Change in Brow Position After Upper Blepharoplasty With or Without Internal Browpexy

Area of Science:

• Oculoplastic surgery
• Facial aesthetic surgery

Background:

• Upper blepharoplasty can alter eyebrow position, potentially leading to aesthetic concerns.
• Internal browpexy is a common surgical technique for brow lifting.
• Combining internal browpexy with upper blepharoplasty may mitigate undesirable brow position changes.

Purpose of the Study:

• To evaluate changes in eyebrow position following upper blepharoplasty.
• To compare the effects of upper blepharoplasty alone versus combined with internal browpexy on brow position.

Main Methods:

• Retrospective analysis of 48 patients undergoing upper blepharoplasty between 2018-2022.
• Patients were divided into two groups: upper blepharoplasty only (30 patients) and upper blepharoplasty with internal browpexy (18 patients).
• Preoperative and postoperative photographs were analyzed using ImageJ software to measure proportional changes in brow height.

Main Results:

• Upper blepharoplasty alone resulted in a 6.13% decrease in brow height at the midpupil level and a 6.2% decrease at the brow peak.
• Combining upper blepharoplasty with internal browpexy led to a 2.99% increase at the midpupil level and a 4.38% increase at the brow peak.
• All patients in both groups were female.

Conclusions:

• Upper blepharoplasty alone can cause eyebrow ptosis and unaesthetic results in cases of dermatochalasis.
• Internal browpexy is an effective and easily performed technique to stabilize and elevate the eyebrow after skin excision.
• Combining internal browpexy with upper blepharoplasty preserves or improves brow position.