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Infrabrow Excision Blepharoplasty: Applications and Outcomes in Upper Blepharoplasty in Asian Women

Kim, Young Seok M.D.; Roh, Tai Suk M.D., Ph.D.; Yoo, Won Min M.D., Ph.D.; Tark, Kwan-Chul M.D., Ph.D.; Kim, Jimyung M.D.

Plastic & Reconstructive Surgery: October 2008 - Volume 122 - Issue 4 - pp 1199-1205
doi: 10.1097/PRS.0b013e3181858fc0
Cosmetic: Original Articles

Background: To avoid the somewhat operated look while effectively resolving shortcomings inherent in the conventional blepharoplasty technique, the authors propose an infrabrow excision blepharoplasty as a satisfying and useful alternative. The authors' experience during a 3-year period is presented and reviewed.

Methods: Sixty-four patients were operated on by infrabrow excision blepharoplasty. The indications for the procedure included those patients with one or more of the following criteria: (1) prior infrabrow excision, (2) desire to preserve inborn lid crease lines, (3) multiple prior lid operations related to double-eyelid operation, (4) lateral lid hooding being the primary concern for wanting blepharoplasty, (5) planned or preexisting cosmetic tattoo of the eyebrows, and (6) age group in the late 30s through mid-50s, thus excluding the most severe forms of blepharochalasia. The mean postoperative follow-up period was 13 months, and the photographic results were collected retrospectively and evaluated.

Results: There was no complication related to surgery in terms of the resulting scar and periorbital sensory change. The mean operative time was 35 minutes. Significant flattening of the eyebrow or lid crease discrepancy necessitating additional surgery was not observed. Patient satisfaction was very high in terms of both the aesthetic outcome and patient comfort.

Conclusion: Infrabrow excision blepharoplasty can be an easy and satisfying alternative that achieves the same goals as a conventional blepharoplasty in a selected group of patients.

Seoul, Korea

From the Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yongdong Severance Hospital, Yonsei University College of Medicine, and the Style Aesthetic Clinic.

Received for publication December 28, 2007; accepted February 20, 2008.

Disclosure: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.

Tai Suk Roh, M.D., Ph.D.; Department of Plastic and Reconstructive Surgery; Yongdong Severance Hospital; Yonsei University; College of Medicine; 612 Eonjuro, Gangnam-gu; Seoul 135-720, Korea; rohts@yuhs.ac

©2008American Society of Plastic Surgeons