Paralysis Research Today is a free monthly online journal that collates and summarizes the latest research about Paralysis, including details on treatment, diagnosis, facial paralysis, sleep paralysis.

Blepharoplasty with aponeurotic fixation corrects asymmetry of the eyebrows caused by paralysis of the unilateral frontalis muscle in Orientals.

Kushima H, Yuzuriha S, Kondou S, Matsuo K

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan. hkushima@hsp.md.shinshu-u.ac.jp

Paralysis of the frontalis muscle causes ipsilateral brow ptosis and contralateral hypermotility of the non-paralytic frontalis muscle in Oriental patients. In this paper, we describe an effective way of correcting such asymmetry by using blepharoplasty with aponeurotic fixation, and three case reports were presented. This procedure makes it possible to reduce the hypermotility of the non-paralytic frontalis muscle, and symmetry of the brows can be achieved easily with minimal brow lift. All three patients had symmetrical brows six months postoperatively. Although we think that brow ptosis may recur eventually, if symmetry is obtained as a result of minimal brow lift, we think that our method can delay recurrence.

Published 25 April 2005 in Scand J Plast Reconstr Surg Hand Surg, 39(1): 39-44.
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