Abstract

Involutional brow ptosis is generally more pronounced in the lateral brow than the medial brow (Techniques in Ophthalmic Plastic Surgery, Philadelphia, 2010). Brow ptosis can become visually significant, restricting the superior and lateral field of vision. The internal lateral browpexy can be used to correct mild lateral brow ptosis through an eyelid crease incision (Colour Atlas of Ophthalmic Plastic Surgery, Boston, 2008). This procedure may be performed in combination with an upper eyelid blepharoplasty and browplasty without additional incisions (Plastic and Reconstructive Surgery 86:248–254, 1990). Moderate amounts of brow ptosis are better corrected with a direct, mid-forehead, pretrichial, or endoscopic brow lift (Colour Atlas of Ophthalmic Plastic Surgery, Boston, 2008).

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