I have reviewed and appreciate the letter concerning my recently published article entitled “Limited Incision Nonendoscopic Brow Lift” (Plast. Reconstr. Surg. 119: 1563, 2007). My coauthor and I thank the many individuals who took the time to write or e-mail us directly to endorse the article and the technique. With regard to Drs. Agaoglu and Erol’s letter, I first would like to thank them both for their positive comments regarding the article. Second, I regret any negative feelings engendered by omitting the article by Erol et al. from our list of references. My coauthor and I wholeheartedly acknowledge a host of other references to nonendoscopic or minimally invasive methods of addressing brow ptosis in the medical literature which we also omitted. However, the intention of the article was to report the feasibility and efficacy of performing a limited incision brow lift without an endoscope. As with the open brow lift technique, both the minimally invasive nonendoscopic brow lift and the endoscopic technique are ones that require “dissection” or soft-tissue undermining and some form of fixation. As such, my coauthor and I chose to include references that were related to “dissection” techniques as opposed to those related to “nondissecting” methods, to which Drs. Agaoglu and Erol allude. By their own admission, nondissecting techniques, including their own, are not a replacement for established techniques of forehead rejuvenation. While I recognize their contribution to “nondissection” or suspension-only brow lifts, I wish to call attention to the even broader issue of the validity and longevity of suspension-only procedures (i.e., thread lifts and so on). Do they last? Or is there inherent soft-tissue cheese wiring through soft tissue that is not scarred into a suspended position?
I thank Drs. Agaoglu and Erol for their contribution to this discussion.
Henry M. Spinelli, M.D.
Department of Surgery
Weill-Cornell Medical College
875 Fifth Avenue
New York, N.Y. 10021
Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article’s publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.
Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS’ enkwell, at www.editorialmanager.com/prs/.
We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.
The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.