Infraeyebrow blepharoplasty incorporated browpexy in an Asian population.

BACKGROUND: In Taiwan, upper blepharoplasty has become one of the most commonly performed rejuvenation operations. Many surgeons have modified their approaches to managing the aging changes of the upper eyelids. We elucidate our experiences of applying infraeyebrow blepharoplasty incorporated with browpexy and periosteum scoring, including its indications, operative procedures, and postoperative changes after the surgery in our research.

METHODS: Eighty lids in 40 patients were subjected to this surgery from January 2010 to January 2012. All patients had upper eyelid dermatochalasis with visual field limitation, and the functions of their levator palpabrae were all normal. The primary indications of the procedure were upper lid dermatochalasis with lateral hooding. These 40 patients underwent infraeyebrow blepharoplasty incorporated with browpexy at Taipei Veteran General Hospital.

RESULTS: The average patient age was 59.5 years (36-73 years). The average resection width was 12.3 mm (8-15 mm). The mean operative time was 50 minutes. The mean height of brow descending at the midpupil line was 2.4 mm (0-4 mm). The mean height of lateral brow descending was 2.74 mm (-0.6 to 5.4 mm). The lateral brow was higher than the middle brow with a mean height of 2.64 mm (0-4.2 mm). All patients were satisfied with the results. No complication related to sensory abnormalities and visible scars was observed.

CONCLUSIONS: Our modified method with infraeyebrow blepharoplasty incorporated with browpexy not only keeps the advantages, which have been mentioned in previous literature, but also keeps the lateral brow in an ideal position and avoids the flattening of the brow.