Combined Sub-Brow Lift and Upper Blepharoplasty to Minimize the Supratarsal Fold Thickness and Lateral Hooding: A Concept and Review of Cases

Despite upper blepharoplasty being the most popular periorbital rejuvenation surgical procedure, in Asians with moderate to severe blepharochalasis, the occurrence of postoperative puffy supratarsal fold (double eyelid) and residual lateral hooding is not uncommon. A qualitative retrospective analysis of before and after photos of 268 cases of combined sub-brow lift and upper blepharoplasty was done. A substantial number of cases had satisfying supratarsal fold thickness and improvement in lateral hooding. A combined sub-brow lift and upper blepharoplasty is an effective method to reduce the supratarsal fold thickness and lateral hooding in Asians with moderate to severe blepharochalasis.