Why must brows be evaluated when considering upper blepharoplasty?
The upper eyelid and the brow must always be evaluated together. This is very important. Lets consider someone with a low brow. The low brow causes skin to pile up on the upper lid. This weight causes the person to unconsciously lift the brow until this weight is removed. If skin is removed during an upper blepharoplasty, this weight is reduced. This allows the brow elevators to relax and lower the brow until the skin piles up on the lid again and obscures the result of the upper blepharoplasty. This situation can be avoided by recognition of the brow ptosis and treatment through a brow lift or browpexy. When someone doesn’t have brow drooping, this situation does not occur.
