Upper Blepharoplasty and Browplasty

  • Christopher R. Dermarkarian
  • Richard C. AllenEmail author


Cosmetic rejuvenation of the periocular area can include incisional and non-incisional procedures. Although the use of non-incisional procedures, including botulinum toxin, dermal fillers, and skin resurfacing, has gained in popularity, the oculoplastic surgeon should continue to be proficient in incisional procedures. The most common periocular incisional procedures include upper blepharoplasty, lower blepharoplasty, and browplasty. Careful preoperative evaluation is critical, and the choice of the appropriate surgery is paramount. The purpose of this chapter is to review the preoperative evaluation, operative procedures, and post-operative care for cosmetic upper blepharoplasty and browplasty.


Upper blepharoplasty Lower blepharoplasty Browplasty Browpexy Browlift 

Supplementary material (1352.5 mb)
Supplementary material 1 (zip 1384947 KB)

Suggested Readings

  1. 1.
    Joseph AW, Ishii L, Joseph SS, et al. Prevalence of body dysmorphic disorder and surgeon diagnostic accuracy in facial plastic and oculoplastic surgery clinics. JAMA Facial Plast Surg. 2017;19(4):269–74.CrossRefGoogle Scholar
  2. 2.
    McConnell LK, Lee WW, Black DW, Shriver EM. Beauty is in the eye of the beholder: body dysmorphic disorder in ophthalmic plastic and reconstructive surgery. Ophthalmic Plast Recoonstr Surg. 2915;31(1):e3–6.Google Scholar
  3. 3.
    Sobel RK, Carter KD, Allen R. Periorbital edema: a puzzle no more? Curr Opin Ophthalmol. 2012;23(5):405–14.CrossRefGoogle Scholar
  4. 4.
    Arat YO, Sezenoz AS, Bernardini FP, Alford MA, Tepeoglu M, Allen RC. Comparison of Colorado microdissection needle versus scalpel incision for aesthetic upper and lower eyelid blepharoplasty. Ophthalmic Plast Reconstr Surg. 2017;33(6):430–3.CrossRefGoogle Scholar
  5. 5.
    Baker MS, Shams PN, Allen RC. The quantitated internal suture browpexy: comparison of two brow-lifting techniques in patients undergoing upper blepharoplasty. Ophthalmic Plast Reconstr Surg. 2016;32(3):204–6.CrossRefGoogle Scholar
  6. 6.
    Broadbent T, Mokhktarzadeh A, Harrison A. Minimally invasive brow lifting techniques. Curr Opin Ophthalmol. 2017;28(5):539–43.CrossRefGoogle Scholar
  7. 7.
    Mokhtarzadeh A, Massry GG, Bitrian E, Harrison AR. Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty. Orbit. 2017;36(2):102–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Christopher R. Dermarkarian
    • 1
  • Richard C. Allen
    • 2
    Email author
  1. 1.Department of OphthalmologyBaylor College of MedicineHoustonUSA
  2. 2.Department of OphthalmologyCullen Eye Institute, Baylor College of MedicineHoustonUSA

Personalised recommendations