External browpexy was demonstrated to be a viable alternative to internal browpexy in the enhancement of subjective outcomes after blepharoplasty, according to a study.
The procedure is designed to lift or stabilize the temporal brow during upper blepharoplasty surgery.
“The external browpexy is a minimally invasive, quick and simple temporal brow suspension that can be added to blepharoplasty to enhance results,” the study author said. “The procedure is offered as an alternative to standard internal browpexy, which in the author’s experience has been less reliable in attaining these outcomes.”
The researcher retrospectively reviewed the records of 28 patients who underwent external browpexy. Average patient age was 62 years; average postoperative follow-up was 6 months.
Five patients (18%) had unilateral browpexy and 27 (96%) had browpexy in conjunction with upper blepharoplasty. Four patients (14%) presented with solely cosmetic concerns; 24 patients (86%) reported visual deficits or a combination of cosmetic and functional concerns.
Study results showed no cases of cutaneous infection, suture abscess, granuloma or migration related to placement of the fixation suture. All patients reported mild pain and tenderness at the brow incision and swelling posterior to the brow fixation point in the immediate postoperative period. Pain and swelling resolved 3 to 4 weeks postoperatively. One patient had a mild scar after surgery.
All patients reported complete satisfaction with surgical outcomes, the author said.