Direct Brow Lift Combined with Suspension of the Orbicularis Oculi Muscle
A 63-year-old female presented with frontal heaviness and frequent erosion at the lateral canthal areas. The ptotic lateral eyebrows were camouflaged by tattoos, and her inborn suprapalpebral folds were covered by hanging lid skin. She also had weak levator function. Frontal furrows compensated for the ptotic eyebrows and weak levator function. A 10-mm skin strip, including part of a tattoo, was excised from each side. In , her eyebrows are too high due to the compensatory contraction of the frontalis muscle for her weak levator muscle function; however, they fell after upper blepharoplasty with enforced levator function. The scar was acceptable even in the presence of postoperative persistent increased frontalis tone in a close-up view ().