Subbrow blepharoplasty using supraorbital rim periosteal fixation

Area of Science:

• Plastic Surgery
• Ophthalmic Plastic Surgery
• Aesthetic Surgery

Background:

• Subbrow blepharoplasty (SBB) is a surgical technique to correct lateral upper eyelid hooding.
• SBB is frequently performed in East Asian countries like Korea and Japan.
• Classical blepharoplasty may not fully address lateral hooding, necessitating alternative approaches.

Purpose of the Study:

• To enhance postoperative outcomes of SBB.
• To minimize the recurrence of lateral hooding after SBB.
• To evaluate a novel supraorbital rim periosteal suture fixation technique for SBB.

Main Methods:

• An incision is made along the inferior eyebrow margin, with a vertical lower incision for skin excision.
• The orbicularis oculi muscle (OOM) and its fascia are excised en bloc with the skin.
• The OOM's posterior fascia is secured to the supraorbital periosteum using nylon sutures.

Main Results:

• Thirty-six patients underwent SBB with the described technique, with an average follow-up of 27 months.
• Ninety-four percent of patients reported satisfaction with the surgical results.
• Two patients experienced dimpling at the fixation site, which resolved after triamcinolone acetonide injections.

Conclusions:

• SBB utilizing supraorbital rim periosteal fixation provides sustained aesthetic results.
• This technique effectively minimizes the risk of relapse in subbrow blepharoplasty.
• Periosteal fixation offers an advantage for long-term SBB outcome maintenance.