Change in brow position following upper blepharoplasty in patients with dermatochalasis coexisting only cosmetic complaint

PURPOSE: Study aims to assess the effect of pure blepharoplasty on the eyebrow position in patients with grade 1 lateral dermatochalasis causing cosmetic complaints.
METHODS: This retrospective study includes patients undergoing upper eyelid blepharoplasty between DEcember 2019 and November 2021. Patients with prior eyebrow or eyelid surgery and neurotoxins treatment were excluded. Photographs were investigated using NIH ImageJ program to measure eyebrow position from medial canthus, mid pupillary level, and lateral canthus measured before and six months after the operation.
RESULTS: The mean preoperative distance between the pupillary light reflex and the lowest eyebrow hair (MPBH) was 16.95 mm, and the mean postoperative height was 16.79 mm. This difference was not statistically significant (p = 0.29). The mean preoperative lateral canthus to the lowest eyebrow hair (LBH) was 17.75 mm, and the mean postoperative height was 17.60 mm. This difference was not statistically significant (p = 0.18). The mean preoperative medial canthus to the lowest eyebrow hair (MBH) was 18.72 mm, and the mean postoperative height was 18.59 mm. This difference was not statistically significant (p = 0.24).


CONCLUSION: The present study represents that the position of the eyebrow may not be influenced significantly following a blepharoplasty procedure among female patients with grade 1 lateral dermatochalasis and coexisting cosmetic complaints.