How is upper eyelid blepharoplasty combined with brow lift through the same incision?

Combining Upper Eyelid Blepharoplasty with Brow Lift: Procedure and Anesthesia Options

Introduction

When it comes to achieving a more youthful and rejuvenated appearance, combining upper eyelid blepharoplasty with a brow lift can yield remarkable results. This article explores the procedure of combining these two techniques and the various anesthesia options available to ensure patient comfort and optimal outcomes.

Procedure and Anesthesia Options for Combined Upper Eyelid Blepharoplasty and Brow Lift

The combined procedure of upper eyelid blepharoplasty and brow lift can be performed using different anesthesia techniques based on the patient’s preferences and the extent of dissection required. Here are the main steps involved in the procedure:

1. Preoperative Markings: With the patient in an upright position, marks are made to determine the precise amount of skin to be removed from the upper eyelids. The goal is to achieve natural-looking results without any remaining skin redundancy.
2. Anesthesia Administration: Depending on the patient’s comfort level and the extent of the procedure, several anesthesia options are available. These include local or regional block with or without sedation, as well as general anesthesia. The appropriate anesthesia method is chosen to ensure a pain-free and comfortable experience.
3. Upper Eyelid Blepharoplasty: Once the anesthesia takes effect, the previously marked skin is carefully excised. Excess muscle tissue may also be removed, if necessary. The septum, which houses the fat pads, is either fully opened or opened at intervals. Fat is meticulously removed from both eye sockets and compared for symmetry.
4. Brow Lift: Following the upper eyelid blepharoplasty, the forehead is undermined beneath the layer covering the skull bones. This allows for adequate release and repositioning of the eyebrows in a symmetrical manner. Two symmetric holes are drilled on either side of the midline in the skull bones, partially penetrating the calvarium. TransBleph fixation devices, resembling plastic hang-hooks, are deployed to secure the desired position of the skin.
5. Muscle Repair and Closure: If necessary, repairs to the muscles responsible for elevating the eyes can be performed at this stage. The skin and muscle are then closed together on both sides, ensuring a secure and harmonious outcome. Finally, a compressive dressing is applied to promote proper scar formation and healing of the forehead soft tissues.

Conclusion

Combining upper eyelid blepharoplasty with brow lift offers a powerful approach to achieving facial rejuvenation. With careful consideration of anesthesia options and meticulous surgical techniques, patients can benefit from a more youthful and balanced appearance. Consult with a board-certified plastic surgeon to determine the most suitable approach for your specific needs and goals.

Check out our gallery of before and after images for blepharoplasty here.