preop forehead botulinum toxin A injection for aging eyelids with asymmetric eyebrows Case report SungChuan Chao MD 1 YuanSung Kuo MD PhD 2 Division of Plastic Surgery Department of Surgery National Taiwan University Hospital and College of Medicine ID: 752742
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Upper blepharoplasty combined with preop forehead botulinum toxin A injection for aging eyelids with asymmetric eyebrows: Case reportSung-Chuan Chao, MD1, Yuan-Sung Kuo, MD, PhD2
Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital and College of Medicine, Hsin-Chu branch1, Chu-Tong branch2, Hsinchu, TaiwanNothing to disclose
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Objective of the studyIn addition of upper blepharoplasy, for those with associated saggy frontalis muscle, even asymmetric position of eyebrows, auxiliary operations such as browlift are necessaryWe report a simple method to avoid postoperative asymmetric brow2Slide3
Materials and methodsWe inject botulinum toxin A (Botox®), evenly distributed into 8 to 10 points for entire forehead, at a dose of 3 IU per shot, one week before blepharoplasty
for a 62-year-old male and a 64-year-old female who sought surgery for their saggy eyelids3Slide4
Results(1)One week following Botulinum toxin A injection, the forehead wrinkles disappeared and their eyelids became symmetric 4Slide5
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Results(II)After blepharoplasty, the ptotic eyelids were also correctedThe two patients were satisfied and had an uneventful recovery in the one-year follow-up6Slide7
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ConclusionsThis method can be expanded to treat any aging eyelids associated with saggy forehead with no need of browlift surgery, regardless of the eyebrow positions8Slide9
Significance of the findings9Slide10
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