The effect of blepharoplasty surgery is that the skin and orbicular muscle are resected together on the eyebrow position

Abstract

Abstract Purpose: This study aimed to evaluate the effect of excision of the narrow orbicularis oculi strip in cosmetic upper eyelid blepharoplasty on eyebrow position and balance of muscles determining eyebrow position in favor of elevation. Methods: Present study evaluated the influence of skin and 3 mm orbicularis strip resection during cosmetic upper blepharoplasty on eyebrow position. This Retrospective study included a review of patients undergoing cosmetic upper blepharoplasty that skin and orbicularis strip were resected between September 2020 and March 2022. Patients with visual field complaints, a prior history of upper or lower lid blepharoplasty, browpexy surgery, or ptosis repair were excluded. Digital photographs were analyzed using NIH ImageJ software to measure preoperative and postoperative eyebrow height as the vertical distance from the center of the pupil to the lowest eyebrow hair. All patients were monitored for nine months after the surgical procedure. During the follow-up period, it was ensured that minimally invasive or invasive intervention was not made that can change eyebrow position. Results: According to the results, no significant change was observed in eyebrow height after the surgical procedure in patients who have undergone 3 mm orbicular strip excision during upper eyelid blepharoplasty surgery. The mean eyebrow height was 17.78 mm prior to surgery and 17.67mm after surgery. The mean change was -0.11 mm, which was not statistically significant. (p=0.24) Conclusion: The present study implies that 3 mm orbicularis muscle resection did not cause any change in eyebrow position and suggests that orbicular resection may not cause any loss of function in the eyebrow depressor muscles.