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Surgical Pearls
July 25, 2019

Brassiere Suture Technique in Upper Eyelid Blepharoplasty

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Minnesota, Minneapolis
JAMA Facial Plast Surg. 2019;21(5):458-459. doi:10.1001/jamafacial.2019.0413

The pursuit of a youthful, rejuvenated upper eyelid and brow complex has led to the development of various modifications and adjunctive procedures in cosmetic blepharoplasty. Previously a procedure that focused on the removal of excess skin, muscle, and variable amounts of fat, modern blepharoplasty now focuses on optimizing volume and contour. Accordingly, the brassiere suture technique, alternatively known as the brow fat pad suspension suture or browpexy variant, is being used for this purpose. Unlike a true browpexy that aims to reposition the brow, the suture acts to support the brow fat pad and suspend the infrabrow soft tissues. The resulting increase in the tarsal platform show and preserved volume contribute to a more aesthetic, youthful brow-eyelid complex.