Hemi-forehead lifting for upper eyelid and brow ptosis in neurofibromatosis type 1
DOI:
https://doi.org/10.16964/er.v7i1.96Keywords:
hemi-forehead lifting, ptosis, eyelid ptosis, brow ptosis, wrinkle, neurofibromatosis, neurofibromaAbstract
A 63-year-old female patient presented with ptosis in the right eyelid, wrinkles in the right half of the forehead, and narrowing of visual field. She had been diagnosed with giant plexiform neurofibroma. In addition, she had painless, non-tender soft masses on her left shoulder and neck. The patient's ptosis and forehead wrinkles improved in the supine position but were more prevalent in the vertical position. She had undergone blepharoplasty in the previous year. She did not have any disease history other than mild ptosis in the right and a mass in the neck that was present since puberty but had grown within the last decade. Pretrichial hemi-forehead and brow lift for eyebrow ptosis and forehead wrinkles was planned and performed without any complications in the early postoperative period and no recurrence in the 18-month follow-up period.
References
Riccardi VM. Von Recklinghausen neurofibromatosis. New England Journal of Medicine 1981; 305(27): 1617-27.
Collins FS, Ponder B, Seizinger B, Epstein CJ. The von Recklinghausen neurofibromatosis region on chromosome 17: genetic and physical maps come into focus. American Journal of Human Genetics 1989; 44(1): 1-5.
Tokarz-Sawińska E, Puchalska-Niedbał L, Lachowicz E, et al. Plexiform neurofibroma of the upper eyelid and orbit in a patient with von Recklinghausen's disease--case report. Klinika Oczna 2014; 116(4): 267-71.
Avery RA, Katowitz JA, Fisher MJ, et al. Orbital / periorbital plexiform neurofibromas in children with neurofibromatosis type 1: multidisciplinary recommendations for care. Ophthalmology 2017; 124(1): 123-32.
Ezure T, Amano S. The severity of wrinkling at the forehead is related to the degree of ptosis of the upper eyelid. Skin Research and Technology 2010; 16(2): 202-9.
Connell BF, Lambros VS, Neurohr GH. The forehead lift: techniques to avoid complications and produce optimal results. Aesthetic Plastic Surgery 1989; 13(4): 217-37.
Knize DM. Limited-incision forehead lift for eyebrow elevation to enhance upper blepharoplasty. Plastic and Reconstructive Surgery 1996; 97(7): 1334-42.
Fujimura T, Haketa K, Hotta M, Kitahara T. Loss of skin elasticity precedes to rapid increase of wrinkle levels. Journal of Dermatologic Science 2007; 47(3): 233-9.
El‐Domyati M, Medhat W, Abdel‐Wahab HM, et al. Forehead wrinkles: a histological and immunohistochemical evaluation. Journal of Cosmetic Dermatology 2014; 13(3): 188-94.
Knize DM. Anatomic concepts for brow lift procedures. Plastic and Reconstructive Surgery 2009; 124(6): 2118-26.
Lemke BN, Stasior OG. The anatomy of eyebrow ptosis. Archives of Ophthalmology 1982; 100(6): 981-6.
Park DM. Total facelift: forehead lift, midface lift, and neck lift. Archives of Plastic Surgery 2015; 42(2): 111-25.
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