The effect of upper eyelid blepharoplasty on eyebrow position

Although upper eyelid blepharoplasty is one of the most frequently performed facial plastic surgical procedures, there is no consensus of opinion about the effect of an upper eyelid blepharoplasty on the position of the eyebrows in a general population. This study was undertaken to determine this ef...

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Published in:Journal of plastic, reconstructive & aesthetic surgery Vol. 67; no. 9; pp. 1242 - 1247
Main Authors: Huijing, Marijn A., van der Palen, Job, van der Lei, Berend
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01.09.2014
Subjects:
Adult
Aged
Aged, 80 and over
Blepharoplasty - methods
Blepharoptosis - surgery
Dermatochalasis
Eyebrow
Eyebrows - anatomy & histology
Female
Humans
Male
Middle Aged
Photography
Plastic Surgery
Rhytidosis
Sex Factors
Treatment Outcome
Upper eyelid blepharoplasty
Upper eyelid blepharoplasty
Eyebrow
Rhytidosis
Dermatochalasis
ISSN:1748-6815, 1878-0539, 1878-0539
Online Access:Get full text
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Summary:Although upper eyelid blepharoplasty is one of the most frequently performed facial plastic surgical procedures, there is no consensus of opinion about the effect of an upper eyelid blepharoplasty on the position of the eyebrows in a general population. This study was undertaken to determine this effect and to investigate whether preoperative compensatory rhytidosis of the forehead may cause a significantly greater postoperative lowering of the eyebrows. An evaluation of 140 consecutive patients with complaints of visual impairment was performed, who underwent an upper eyelid blepharoplasty. The position of the eyebrows was measured pre- and postoperatively at three positions for each eye. In addition, the role of compensatory rhytidosis on eyebrow position was determined by classifying horizontal forehead lines. The mean drop in eyebrow position for all patients ranged from 0.35% to 1.23%. In females (n = 126), there was no significant postoperative drop in eyebrow position. In males (n = 14), however, one out of six measured distances (centre of pupil, lateral iris and lateral canthus) displayed a significant lowering of the eyebrow (p = 0.005). Our results show that the position of the eyebrow is not lowered significantly after an upper eyelid blepharoplasty performed among women with dermatochalasis and functional complaints of visual impairment. Male patients showed a slight trend of lowering of the eyebrows postoperatively. Preoperative lifting of the eyebrows by means of frontalis muscle activity did not influence the position of the eyebrows postoperatively, although forehead lines did seem to diminish significantly.
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ISSN:1748-6815
1878-0539
1878-0539
DOI:10.1016/j.bjps.2014.05.022