Abstract
Background Various surgical techniques have been developed to address senile upper eyelids. Upper blepharoplasty has limited efficacy in natural periorbital rejuvenation for severe lateral hooding of the upper eyelids, as well as often producing a 'surprised look'. Subbrow excision is a popular method in East Asia for the correction of eyelid drooping, especially on the lateral side as periorbital rejuvenation. However, medial up- per eyelid skin redundancy often tends to be undercorrected. Here, we present a few cases of revisional blepharoplasty, especially for medial crease formation, to improve aesthetic results. Methods Five patients, for a total of 10 eyelids, who underwent revisional blepharo- plasty from January 2011 to January 2015 after a previous subbrow excision, were in- cluded. Patients were dissatisfied with uncorrected excessive skin on the medial part of the upper eyelid after a previous subbrow excision; thus, they underwent revisional blepharoplasty for medial crease formation. Results During the follow-up period, patients were aesthetically satisfied with the post- operative results. No patients suffered from any complications during the follow-up period.
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