Subbrow Blepharoplasty in Caucasians

Area of Science:

• Ophthalmology
• Plastic Surgery

Background:

• Subbrow blepharoplasty is common in Asian populations for upper eyelid crease preservation.
• Dermatochalasis with lateral hooding affects Caucasian patients, often treated with traditional blepharoplasty.

Purpose of the Study:

• To report the initial application of subbrow blepharoplasty in Caucasian patients.
• To evaluate the efficacy and patient satisfaction of this technique for dermatochalasis with lateral hooding.

Main Methods:

• Retrospective case series of 50 Caucasian patients (18 female, 32 male) aged 59-84.
• Modified subbrow blepharoplasty technique performed, with optional internal browpexy and periosteal fixation in 22 patients.
• Follow-up of at least 3 months, assessing patient satisfaction and scar outcomes.

Main Results:

• All 50 patients reported satisfaction with surgical outcomes.
• No patient experienced incision-related issues; two showed minor, improving scar redness.
• The procedure successfully addressed moderate to severe dermatochalasis with lateral hooding.

Conclusions:

• Subbrow blepharoplasty is a viable alternative to classic upper eyelid blepharoplasty for Caucasian patients.
• The technique effectively treats dermatochalasis and lateral hooding in an older Caucasian demographic.
• High patient satisfaction and minimal complications support its use.