Meronk - Brow Stabilization By Internal Browpexy in Photos

Internal Brow Stabilization by Browpexy
Through Blepharoplasty Incision

Actual surgery photos

Note: This photo series is presented for archival reference only.
Because browpexy is short-lasting, we rarely employ this procedure.

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Patient had undergone previous upper blepharoplasty elsewhere at a much younger age and now desires stabilization of a drooping brow without extensive forehead surgery.

1. Incision made in eyelid skin (in this
case small because of previous surgery)

2. Skin removed; dissection into deeper
level of eyelid

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3. Dissection from inside the incision
exposing bone underneath the brow

4. Suture first passed through the soft
tissue underlying the eyebrow

5. Same suture next passed through
the lining of orbital bone (periosteum)

6. Suture now in place will anchor the
brow to bone at a higher level

7. Second similar suture fixation created
to establish proper height and contour

8. Sutures cut and left permanently
in place

Before

Immediately After
(Note improved brow shape and height.
Patient's eye is closed due to sedation)

(Surgery by Dr. Frank Meronk)


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