Why a Sub-Brow Lift May Be Superior to Blepharoplasty for Sagging Eyelids?

When seeking rejuvenation for tired or drooping upper eyes, many patients immediately consider traditional eyelid surgery (Blepharoplasty). However, for a significant number of individuals, especially those with thicker eyelid skin or a specific brow position, the Sub-Brow Lift (Infra-Brow Lift) offers a far more natural, elegant, and anatomically superior result.

At SIAMSWAN, we specialize in advanced techniques that address the root cause of the sag, rather than merely removing skin from the eyelid itself.

When Traditional Blepharoplasty Falls Short

Traditional upper blepharoplasty removes excess skin directly at the eyelid crease. While effective for some, this approach can sometimes create an undesirable outcome for patients who already have heavy or "hooded" eyes, leading to:

  • Unnatural Thickness: When the skin above the crease is thick, removing more skin below it can narrow the space between the eyebrow and the lash line, resulting in an overly heavy or "sausage-like" appearance to the new crease.

  • Crease Distortion: It can sometimes pull the existing eyelid crease into an unnatural shape.

The Sub-Brow Advantage: Lifting from Above

The Sub-Brow Lift is a specialized procedure that strategically removes a crescent-shaped section of skin and fat directly beneath the natural arch of the eyebrow.

1. Preserving Natural Anatomy

This approach lifts the sagging skin from the upper portion of the eyelid, tightening the skin tension vertically. This action:

  • Opens the Gaze: Effectively removes the hooded appearance and addresses upper eyelid sagging.

  • Preserves the Crease: It leaves the original, natural eyelid crease completely untouched, ensuring the final look remains authentic and youthful.

  • Reduces Puffy Appearance: It works particularly well for individuals with thicker eyelid skin, eliminating the heaviness without creating an overly operated look.

2. Discreet Scar Placement

The incision is meticulously placed along the lower border of the eyebrow hairs. As the scar heals, it blends into the natural texture and shadow of the brow line, rendering it highly discreet—a key factor for patients seeking an unnoticeable refinement.

Who is the Ideal Candidate for an Infra-Brow Lift?

This procedure is typically recommended when:

  • The primary problem is sagging skin overwhelming the upper eyelid.

  • The patient desires a natural-looking lift without a drastically altered crease.

  • The patient already has a desirable eyelid crease they wish to uncover and preserve.

  • The patient wants to correct hooded eyes without narrowing the distance between the eyelid and the brow.

By choosing the Sub-Brow Lift, you are opting for a precise, sophisticated method that respects your anatomy while effectively reversing the signs of aging and fatigue.

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