Correction of the drooping brow: analysis of approach

The attainment of a more youthful appearance is one of the goals of cosmetic facial surgery. In the orbital area this is usually accomplished by performing a blepharoplasty. There are, however, a number of cases in which performance of a blepharoplasty of the upper or lower lids or both does not produce as much of an improvement as the patient or the surgeon would desire. Proper preoperative analysis enables one to determine that the blepharoplasty alone will not produce the desired result. In those instances in which the ptosis of the blow is a contributing factor to the aged appearance, an operative procedure to correct the brow would be undertaken prior to or in conjunction with the blepharoplasty procedure. The various operative procedures will be discussed and analyzed from their positive and negative aspects.