Upper Eyelid Blepharoplasty Improved the Overall Periorbital Aesthetics Ratio by Enhancing Harmony Between the Eyes and Eyebrows

Abstract

Purpose In upper eyelid blepharoplasty, most aesthetic surgeons and patients focus on improvements in the appearance of the upper eyelids, such as changing the vertical dimension of the palpebral fissure and the width of the pretarsal crease. Nevertheless, appropriately balanced periorbital aesthetics stemming from harmony between the eyelids and eyebrows is often ignored. The aim of this study was to explore the use of upper eyelid blepharoplasty to improve the overall periorbital aesthetics by enhancing the harmony between the eyes and eyebrows in young Asian women. Patients and Methods From December 2019 to December 2020, 45 young Asian female patients underwent external incision upper eyelidplasty without ptosis repair or brow lift at The Second Affiliated Hospital of Harbin Medical University. The pre- and 6-month post-operative follow-up changes in the overall periorbital aesthetics were studied retrospectively. Results The vertical position of the eyebrows in the upper face and shape of the brow apex were significantly improved after surgery. As a result, the height of the upper face was increased. Furthermore, the facial width proportion and midface ratio were closer to the ideal aesthetic golden ratio due to changes in the size of the periorbital area. All patients were satisfied with the result, and they achieved excellent surgical outcomes for not only the upper eyelids but also the overall periorbital region. Conclusion This study revealed that upper eyelid blepharoplasty, which enhances the appearance of the upper eyelids while regulating the eyelid position and shape of the eyebrows by considering the eye to eyebrow ratio, optimizes the proportion of the periorbital area and improves the overall periorbital aesthetics.

Aesthetic considerations for treating the Asian patient: Thriving in diversity international roundtable series

“…Due to the combination of thicker skin, retruded orbital rims, and shallow orbits, hooding or heaviness in the upper eyelids is a commonly encountered concern 1,27 . For the Asian patient, opening the eye and creating a rounder shape creates a more youthful and attractive appearance.…”

“…Due to the combination of thicker skin, retruded orbital rims, and shallow orbits, hooding or heaviness in the upper eyelids is a commonly encountered concern. 1,27 For the Asian patient, opening the eye and creating a rounder shape creates a more youthful and attractive appearance. The positive impact of aesthetic interventions on first impressions is known, 28,29 and ensuring an open and inviting expression for the eyes in particular is central to positive interpersonal interactions.…”

The Aesthetic Evaluation of the Brow-Eye Continuum After Correction of Severe Congenital Ptosis in Children With Extended Frontalis Muscle Advancement Technique

“…In ptosis surgery and blepharoplasty, there is an intricate interrelationship between the eyebrow and the upper eyelid. Eyebrow ptosis is common after blepharoplasty 10–12 . High eyebrow position and small palpebral fissures in Asians are often perceived as a lack of energy.…”

“…Eyebrow ptosis is common after blepharoplasty. [10][11][12] High eyebrow position and small palpebral fissures in Asians are often perceived as a lack of energy. Corrective surgery can alleviate such concerns by improving eye-opening and reducing forehead wrinkles and eyebrow position.…”

Laser‐assisted blepharoplasty: An innovative safe and effective technique

“…Due to significant advancements in facial esthetics, blepharoplasty in particular has remained one of the most popular esthetic procedures with an acceptable risk profile and a relatively quick procedure 3 . It can give the orbital regions a more relaxed appearance, as evidenced by a wider palpebral aperture, increased symmetry, and smoother eyelids 4 . Different techniques have been proposed during the years, 5–9 sometimes in combination with other facial and skin rejuvenation procedures such as brow or mid‐face lift, lasers, or chemical skin resurfacing 10 .…”