ORIGINAL RESEARCH article
Front. Surg.
Sec. Reconstructive and Plastic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1658806
This article is part of the Research TopicReconstructive and Aesthetic Surgery of the Face: New Frontiers in Research and Clinical ApplicationsView all 5 articles
Evaluation of Morphological and Psychological Outcomes After Sub-Brow Blepharoplasty
Provisionally accepted
- 1Guizhou Medical University, Guiyang, China
- 2Zhuhai City People's Hospital, Zhuhai, China
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Purpose: Periorbital aging commonly presents with upper eyelid laxity and brow descent. Sub-brow blepharoplasty is a promising surgical intervention to address these concerns. This study aimed to evaluate both morphological and psychological outcomes of sub-brow blepharoplasty in a Chinese population. Methods: Sixty-four patients undergoing sub-brow blepharoplasty at the Plastic Surgery Department of Guizhou Medical University (January 2022 – October 2023) were enrolled. All surgeries were performed by the same surgeon. Standardized follow-ups occurred postoperatively at T1 (immediately), T2 (1 month), and T3 (6 months), with preoperative evaluation at T0. Morphological changes were assessed through standardized photography, measuring brow, eyelid, and canthal positions. Psychological outcomes were assessed using the Social Appearance Anxiety Scale (SAAS). Patient satisfaction was recorded at final follow-up. Results: Of the 64 patients, 49 (98 eyes) completed all follow-ups (mean follow-up: 7.5 months; follow-up rate: 76.56%). Significant improvements were observed in all morphological indices and SAAS scores postoperatively (P<0.05). No postoperative complications occurred. At final follow-up, 71.43% of patients were extremely satisfied, 22.45% satisfied, and 6.12% neutral—yielding a 93.88% overall satisfaction rate. Conclusion: Sub-brow blepharoplasty significantly improves eyebrow position, facial aesthetics, and reduces social appearance anxiety with high patient satisfaction and minimal risk.
Keywords: Sub-brow blepharoplasty, Eyebrow height, Eyebrow-Eye Integration, Facial aesthetics, Social appearance anxiety
Received: 03 Jul 2025; Accepted: 29 Aug 2025.
Copyright: © 2025 Wang, Li and Pang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Mengru Pang, Guizhou Medical University, Guiyang, China
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