When it comes to facial aesthetics, the interplay between the eyes and brows holds a central role in conveying emotion, youth, and vitality. Among the many advanced surgical techniques available today, internal browpexy, often performed in conjunction with an upper eyelid blepharoplasty, offers a refined solution for patients seeking subtle yet transformative rejuvenation of the upper eyelids. Here we explore the nuances of this innovative procedure, its benefits, and why it has become a favored choice for both surgeons and patients.
What Is Internal/Transblepharoplasty Browpexy?
Internal (transblepharoplasty) browpexy is a minimally invasive surgical technique that stabilizes and repositions the brow through the same incision used for upper eyelid surgery (blepharoplasty). By utilizing the transblepharoplasty approach, the procedure avoids the need for external brow incisions, minimizing scarring and recovery time. I typically elevate and secure the brow in a natural, youthful position using internal sutures, anchoring the tissues to stable structures within the orbital rim.
This dual-purpose approach not only rejuvenates the upper eyelid but also addresses brow ptosis (drooping), creating a harmonious and refreshed appearance.
Who Is a Candidate for Internal Browpexy?
Internal browpexy is ideal for patients who:
Have mild to moderate brow descent.
Experience heaviness of the upper eyelids due to both excess eyelid skin and brow drooping.
Desire a subtle lift without the more dramatic effect of a full brow lift.
Prefer minimal scarring and downtime.
Seek a combined solution for brow and eyelid rejuvenation.
It is particularly effective for individuals who wish to maintain a natural appearance, avoiding the over-elevated or "surprised" look that can sometimes result from more aggressive brow procedures.
The Procedure: What to Expect
An internal browpexy is often performed under local anesthesia at the same as an upper eyelid blepharoplasty. Here’s an overview of the procedure:
Incision Placement: I typically place a precise incision in the natural crease of the upper eyelid.
Addressing Brow Ptosis: Through this incision, I carefully elevate the brow tissues and stabilize them using internal sutures. These sutures are anchored to robust, stable structures such as the periosteum of the orbital rim, ensuring long-lasting results.
Eyelid Rejuvenation: Excess skin and fat from the upper eyelid are removed or sculpted as needed, refining the overall appearance.
Closure: The incision is meticulously closed, leaving a virtually invisible scar within the natural eyelid crease.
The entire procedure typically takes less than an hour to perform, and can be combined with additional surgeries, such as lower blepharoplasty or laser resurfacing.
Benefits of Internal Browpexy
Minimally Invasive: The use of a transblepharoplasty approach eliminates the need for external brow incisions, reducing visible scarring.
Natural Results: By subtly repositioning and recontouring the brow and addressing eyelid concerns simultaneously, the procedure maintains a balanced and harmonious look.
Shorter Recovery: Patients typically experience less downtime compared to traditional brow lift surgeries, with many resuming normal activities within 1 to 2 weeks.
Combination Approach: Internal browpexy enhances the results of blepharoplasty, addressing both upper eyelid skin excess and brow descent in a single procedure.
Customizable: The degree of lift can be tailored to the patient's anatomy and aesthetic goals, ensuring highly personalized results.
Recovery and Aftercare
After the procedure, patients may experience mild swelling, bruising, and tightness around the eyes and brows. These effects typically resolve within a few weeks. Here are some tips to ensure a smooth recovery:
Follow Post-Operative Instructions: Adhere to the after surgery guidelines for cleaning the incision site and applying prescribed ointments.
Manage Swelling: Use cold compresses to reduce swelling.
Avoid Strain: Refrain from heavy lifting, bending, or strenuous activities during the initial recovery period.
Protect Your Eyes: Wear sunglasses and avoid direct sun exposure to protect the healing tissues.
Attend Follow-Up Appointments: Regular check-ins will ensure proper healing and optimal results.
Why Choose Internal Browpexy?
For patients seeking a refined yet impactful improvement in their upper face, an internal browpexy offers a compelling option. The procedure’s minimally invasive nature, natural-looking results, and ability to address both brow and eyelid concerns make it a standout choice in facial rejuvenation. Moreover, its adaptability allows surgeons to tailor the approach to each patient’s unique anatomy and aesthetic goals.
Conclusion
Internal/transblepharoplasty browpexy exemplifies the marriage of artistry and precision in modern cosmetic surgery. By addressing brow ptosis and upper eyelid concerns in a seamless, minimally invasive manner, it delivers results that are both transformative and natural. If you’re considering eyelid or brow rejuvenation, consult with a skilled oculoplastic or facial plastic surgeon to explore whether this innovative technique is right for you.
Your eyes are the focal point of your face—let them shine with youthful vitality!
Dr. Abboud is an oculofacial plastic surgeon in San Diego who is an expert on cosmetic eyelid surgery. He is board-certified by the American Board of Ophthalmology (AAO) and is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS).
For more information about treatment options for festoons and under eyelid rejuvenation, or to schedule a consultation with Dr. Abboud for personalized advice on eyelid surgery, call our office at 858.356.2647
These are images of actual patients of Dr. Jean-Paul Abboud. They are shown for informational purposes only and are provided with written patient consent for use on this website. Please do not copy or distribute images/videos. Each individual’s treatment and/or results will vary, and no guarantee is stated or implied by any photo or statement used on this website.
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