Learning Objectives: After reading this article, the participant should be able to: 1. Describe the surgical anatomy associated with aging within the periorbital and brow region. 2. Illustrate the aesthetic goals in performing periorbital and brow rejuvenation. 3. Demonstrate safe, effective, and reproducible surgical techniques in periorbital and brow rejuvenation.
Summary: Brow lift and blepharoplasty are among the most commonly requested procedures in facial aesthetic surgery. The purpose of this article is to provide an overview of current concepts, including goals, surgical options, and outcomes for aesthetic improvement of the forehead and periorbital region. Preoperative patient assessment, anatomical and surgical concepts, advantages and disadvantages, and prevention and management of complications and expected results are discussed. Surgical results of endoscopic and lateral brow lift, upper lid blepharoplasty with supratarsal fixation, and lower lid blepharoplasty with correction of the tear trough are presented. Details of the perioperative techniques are presented in accompanying video format. A critical understanding of patient expectation, surgical anatomy, and operative technique is important for avoiding complications and achieving aesthetic results in brow and eyelid rejuvenation.