The effect of upper lid blepharoplasty on forehead and glabellar lines

Purpose: To assess the role of upper blepharoplasty on probable reduction of forehead horizontal lines and glabellar frowns in patients who underwent upper eyelid blepharoplasty. Design: This is a prospective study on 32 female patients with aged between 35 and 75 years and underwent standard blepharoplasty. Method: Measurement of mid brow to hairline distance (MBHLD) and inter brow distance (IBD) were performed within 3 days before, 1 and 6 months after the blepharoplasty surgery. The surgeon and patients reported the extent of their satisfaction about the beneficial effect of upper lid blepharoplasty on decreasing forehead and glabellar lines. Results: Compared to MBHLD at baseline time before the surgery, significant increase was observed in MDHLD after 1 and 6 months follow up in both eyes (p-values were less than 0.05). IBD reached the significant increase after 1 and 6 month(s) after upper lid blepharoplasty (p-values were less than 0.05). On the other hand, compared to mean of IBD in 1 month after surgery, IBD decreased significantly. 59.3% of patients reported satisfaction of high level of improvement in lessening of wrinkles. Conclusion: Our observations documented the beneficial effects in reducing the forehead and glabellar line in patients who underwent upper lid blepharoplasty.