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Douglas M. Sidle, MD; Benjamin M. Loos, MD; Alexander L. Ramirez, MD; Sheldon S. Kabaker, MD; Corey S. Maas, MD

Arch Facial Plast Surg. 2005;7:393-397.

Objective  To determine the efficacy, longevity, and safety of BioGlue Surgical Adhesive for periosteal fixation in endoscopic browlifts.

Methods  Retrospective review of 80 patients who underwent endoscopic browlift using BioGlue as the primary means of periosteal fixation. Visits were categorized as preoperative, 1 to 2 months, 3 to 6 months, and 7 to 12 months, and photographs of the first 15 patients were evaluated for change in brow position at each of these visits. Brow position was measured at the lowest brow hairs at the midpupillary and lateral canthus positions. Follow-up was 3 months to 3 years.

Results  All of the first 15 patients were included in the 1- to 2-month postoperative grouping, 13 in the 3- to 6-month grouping, and 10 in the 7- to 12-month grouping. At all postoperative visits, brow elevation was significantly maintained during 12-month follow-up. Revision has been required in only 1 of 80 patients to date.

Conclusions  BioGlue is an effective and safe method of maintaining brow position in endoscopic browplasty. Brow elevation achieved using BioGlue was significantly maintained during the 7- to 12-month postoperative period. Tissue adhesives such as BioGlue have the potential to become significant adjuncts in facial plastic surgery and warrant more critical evaluation.

Author Affiliations: The Maas Clinic, San Francisco, Calif (Drs Sidle, Loos, Ramirez, and Maas); Division of Facial Plastic Surgery, Department of Otolaryngology, University of California at San Francisco (Drs Sidle, Loos, Ramirez, Kabaker, and Maas); Contra Costa Facial Plastic Surgery, Walnut Creek, Calif (Dr Loos); and Aesthetic Facial Plastic Surgery Medical Clinic, Oakland, Calif (Dr Kabaker).

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