Blepharopigmentation and eyebrow enhancement techniques for maximum cosmetic results.

Cosmetic enhancement of the upper and lower eyelids by implantation of various colored pigments is one of the fastest growing procedures in ophthalmic practice. A new procedure, called Natural Brows, involves implantation of pigment in the brow line with a brush stroke technique in order to simulate brow hair. This procedure is particularly useful in patients with sparse brow hair caused by "overplucking." Burn victims and patients suffering from scarring after basal cell carcinoma removal will benefit from the camouflaging effect of the procedure. To achieve optimum cosmetic results, certain guidelines must be followed, and a complete evaluation of the patient's ocular morphology must be undertaken before surgery. A "paint-by-number" approach to the blepharopigmentation procedure is presented that is designed to reduce the risk of patient dissatisfaction.