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Changes in Eyebrow Position and Movement with Aging

  • Park, Jeongseob (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Yun, Sangho (Daniel Plastic Surgery) ;
  • Son, Daegu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
  • Received : 2016.05.30
  • Accepted : 2016.10.04
  • Published : 2017.01.20

Abstract

Background This study evaluated dynamic changes in eyebrow position related to aging. Methods Female participants were recruited and separated into two groups aged 20-30 years (the younger group, n=20; mean age, 24.8 years) and 50-70 years (the older group, n=20; mean age, 55.8 years). Photogrammetry was used to determine the eyebrow position at the medial canthus (MC), lateral limbus, lateral canthus, and lateral end point (EP) for 6 actions: smooth opening (the reference action) and closing of the eye, forward gaze, maximum opening and closing of the eye, and maximum frown. Videos were also recorded. Results No differences in eyebrow position were detected at the MC when opening or closing the eyes smoothly, gazing straight ahead, or closing the eyes maximally. For all 6 actions, the position of the lateral EP in the older group was significantly lower than in the younger group (P=0.003), and the smallest degree of vertical movement at this point was found in both age groups (P<0.001). Vertical movement at the 4 landmarks of the eyebrows decreased with aging. Conclusions Eyebrow position was unchanged at the MC with aging, except at maximal eye opening and maximal frown. No differences in eyebrow position were observed between the younger and older groups when eyes were maximally closed, except at the EP. It is important to focus on correction of the lateral EP for periorbital rejuvenation.

Keywords

References

  1. Ellis DA, Masri H. The effect of facial animation on the aging upper half of the face. Arch Otolaryngol Head Neck Surg 1989;115:710-3. https://doi.org/10.1001/archotol.1989.01860300064018
  2. Westmore M. Facial cosmetics in conjunction with surgery. Proceedings of the Aesthetic Plastic Surgical Society Meeting; May; 1974; Vancouver, British Columbia.
  3. Ellenbogen R. Transcoronal eyebrow lift with concomitant upper blepharoplasty. Plast Reconstr Surg 1983;71:490-9. https://doi.org/10.1097/00006534-198304000-00008
  4. Brennan HG. Correction of the ptotic brow. Otolaryngol Clin North Am 1980;13:265-73.
  5. Tolleth H. Concepts for the plastic surgeon from art and sculpture. Clin Plast Surg 1987;14:585-98.
  6. Angres GG. Blepharopigmentation and eyebrow enhancement techniques for maximum cosmetic results. Ann Ophthalmol 1985;17:605-11.
  7. Baker SB, Dayan JH, Crane A, et al. The influence of brow shape on the perception of facial form and brow aesthetics. Plast Reconstr Surg 2007;119:2240-7. https://doi.org/10.1097/01.prs.0000260771.76102.6c
  8. Lambros V. Discussion: changes in eyebrow position and shape with aging. Plast Reconstr Surg 2009;124:1302-3. https://doi.org/10.1097/PRS.0b013e3181b45616
  9. Knize DM. An anatomically based study of the mechanism of eyebrow ptosis. Plast Reconstr Surg 1996;97:1321-33. https://doi.org/10.1097/00006534-199606000-00001
  10. Hop JW, Frijns CJ, van Gijn J. Psychogenic pseudoptosis. J Neurol 1997;244:623-4. https://doi.org/10.1007/s004150050156
  11. Knize DM. Anatomic concepts for brow lift procedures. Plast Reconstr Surg 2009;124:2118-26. https://doi.org/10.1097/PRS.0b013e3181bd0726
  12. Han K, Kwon HJ, Choi TH, et al. Comparison of anthropometry with photogrammetry based on a standardized clinical photographic technique using a cephalostat and chair. J Craniomaxillofac Surg 2010;38:96-107. https://doi.org/10.1016/j.jcms.2009.04.003
  13. Uitto J. Connective tissue biochemistry of the aging dermis: age-related alterations in collagen and elastin. Dermatol Clin 1986;4:433-46. https://doi.org/10.1016/S0733-8635(18)30806-4
  14. Fenske NA, Lober CW. Structural and functional changes of normal aging skin. J Am Acad Dermatol 1986;15:571-85. https://doi.org/10.1016/S0190-9622(86)70208-9
  15. Van den Bosch WA, Leenderd I, Mulder P. Topographic anatomy of the eyelids, and the effects of sex and age. Br J Ophthalmol 1999;83:347-52. https://doi.org/10.1136/bjo.83.3.347
  16. Goldstein SM, Katowitz JA. The male eyebrow: a topographic anatomic analysis. Ophthal Plast Reconstr Surg 2005;21: 285-91. https://doi.org/10.1097/01.iop.0000169253.68675.18
  17. Price KM, Gupta PK, Woodward JA, et al. Eyebrow and eyelid dimensions: an anthropometric analysis of African Americans and Caucasians. Plast Reconstr Surg 2009;124:615-23. https://doi.org/10.1097/PRS.0b013e3181addc98
  18. Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg 2007;120:1367-76. https://doi.org/10.1097/01.prs.0000279348.09156.c3
  19. Schwartz GE, Fair PL, Mandel MR, et al. Facial electromyography in the assessment of improvement in depression. Psychosom Med 1978;40:355-60. https://doi.org/10.1097/00006842-197806000-00008
  20. Yun S, Son D, Yeo H, et al. Changes of eyebrow muscle activity with aging: functional analysis revealed by electromyography. Plast Reconstr Surg 2014;133:455e-463e. https://doi.org/10.1097/PRS.0000000000000052

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