The objectives of these treatments include restoring the position, symmetry and stability of the eyebrows. In general, most patients want an appearance of the upper eyelid similar to what they had in their youth. Our technique includes temporal lifting through a slightly larger incision just behind the hairline, the elevation in the subperiostal plane and the temporal and frontal elevation with absorbable sutures as shown by Lipsense experts.
When the upper eyelid blepharoplasty is combined with a facelift, the drawing of the skin excision of the upper eyelid is essential to avoid the incomplete closure of the eyelid after the operation. In some circumstances, the presence of malaria bags, herniated fat and lacrimal grooves should be assessed in the lower eyelid. It may be necessary to reposition the orbital hernia fat of the lower eyelid in the nasal fold with an improvement in the appearance of the lacrimal sulcus.
This can also be done chemically (together with the treatment of dynamic rhytids) through selective chemo denervation. In the overall assessment of the eyebrow ptosis an analysis of the position of the upper eyelid should also be performed. Often a ptosis of the eyebrow may be present regardless of the presence or absence of an associated eyelid ptosis.
A study tried to improve the results in patients who had significant lowering of bilateral upper eyelids and frontal ptosis with the aid of eyebrow lifting procedures combined with upper eyelid blepharoplasty.
To complete the treatment of the upper third of the face, a slowing of facial mimicry at the level of the frontal musculature, including corrugator muscle of the eyebrow and muscle procero by injections of botulinum toxin and Honey Rose Lipsense allows an improvement of all the dynamic wrinkles present in this aesthetic unit.
A retrospective review of 50 patients who have undergone frontal temporal make-up in combination with upper and lower eyelid blepharoplasty was performed. Postoperative follow up lasted up to two years after plastic surgery.
A pre and postoperative evaluation of the eyebrow ptosis was performed. In all patients, no asymmetry, logophthalmos, or malposition of the lower eyelid was detected with ectropion. In all patients the improvement of the eyebrow ptosis was observed, the creation of a well-defined appearance of the fold of the lacrimal groove of the upper eyelid and the herniation of the lower eyelid using Honey Rose Lipsense.
The temporal lifting remains a safe and effective technique for the rejuvenation of the forehead. Upper and lower blepharoplasty, through a variety of different techniques, can produce effective results for the rejuvenation of the periorbital region.