of 463 patients underwent the doubled angled percutaneous pulley traction in combination with blepharoplasty and cervical-facial lifting. Patients were analyzed by comparison between pre and post-operative pictures of one year, and the results interpreted by a visual analog scale sent for three different plastic surgeons, not involved on the surgical procedure.
Results/complications: By picture comparison all the three surgeons considered the one-year post-op very effective or effective in 98% of the operated cases. The only complication was the extrusion threads in 8 patients in the frontal area.
Conclusion: Lateral brow lift with doubled angled percutaneous sutures as a "pulley traction” 
demonstrated a very effective procedure for lateral brow lift when analyzed by different surgeons, and should be considered as an easy reproducible technique for facial rejuvenation