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Published on: July 8, 2025
Internal brow elevation at blepharoplasty
John R Burroughs1, William H Bearden, Richard L Anderson
1Center for Facial Appearances, Salt Lake City, Utah 84102, USA. jrburroughs67@yahoo.com
Objective:
To present data on a transblepharoplasty technique that provides a safe and reliable brow elevation and glabellar furrow reduction by releasing inferior tethering and weakening the brow depressor muscles.
Design:
Nonrandomized retrospective case series and surgical technique description.
Results:
One thousand patients who underwent internal brow elevation for cosmesis associated with upper blepharoplasty over the past 9 years were reviewed. Follow-up ranged from 6 months to 9 years. There were no serious long-term complications. All patients experienced forehead hypesthesia, which was temporary in most patients. Only 2 patients complained of prolonged and bothersome forehead hypesthesia lasting longer than 2 years.
Conclusion:
The internal brow elevation at blepharoplasty is a reproducibly safe and effective technique to improve eyebrow appearance without fixation.
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