Sub-Brow Eyelid Lift

Sub-Brow Eyelid Lift (sub-brow upper blepharoplasty)

A sub-brow eyelid lift (sub-brow upper blepharoplasty) is an alternative to standard upper blepharoplasty for the correction of droopy upper eyelids. In standard upper blepharoplasty, the incision is made on the upper eyelid skin. In a sub-brow eyelid lift, the incision is made on the lower margin of the brow. The decision to use either upper blepharoplasty or sub-brow eyelid lift to correct droopy upper eyelid depends on the droopy eyelid’s condition and the patient’s preference.

Preparation

1. 1. 1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.

      2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.

      3. Stop the following medications and supplements from one week before surgery until one week after surgery:

      4. Stop the following medications and supplements from one week before surgery until one week after surgery.

         1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.

         2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.

      5. On the day of surgery, wear simple and comfortable clothing and do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

      6. Bring a pair of sunglasses on the day of surgery for use after surgery.

Surgery

Duration: One hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required.

Recovery*: Back to work in one to 3 days, light exercise after one week, heavy exercise after 2-3 weeks. * The actual speed of recovery may vary from person to person.

Surgery Technique: An incision is on the lower margin of the brow. The excess skin is removed followed by lifting and fixing of the upper eyelid skin.

Post-operative Care**

1. 1. 1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that. Post-operative pain is usually minimal.

      2. General care:

         1. Apply cold pack in the first 3 days and then warm pack in the following 3 days. Elevate the head during sleep to reduce swelling.

         2. Avoid smoking for at least one month. Smoking increases the risk of wound complications.

         3. Good rest and adequate sleep are helpful for a speedy recovery.

         4. Be relaxed and calm. Contact the clinic if there are any queries.

      3. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.

      4. Wound care: Clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment. No wound dressings are required.

      5. Physical activity: Avoid heavy physical activities and exercises for at least one month.

      6. Follow-up: Come back one week after surgery for suture removal and review.

      7. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, contact the clinic/doctor for advice immediately.

** The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.