The sub-brow (also known as infra-brow) blepharoplasty approach involves the removal of excess upper eyelid skin via an incision made at the inferior brow line. This allows the natural upper lid crease to be retained and avoids an unnatural looking eyelid when the thicker superior skin is sutured to the thinner skin just above the eyelashes, as happens with the traditional incisional upper blepharoplasty approach.
A browpexy for a droopy brow can be performed simultaneously if needed. The downside is the scar at the inferior eyebrow, which usually heals well and can be tattooed over but will be visible for about 1 to 2 months. Additionally, the levator muscle of the upper eyelid cannot be addressed properly through this approach.
