Subbrow blepharoplasty for mild and moderate brow ptosis in Caucasians.

[PURPOSE] This study evaluates the effectiveness and clinical outcomes of subbrow blepharoplasty for treating upper eyelid skin fold due to mainly brow ptosis and lateral hooding in Caucasian patients with mild to moderate brow ptosis.

[METHODS] Between 2023 and 2024, 33 patients (25 female and 8 male, aged 47 to 71) underwent subbrow skin excision to address functional and cosmetic concerns. Six months post-procedure, we assessed patient satisfaction using a Likert-type scale and documented complications, scar visibility, and nerve-related symptoms to evaluate the procedure's outcomes.

[RESULTS] Feedback from patients revealed a high level of satisfaction with both functional and aesthetic results. Cases that emphasized functionality showed significant improvements in visual field metrics. Early complications following surgery were minimal, primarily limited to temporary redness and swelling. By the six-month follow-up, evident scarring was rare, and there were no reported cases of sensory deficits, lagophthalmos, or significant brow descent. Evaluations using a Likert scale indicated high satisfaction levels, with 25 patients (75.7%) reporting significant or considerable improvement.

[CONCLUSIONS] Subbrow blepharoplasty is an effective, minimally invasive procedure for addressing brow ptosis and lateral hooding in Caucasian patients. It boasts high satisfaction rates, minimal complications, and rarely results in visible scarring. These positive outcomes demonstrate its value as a preferred surgical option for patients seeking both functional and cosmetic improvements.