Upper Blepharoplasty and Brow Rejuvenation in Men

The upper lid-brow junction is a complex anatomic zone that undergoes many interconnected age-related changes. Although considerable effort has gone into defining the ideal female eye and brow, no such work has been done for the male. Typically, men develop forehead and glabellar lines in conjunction with either upper lid hooding, brow ptosis, or blepharoptosis, whereas some men develop hollowing of the upper lid sulcus. Physical examination defines which features predominate. Treatment can be nonsurgical or surgical. The surgical options include upper lid blepharoplasty, various types of brow lifting or brow shaping, ptosis repair, and fat grafting.