A woman in her mid-50s with brow ptosis ( deflation and descent of the brows from aging) as well as excess skin on her upper eyelids. She is shown before and again, 6 weeks after bilateral upper eyelid blepharoplasty combined with browpexy.
Discussion: As we age our tissues deflate and our brow drops. She is seen to have transverse forehead lines at rest as she works to hold her eyebrows out of the way with her frontalis muscles. Although she could consider a brow lift, she elevated for a simpler brow pexy- this does not elevate the brows but prevents them from dropping further. It is done through the blepharoplasty procedure. After surgery, we can see that her forehead lines are relaxed as she no longer has to work unconsciously to hold her eyebrows up. Scars are at their pinkest at 6 weeks and will begin to fade and improve over the next 6 months or longer. Her appearance is “refreshed” in a natural way and she no longer has problems with her upper visual field being blocked by the excess skin.
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