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Aesthetic Analysis of Alteration of Eyebrow Position After Double Eyelidplasty

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  • Oculoplastic
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Abstract

Background

There is an anecdotal belief among some surgeons performing Asian eyelid surgery that double eyelid surgery itself decreases eyebrow position. However, the exact amount of descent and the specific changes in the proportion of facial aesthetics are unknown.

Purpose

The goal of this study is to determine whether there indeed is a change in brow position after double eyelidplasty and to quantify the proportional differences associated with the change. The three-point double eyelids surgery method was used so that the change in the brow position is solely attributed to the surgery itself and not to the excision of redundant skin.

Methods

From January 2016 to December 2017, double eyelid surgery using the three-point technique was performed on 204 patients who did not require skin excision. Their pre- and postoperative photographs were standardized and analyzed. The ratio of the length between the upper edge of the eyebrow and the edge of the lower eyelid (A) and the length between the edge of the lower eyelid and the nasal base (B) as well as the subsequent change in the midfacial proportion was measured and analyzed.

Results

There was a statistically significant brow descent after double eyelidplasty. The average preoperative A/B was 0.71 and the average postoperative A/B was 0.67 (P < 0.001). Although the eyebrow distance did not change in 32.5% of patients, the remaining cohort showed average brow descent of 5.6%. And in this cohort that showed descent, linear regression showed that there was a correlation between the ratio of pre- and postoperative eyebrow distance

Conclusion

Double eyelid surgery can lower the eyebrow in patients with foldless eyelids. This is in accordance with clinical observation in Asian blepharoplasty. In addition, there are associated changes in the proportion of midfacial aesthetics after the surgery. Such knowledge can be helpful in preoperative consulting with patients as well as in predicting postoperative results.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China

    Lianji Xu, Tao Ma, Junyi Zhang & Xinming Han

  2. Nuveau Plastic Surgery, Houston, TX, USA

    Edward Ilho Lee

  3. Gyalumhan Plastic Surgery, Seoul, South Korea

    Tae Joo Ahn

Authors
  1. Lianji Xu
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  2. Edward Ilho Lee
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  3. Tao Ma
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  4. Junyi Zhang
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  5. Xinming Han
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  6. Tae Joo Ahn
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Correspondence to Tae Joo Ahn.

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Informed consent was obtained from all individual participants included in the study.

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Xu, L., Lee, E.I., Ma, T. et al. Aesthetic Analysis of Alteration of Eyebrow Position After Double Eyelidplasty. Aesth Plast Surg 44, 373–378 (2020). https://doi.org/10.1007/s00266-019-01590-4

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  • DOI: https://doi.org/10.1007/s00266-019-01590-4

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