The "classical" eyebrow medially originates from a vertical line drawn through the site of the nose wing transition into the facial tissues.
When examining the patient for changes in the upper third of the face, he must be in front of the mirror. Evaluation of the forehead and eyes is performed when the patient's head is in accordance with the Frankfurt horizontal plane.
In most patients, during the endoscopic forehead lift and the middle part of the face, it is necessary to tackle the lower eyelids, either by excising the skin or by laser resurfacing.
The success of the plastic surgery of the upper eyelids begins with the artist's understanding of the relationships of the upper eyelids, the eyebrows, the forehead, the ocular bone boundaries, and also with the general idea of the concept of a beautiful face.
Evaluation begins with a simple observation when talking with the patient. The position of the eyebrows on the moving face and at rest is noted.
Most often, the plastic of the upper eyelids can be performed on an outpatient basis, under local anesthesia with minimal preoperative and intraoperative drug support.
In men, the surgeon must be extremely conservative. Usually they have a lateral edge of the incision not to extend beyond the attachment of the lateral angle of the eye gap.
Patients are prescribed rest until the end of the day, preferably in a position on the back with two pillows. In the daytime, ice packs are continuously used; several times a day, an ophthalmic ointment is applied to the incisions.
The natural transitory consequences of plastics of the upper eyelids are erythema along the incision, a feeling of tension or a minimal sensation of friction, numbness and edema of the eyelids, more noticeable in the lateral half of the surgical wound.
Given the subtle nature of the structural composition of the eyelids and their vital role in protecting the visual analyzer, iatrogenic interventions in the anatomy of the eyelids should be done carefully, accurately and with thoughtful consideration of existing soft tissue structures.