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Infraeyebrow Blepharoplasty Incorporated Browpexy in an Asian Population

Fang, Yin-Han MD*†; Liao, Wen-Chieh MD*; Ma, Hsu PhD*‡

doi: 10.1097/SAP.0000000000000037
Clinical Papers

Background In Taiwan, upper blepharoplasty has become one of the most commonly performed rejuvenation operations. Many surgeons have modified their approaches to managing the aging changes of the upper eyelids. We elucidate our experiences of applying infraeyebrow blepharoplasty incorporated with browpexy and periosteum scoring, including its indications, operative procedures, and postoperative changes after the surgery in our research.

Methods Eighty lids in 40 patients were subjected to this surgery from January 2010 to January 2012. All patients had upper eyelid dermatochalasis with visual field limitation, and the functions of their levator palpabrae were all normal. The primary indications of the procedure were upper lid dermatochalasis with lateral hooding. These 40 patients underwent infraeyebrow blepharoplasty incorporated with browpexy at Taipei Veteran General Hospital.

Results The average patient age was 59.5 years (36–73 years). The average resection width was 12.3 mm (8–15 mm). The mean operative time was 50 minutes. The mean height of brow descending at the midpupil line was 2.4 mm (0–4 mm). The mean height of lateral brow descending was 2.74 mm (−0.6 to 5.4 mm). The lateral brow was higher than the middle brow with a mean height of 2.64 mm (0–4.2 mm). All patients were satisfied with the results. No complication related to sensory abnormalities and visible scars was observed.

Conclusions Our modified method with infraeyebrow blepharoplasty incorporated with browpexy not only keeps the advantages, which have been mentioned in previous literature, but also keeps the lateral brow in an ideal position and avoids the flattening of the brow.

From the *Division of Plastic Surgery, Department of Surgery, Taipei Veterans General Hospital; †Division of Plastic Surgery, Department of Surgery, Cheng Hsin General Hospital; and ‡School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Received October 1, 2013, and accepted for publication, after revision, October 6, 2013.

Conflicts of interest and sources of funding: none declared.

Presented at the 2012 Annual Meeting of the Taiwan Surgical Association, March 17, 2012, at Taipei Medical University.

Reprints: Wen-Chieh Liao, MD, Division of Plastic Surgery, Department of Surgery, Taipei Veterans General Hospital, 19F, No. 201, Sec. 2, Shih-Pai Rd, Taipei, Taiwan. E-mail:

© 2013 by Lippincott Williams & Wilkins