Upper Blepharoplasty and Brow Rejuvenation in Men

Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features

“…Specifically, increased tarsal platform show with a higher supratarsal fold and higher and more arched brow are generally considered feminine and aesthetically desirable. 8,9 Our results show that brow lift can enhance anatomic features associated with perceived periocular femininity by increasing tarsal platform show and lash-to-brow distance. The values we found were clinically significant, as prior studies have shown that untrained observers detect differences in eyelid anatomic features measuring as little as 1 to 2 mm.…”

“…Tarsal platform show equal to one-third of the lash-to-brow distance is highly correlated with perceived youthfulness and femininity. 9,13,14 Our patient cohort approached, but did not quite achieve, this ratio after brow lift, and adding eyelid surgery could optimize this ratio. In addition, patients undergoing combined brow lift and eyelid surgery were significantly older than those who had brow lift only.…”

“…And previous studies carried out in cisgender populations note several ideal masculine and feminine eyelid anatomic features. Specifically, increased tarsal platform show with a higher supratarsal fold and higher and more arched brow are generally considered feminine and aesthetically desirable 8,9 . Our results show that brow lift can enhance anatomic features associated with perceived periocular femininity by increasing tarsal platform show and lash-to-brow distance.…”

“…In our study, upper lid blepharoplasty increased tarsal platform show. Tarsal platform show equal to 1/3 of the lash-to-brow distance is highly correlated with perceived youthfulness and femininity 9,13,14 . Our patient cohort approached, but did not quite achieve, this ratio after brow lift, and adding eyelid surgery could optimize this ratio.…”

Anthropometric Analysis of the Upper Eyelid and Eyebrow in Patients Attended by the Plastic and Reconstructive Surgery Service of the Hospital Central Sur De Petróleos Mexicanos

“…It is currently accepted that this shape is different between the sexes, being found in A. Costa-Dulché et al Journal of Biosciences and Medicines women up to 1 cm above the orbital rim and with a marked apex of the eyebrow, in men above the rim and with an apex that has a smaller angle. With increasing age, a decrease was observed in the distance from the orbital rim to the eyebrow and in the degrees of angulation of the apex, this is due to the increase in the laxity of the periocular tissues that decreases the fixations of the eyebrow [11].…”