When the eyelids are drooping and the space between the eyes and the eyebrows is wide,
a subbrow lift is needed rather than a forehead lift.
But there is a condition.
When there are no glabellar wrinkles, or even if there are, they are not bothersome!
Once the drooping eyelids are corrected, the forehead muscles that had been working overtime become less burdened.
That naturally causes the eyebrows to move slightly downward.
However, it is not only the eyebrows that move downward.
When the eyebrows lower, the area between the eyebrows also moves down together.
That can make glabellar wrinkles look more noticeable.
So, only for those who have overcome the hurdle of glabellar wrinkles,
a subbrow lift can be performed when treating drooping eyelids.
The patient introduced today does not have severe glabellar wrinkles,
but has severe eyelid drooping and also a lot of volume in the upper eyelids.
This is the typical eye shape described as puffy.


The area marked in fluorescent purple is the puffy upper eyelid.
The area marked in fluorescent purple is the puffy upper eyelid.
When the preaponeurotic fat pad shown in the figure below is developed,
the upper eyelid appears swollen.


Preaponeurotic fat pad that makes the upper eyelid look puffy
https://pocketdentistry.com/eyelid-and-lacrimal-injuries/
So for this surgery, while performing the subbrow lift,
we planned to remove the fat that makes the eyes look swollen, the preaponeurotic fat pad,
together.


The process of removing preaponeurotic fat during surgery
Through the incision for the subbrow lift, the septum was opened and the preaponeurotic fat was removed appropriately.
It is not something that is forcibly pulled out; when the septum is opened, the fat that is pushed upward by the pressure of its own volume is removed.

Preaponeurotic fat removed during surgery
The under-eye area was also excessively bulging with fat.
If this fat is addressed, the skin can become lax and fine wrinkles may appear.
For the best result, this was a case in which under-eye skin excision was also necessary,
so lower blepharoplasty and under-eye fat grafting were performed as well.

Before surgery: subbrow lift, preaponeurotic fat removal, lower blepharoplasty, and fat grafting

3 months after surgery: subbrow lift, preaponeurotic fat removal, lower blepharoplasty, and fat grafting
It has been 3 months since the surgery.
As the drooping eyelids were lifted, the eyes that had been hidden are now visible.
The puffy upper eyelids also look lighter,
and the brighter under-eye area is also worth noting. ^-^
I introduced a case in which a subbrow lift, upper eyelid fat removal, lower blepharoplasty, and fat grafting were performed.
Thank you.
<If you have any additional questions, please leave a private comment,
and I will kindly answer them. Thank you.>
