Menderes Adnan, Çağlı Hasan Basri
From the Department of Plastic, Reconstructive, and Aesthetic Surgery of Dokuz Eylul University, Izmir, Turkey.
Ann Plast Surg. 2024 Oct 1;93(4):420-424. doi: 10.1097/SAP.0000000000004068. Epub 2024 Jul 30.
Only upper blepharoplasty can cause a change in the eyebrow position, so browpexy can be combined with blepharoplasty in selected patients. There are many brow lifting techniques, both surgical and nonsurgical, and internal browpexy is one of the most widely used surgical brow lifting techniques. The purpose of this study was to evaluate the change in brow position after upper blepharoplasty with or without internal browpexy using preoperative and postoperative photographs.
Patients who underwent upper blepharoplasty by a single surgeon at Dokuz Eylul University Hospital between 2018 and 2022 were retrospectively evaluated. A total of 48 patients, 30 of whom underwent upper blepharoplasty only and 18 of whom underwent upper blepharoplasty combined with internal browpexy, were examined to present the change in brow position postoperatively. Preoperative and postoperative photographs were analyzed using the ImageJ program and the proportional changes in brow height were shown.
The first group, which only underwent upper blepharoplasty only, consisted of 30 patients (62.5%), all female; the second group, which underwent upper blepharoplasty and internal browpexy, consisted of 18 patients (37.5%), all female. The change at the midpupil level was determined as a 6.13% decrease in the first group and a 2.99% increase in the second group; at the brow peak level, this change was a 6.2% decrease in the 1st group and a 4.38% increase in the 2nd group.
In cases of dermatochalasis, blepharoplasty alone can cause a shortening of the distance between the eyebrow and the upper eyelid groove and an unaesthetic appearance. Internal browpexy is an easy-to-apply technique that allows stabilization of the eyebrow after skin excision and a small amount of elevation.
只有上睑成形术会导致眉位改变，因此在特定患者中，提眉术可与上睑成形术联合进行。有许多提眉技术，包括手术和非手术方法，而内固定提眉术是应用最广泛的手术提眉技术之一。本研究的目的是使用术前和术后照片评估上睑成形术联合或不联合内固定提眉术前后眉位的变化。
回顾性评估2018年至2022年在多库兹艾吕尔大学医院由同一位外科医生进行上睑成形术的患者。共检查了48例患者，其中30例仅接受了上睑成形术，18例接受了上睑成形术联合内固定提眉术，以呈现术后眉位的变化。使用ImageJ程序分析术前和术后照片，并显示眉高的比例变化。
第一组仅接受上睑成形术，共30例患者（62.5%），均为女性；第二组接受上睑成形术联合内固定提眉术，共18例患者（37.5%），均为女性。第一组中瞳孔中点水平的变化为下降6.13%，第二组为上升2.99%；在眉峰水平，第一组的变化为下降6.2%，第二组为上升4.38%。
在皮肤松弛的情况下，单独进行上睑成形术会导致眉毛与上睑沟之间的距离缩短，外观不佳。内固定提眉术是一种易于应用的技术，可在皮肤切除后稳定眉毛并实现少量抬高。
