Elastic Eyebrow and Temporal Lifting without Dissection and Scar

Background: The central and medial portions of the eyebrows typically elevate with age, while the tail of the eyebrows remains stable or descends. Various techniques exist for lifting the tail of the eyebrows. Endoscopic facelifts and temporal-frontal facelifts provide limited and temporary results, often accompanied by visible scars, alopecia, scalp dysesthesia/anesthesia and potential neurovascular complications. Removal of the skin above the eyebrows results in a residual scar that can be difficult to hide, especially in male patients. Methods: The elastic lifting of the eyebrows and temporal region employs one or two elastic threads with a two-tipped needle (Elasticum EP3.5 Korpo), implanted through a skin hole made with a 16 G needle, deepened with a thin Klemmer. This technique does not necessitate tissue dissection. A single elastic thread is utilized for patients with a few centimeters between the eyebrows and hairline, forming a quadrangular shape that affects the eyelid and subcutaneous tissues adjacent to the orbit. A second elastic thread is introduced in cases with a greater distance from the hairline, creating an isosceles triangle to redistribute the skin in the region. Conclusion: The elastic lifting of the eyebrows and temporal region is simple, effective and permanent. It requires no tissue dissection and leaves no skin scars. This procedure, performed under local anesthesia, elevates the tail of the eyebrows and the tissues adjacent to the orbit, elongating the eyes and lifting the temporal region. Keywords Elastic brow lift; Brow lift; Temporal lift; Brow rejuvenation; Periorbital rejuvenation; Periocular rejuvenation; Elasticum; Jano needle; Occam's razor