The external browpexy

To introduce and describe the author's experience with the external browpexy, a minimally invasive transcutaneous variant of the trans-blepharoplasty temporal brow suspension (internal browpexy).

The charts of patients who underwent an external browpexy over a 2-year period by the author are reviewed. Excluded from the study are patients with a history of previous forehead/eyebrow or eyelid surgery. The surgical procedure is described in depth, representative patient photographs are presented to assess outcome, and results and complications are reviewed.

Twenty-eight patients are included in the study. The average age is 62 years (range 51-76), and the average follow-up is 6 months (range 2-12). Eighteen patients are men, 5 patients had unilateral surgery, and only 1 patient noted a subtle postoperative scar. All patients (including the one with the mild scar) were pleased with their surgical results.

The external browpexy is a straightforward procedure, easily mastered and has subjectively yielded excellent outcomes with high patient satisfaction over a 6-month average follow-up. In the author's experience, the brow incision has consistently healed without perceptible scar, and over this timeframe, the procedure has subjectively been shown to be a reliable temporal brow elevator/stabilizer. The procedure is presented as an alternative to the internal browpexy to aid in enhancing upper blepharoplasty outcomes.