Blepharoplasty: when to combine it with brow, temple, or coronal lift

Some patients coming for esthetic blepharoplasty should have one of three supplemental procedures performed to elevate or change the position of the eyebrows. The most precise eyebrow alterations are effected with brow lifting procedures, but these may produce adverse scarring. The temple lift may be employed to draw the lateral part of the eyebrow upward and laterally. Drooping of the central part of the eyebrow requires a frontal or coronal lift or an eyebrow lift. Additional guides to the selection and combination of the procedures are provided.