Only 3 studies compared eyebrow position in the same group of participants at different times in their life. Most of the studies (16) evaluated differences in eyebrow position by comparing measurements between 2 cohorts at different ages. Sixteen studies (3,484 subjects) provided specific data regarding the ethnicity or race of the participants, which included White (44%), Hispanic (24%), Asian (12%), Indian (11%), African (9%), and others (2%). A total of 3,634 subjects were included in this review, which encompassed 1,274 (36%) males and 2,237 (64%) females. The average time between images was 25 y (range, 10–56 y)Ī total of 19 studies published between 19 were included in the final analysis. ![]() One was photographed from age 25–50, and the other from age 15 to 40 Photographs of participants taken 10–15 y earlier compared with current images Studies comparing same individuals over time Studies comparing individual from different age groups 19 This study aims to summarize the current literature and assess eyebrow height changes with aging. Although some studies reported an increase, 17 others reported stability 18 or decrease of eyebrow position with aging. 16 The current literature is inconclusive regarding brow height changes with age. 7, 14, 15A comprehensive understanding of the mechanisms underlying eyebrow aging is vital in allowing the plastic surgeon to appropriately address these age-related changes and to recreate an aesthetically desirable outcome for the patient seeking brow rejuvenation. ![]() 11– 13 If done inaccurately, brow rejuvenation procedures can lead to an unnatural “surprised” appearance, especially due to excessive elevation of the medial eyebrow, a medial or flat brow apex, or excessive elevation of the entire eyebrow without taking into consideration the overall brow shape. 2– 4, 7– 10Īging eyebrows give the impression of a tired or sad appearance, and severe brow ptosis can impair normal peripheral vision. Although several studies have since described different aesthetic criteria for the ideal eyebrow position and shape, to this day, there is a lack of consensus regarding the ideal position of the eyebrow. 5 By 1974, Westmore 6 described the aesthetically ideal eyebrow as a lateral arch with the apex peaking above the lateral limbus of the iris and the medial and lateral ends of the eyebrow being at the same height. 2– 4 The earliest description of surgically lifting the eyebrows in the literature was in 1919 by Passot. 1 Our understanding of eyebrow aesthetics continues to evolve with cultural and societal influences. The eyebrows play an important role in emotional facial expressions, nonverbal communication, facial esthetics, and facial recognition.
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