The Change of Eyebrow Position After Upper Lid Blepharoplasty in Patients With Dermatochalasis

Hoon Kim Jae; Kyu Lee Jeong

doi:10.3341/jkos.2009.50.8.1141

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Jae and Jeong: The Change of Eyebrow Position After Upper Lid Blepharoplasty in Patients With Dermatochalasis

Original Article

J Korean Ophthalmol Soc 2009;50(8):1141-1145.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.8.1141

The Change of Eyebrow Position After Upper Lid Blepharoplasty in Patients With Dermatochalasis

Hoon Kim Jae, MD, Kyu Lee Jeong, MD, PhD

Department of Ophthalmology, College of Medicine, Chung-Ang University, Seoul, Korea

Address reprint requests to Jeong Kyu Lee, MD, PhD Department of Ophthalmology, Chung-Ang University Hospital #224-1 Heukseok-dong, Dongjak-gu, Seoul 165-755, Korea Tel: 82-2-6299-1665, Fax: 82-2-825-1666, E-mail: lk1246@hanmail.net

Received 29 December 200828 April 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose:

To evaluate whether upper eyelid blepharoplasty causes eyebrow position change in patients with or without brow ptosis.

Methods:

We analyzed the photographic records of 28 patients 53 eyes with dermatochalasis who had undergone upper eyelid blepharoplasty. Brow-pupil, brow-lid margin, lid margin-pupil, brow-lateral canthus, and brow-medial canthus distances were measured, and then the proportions of medial canthus-nasal alar were taken. Preoperative and postoperative measurements were compared.

Results:

After blepharoplasty, no one in the group without brow ptosis developed new brow ptosis. In the group with brow ptosis, only one patient felt a significant change in brow position after blepharoplasty. In both groups, the distance between the eyebrow and the lid margin decreased by similar amounts. There was no change in the upper eyelid margin position after blepharoplasty.

Conclusions:

In patients with dermatochalasis, upper eyelid blepharoplasty caused a lowering of the eyebrow without a change in the eyelid margin. It is important to evaluate the brow ptosis preoperatively and excise the correct amount of excess skin to avoid aggravation of brow ptosis.

Keywords: Blepharoplasty, Dermatochalasis, Eyebrow, Eyelid, Ptosis

References

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Figure 1.

Illustration of measured parameters for the eyelid and eyebrow. BLCD=brow-lateral canthal distance, BMD=brow-lid margin distance, MPD=lid margin-pupil distance, BPD=brow-pupil distance, BMCD= brow-medial canthal distance, CAD=canthus-nasal alar distance.

Table 1.

Demographic features of patients

	Patients without brow ptosis	Patients with brow ptosis
Number of patients (eyes)	22 (44)	6 (9)
		(monocular 3, binocular 3)
Gender (M/F)	5/17	2/4
Age (mean, years, ranges)	58.9 (45~72)	58.0 (41~74)
Months of follow-up (range)	12~20 weeks	12~20 weeks
Amount of skin resection (range)	11.40 (8~17 mm)	11.22 (10~14 mm)

Table 2.

Comparisons of objective changes of measured parameters in patients without brow ptosis

	BPD^∗/CAD^†	BMD^‡/CAD^†	MPD^§/CAD^†	BLCD^П/CAD^†	BMCD^#/CAD^†
Preoperative	0.426±0.102	0.374±0.107	0.052±0.020	0.435±0.114	0.419±0.096
Postoperative	0.377±0.082	0.328±0.094	0.049±0.020	0.391±0.104	0.373±0.073
p-value	<0.01	<0.01	0.44	0.00	0.00

^∗ BPD=brow-pupil distance; distance

^П BLCD=brow-lateral canthal distance

^# BMCD=brow-medial canthal distance.

^† CAD=canthus-nasal alar distance

^‡ BMD=brow-lid margin distance

^§ MPD=lid margin-pupil

Table 3.

Comparisons of objective changes of measured parameters in patients with brow ptosis

	BPD^∗/CAD^†	BMD^‡/CAD^†	MPD^§/CAD^†	BLCD^П/CAD^†	BMCD^#/CAD^†
Preoperative	0.368±0.043	0.309±0.048	0.049±0.021	0.375±0.044	0.357±0.081
Postoperative	0.313±0.043	0.258±0.050	0.056±0.020	0.325±0.066	0.311±0.066
p-value	0.01	0.01	0.26	<0.01	<0.01

^∗ BPD=brow-pupil distance

^† CAD=canthus-nasal alar distance; distance

^П BLCD=brow-lateral canthal distance

^# BMCD=brow-medial canthal distance.

^‡ BMD=brow-lid margin distance

^§ MPD=lid margin-pupi

Table 4.

Changes in measured parameters before and after operation

	Patients without brow ptosis	Patients with brow ptosis	p-value^‡
ΔBPD^∗/CAD^†	0.048	0.053	0.24
ΔBMD^‡/CAD^†	0.046	0.051	0.34
ΔBLCD^П/CAD^†	0.044	0.050	0.36
ΔBMCD^#/CAD^†	0.046	0.046	0.85

Δ=difference between pre op. and post op.

^∗ BPD=brow-pupil distance

^† CAD=canthus-nasal alar distance

^‡ BMD=brow-lid margin distance

^§ MPD=lid margin-pupil distance

^П BLCD=brow-lateral canthal distance

^# BMCD=brow-medial canthal distance.

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