Upper Eyelid Surgery and Eye Shape Correction After Brow Lift

One of the methods often performed to improve sagging skin of the upper eyelid is brow lift surgery.

In most cases, brow lift surgery produces natural results, but occasionally the outcome may be disappointing.

This is a woman in her 50s who previously underwent a brow lift at another hospital.

Raised eye shape after brow lift. This is a real model with consent for disclosure.

When a large amount of skin is removed during brow lift surgery, especially to improve sagging skin on the outer side of the eyes, the eyes may change to look more severe than before.

Oblique crease that appeared at the front of the eye after brow lift surgery.

In some patients, an abnormal diagonal crease appears at the front of the eye, causing stress as well.

Also, because brow lift surgery is an operation that improves only the sagging skin of the upper eyelid, it is not a procedure that improves weak or uncomfortable eye opening.

For that reason, some patients may continue to have the habit of raising their eyes by using the forehead muscles, and this can create a slanted eyebrow shape, making the eyes look even more severe.

'Upper eyelid surgery and eye shape correction after brow lift'

A typical upper eyelid surgery is designed based on the double eyelid line and involves removing a certain amount of skin along the skin crease.

Skin removed during upper eyelid surgery.

However, in cases where a brow lift was previously performed, the degree of sagging may differ between the inner and outer sides of the skin, so the skin removal design must be carefully considered.

Upper eyelid surgery and eye shape correction after brow lift. This is a real model with consent for disclosure.

If a large amount of outer skin was removed during the brow lift, the upper eyelid skin removal design is made with emphasis on the inner side.

If there is an oblique crease at the front of the eye, the design must be made so that it does not conflict with the original direction of the eyelid skin, and the amount of skin removal must also be determined carefully.

In addition, if necessary, an eye shape correction procedure is required to improve eyes that appear severe, and a natural-looking correction that is not excessive is needed.

Eye shape correction is sufficient even if it only makes eye opening more comfortable, and excessive correction can instead make the eyes look severe, so caution is needed.

If eye opening becomes more comfortable through eye shape correction and upper eyelid surgery, the habit of raising the eyes by using the forehead muscles improves, and the shape and position of the eyebrows settle into a more relaxed state.

'Before and after upper eyelid surgery and eye shape correction after brow lift'

This is a comparison before and after upper eyelid surgery at around one month after the operation.

Upper eyelid surgery after brow lift. Eye shape correction after brow lift. Before and after upper eyelid surgery. Upper eyelid surgery review. This is a real model with consent for disclosure.

The outer side of the eyes, which had seemed overly raised before surgery, improved, and overall the eye shape looks softer.

Through upper eyelid plastic surgery and eye shape correction, the eyes became rounder, and the shape and position of the eyebrows look much more relaxed.

Oblique crease after brow lift. Brow lift complication. Before and after surgery. One month after upper eyelid surgery. This is a real model with consent for disclosure.

Because it is one month after surgery, the scar from the upper eyelid plastic surgery is slightly visible, but as more time passes, the scar will become much less noticeable.

In upper eyelid plastic surgery, by removing skin in a way that offsets the direction of the skin lift from the previous brow lift, the abnormal diagonal crease at the inner corner of the eye can be seen to have almost disappeared.

Upper eyelid surgery review. Before and after upper eyelid surgery. Upper eyelid surgery in the 50s. Upper eyelid surgery in the 60s.

Brow lift surgery is a good way to address sagging eyelids, but

there may be cases where the outer corner of the eyes is raised excessively or unnatural wrinkles form at the inner front of the eyes.

In such cases, customized design that takes into account each patient’s anatomical characteristics and the direction of the previous surgery is important.

As in this case, natural and soft eye shape can be restored through delicate eye shape adjustment and resolution of tissue adhesions.