Complications of brow suspension

Overcorrection - release bands soon after initial surgery.

Figure 5.8 Brow suspension - frontalis sling.

(a) Crawford technique.

(b) Fox pentagon.

Undercorrection - tighten bands in the early postoperative period. Redo surgery may ultimately be required. In mild cases a full thickness lid resection can be performed.

Exposure - lubricants initially but may ultimately require release of bands.

Late droop - redo brow suspension preferably with autogenous fascia lata to minimise risk of further late droop.

Infection/granulomas - systemic antibiotics and excision of granulomas.

Figure 5.9 Cross-section showing tissue removed in Fasanella-Servat procedure.

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