The Clinical Outcomes of Small-incision Browpexy

Purpose: To present clinical outcomes of small-incision browpexy in patients with mild brow ptosis without significant suprabrow skin redundancy. Methods: Eleven patients who underwent small-incision browpexy procedures were clinically evaluated over a period of 6 months, including a review of their charts. Small-incision browpexy was performed through two 5 mm incisions in the central and lateral brow. Measurements and comparisons were made of the preoperative and 6-month postoperative brow-to-pupil distance (BPD), the brow-to-medial canthus distance (BMCD), and the brow-to-lateral canthus distance (BLCD). Results: Postoperative BPD, BMCD, and BLCD increased 1.10 ± 0.89 mm, 0.20 ± 0.54 mm, and 1.37 ± 1.04 mm, respectively, in 11 patients (21 eyes). Results were statistically significant, in terms of change with BPD and BLCD (p=0.009, p<0.001), but not with BMCD (p=0.477). Conclusions: The small-incision browpexy is a useful brow-lifting procedure in mild brow ptosis. The procedure is quick, minimally invasive, and particularly effective in central and lateral brow ptosis.