Helium Plasma Radiofrequency Brow Lift: Description of a Novel Technique and Retrospective Study on Safety, Efficacy, and Durability.

Background: Restoration of ideal eyebrow position and shape is paramount in facial aesthetics. Coagulation and contraction of the forehead tissue using subperiosteal application of thermal energy eliminates the need for tissue excision or fixation, permitting a closed, technically straightforward, nonendoscopic approach. Objectives: The aim of this study is to describe a novel brow-lift technique using subperiosteal application of thermal energy from a helium plasma radiofrequency (RF) device (Renuvion; Apyx Medical, Clearwater, FL). Methods: In this single-center, retrospective study, records for patients who underwent a brow lift with helium plasma RF were reviewed. Demographic, treatment, and safety information were collected. Efficacy and stability of the brow lift were measured by a blinded review of ≥90-day posttreatment photographs, changes in brow and forehead height, and patient satisfaction questionnaires. Results: Twenty-six patients were included in the analysis, with the longest follow-up being 3 years and 3 months. Of the 9 patients who had ≥90-day postoperative photographs, blinded reviewers correctly identified posttreatment images in 78% (7/9). The mean change in forehead height (lateral brow, brow arch, medial brow, and glabella to the hairline) decreased between 4.1 and 4.9 mm. The mean change in brow height (lateral brow, medial brow, and brow arch to the hairline to lash line) increased between 1.5 and 2.1 mm. Among 15 patients who completed the questionnaire, 87% ( Conclusions: This new technique for subperiosteal brow lifting using helium plasma RF may be safe, effective, and long-lasting. Further studies need to be conducted to confirm the findings in this paper. Level of Evidence 4 Therapeutic: