Lifting of the eyebrows in blepharoplasties

Excessive skin in the upper eyelid may be totally or partially a result of ptosis of the eyebrows. In this case, blepharoplasty corrects this deformity insufficiently and may even increase the sagging of the eyebrows, giving the face a sad expression. A technique for lifting the eyebrows during a blepharoplasty is presented. It consists of affixing the dermis and galea to the aponeurosis of the temporal muscle through a subgalean tunnel in the scalp. We believe that this is an anatomically based procedure, is easy to execute, has few complications, yields lasting results with hidden scars, and is of low cost. Among the 100 cases in which this technique was used, the majority showed highly satisfactory results.