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Sub-brow Eyelid Lift

As we age and our bodies naturally slow down collagen and elastin production, it is only natural that we all will experience skin laxity. Skin laxity causes loose, crepey skin that contributes to an aged, tired appearance. The good news is that you don’t have to live with it!

There are several procedures that target the sagging skin on or around the eyes, many of which are mostly intended for patients of Asian ancestry, as the procedures focus on symptoms most often experienced by Asian ethnicities. That is not to say, however, that they are only experienced by patients of Asian ancestry, but these procedures are most often sought out by those of Asian ancestry and therefore require a surgeon who is knowledgeable in Asian anatomy. This demand has created a whole subset of cosmetic procedures for Asian Eyes.

One of these procedures, focusing on lateral hooding, is the Sub-Brow Eyelid Lift or Subbrow Blepharoplasty (SBB). 


What is a sub-brow lift?

SBB targets lateral hooding or sagging upper eyelids by removing excess skin and fat directly below the eyebrow. The underlying muscles are then tightened, bringing the drooping skin upward. The incision is made in a way that any resulting scar will be hidden by the eyebrow. The procedure is done under local anesthetic in around 45 minutes. 

The result from SBB is energetic, youthful-looking eyes. This procedure can also help resolve issues other than drooping eyebrows, such as forehead wrinkles and asymmetrical eyebrows.


Who is a good candidate?

SBB is especially good for patients with an existing double fold who are experiencing sagging on the eyelid. It is also a good option for double eyelid surgery candidates who do not have significant wrinkles to hide eyelid incision but have excess skin past the outer corner of the eyelid (lateral cathus). This symptom of aging is most often seen in patients of Asian ancestry because the skin of the upper eyelid tends to be thicker and therefore is more prone to drooping.

The other benefit of the sub-brow eyelid lift is that in some patients, the eyelid skin incision is avoided which prevents a potentially thick crease. Though this sagging of the upper eyelid is considered a sign of aging, it can begin at any age and patients are sometimes as young as in their 20’s.


Sub-brow Eyelid Lift or Double Eyelid Surgery? What’s the difference?

Many Asians are born without creases in their eyelids, also known as a monolid. This can be corrected with Asian double eyelid surgery or Asian blepharoplasty, which divides a monolid into two parts, creating a natural fold and crease that is commonly seen in Asian anatomy. The result is wider, more open eyes. A sub-brow lift specifically targets sagging skin and heaviness of the outer portion of the upper eyelid, but will not create a crease which is why it is best suited for those who have an existing one, either naturally or from a previous procedure. It is also possible to combine the two procedures.



Post-surgery, you will experience some swelling and bruising, but shouldn’t experience extreme pain. Swelling should subside in one week and it can take between 2 and 4 weeks to disappear completely.

One week after your procedure, you will return to Dr. Amadi’s office for a follow-up appointment and to have your sutures removed. The scar will be pink for a few weeks but it is often well hidden by eyebrow hair, or eyebrow tattoo if the patient has tattooed eyebrows. 

Most patients can return to their regular routine within a day or two post-surgery, though they should avoid strenuous activity.


Risks and Complications

As with any surgical procedure, there are possible risks and complications, however there are few associated with sub-brow lifts, especially when performed by a reputable surgeon such as Dr. Amadi. The most common risks are visible scarring, asymmetrical brows and/or asymmetrical supratarsal folds, and hypertrophic scarring. 

Oversection can lead to lagophthalmos and in some rare cases, lid lag. These last complications are mostly associated with procedures performed by inexperienced surgeons.


Why Dr. Amadi?

For these procedures to be performed properly, it is necessary to find a cosmetic surgeon with advanced knowledge and understanding of Asian anatomy, specifically the eyes. Dr. Amadi has extensive experience performing Asian eyelid surgeries. He has published research on the subject and has travelled overseas to South Korea to train and master his skill with internationally renowned Asian Eyelid Surgery Specialists. With his skills, and ability to listen to his patients’ wishes, you can rest assured that you are in the most capable hands. Dr. Amadi will do everything to ensure that you achieve your most desired outcome.

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Take the next step to a more youthful and rejuvenated appearance. Schedule a consultation with Dr. Amadi, our board certified Oculofacial Plastic Surgeon today.

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