Brassiere Brow Contouring Technique

In this surgical video, Dr. Roberto Limongi demonstrates the brassiere brow contouring technique. He uses this method to fixate the orbicularis oculi muscle to the superior lateral orbital rim periosteum and stabilize the lateral brow fat pad during blepharoplasty; this technique avoids inferior displacement of the tissue caudal to the incision. To avoid lagophthalmos, Dr. Limongi advises that the most medial suture should not be placed medially to the lateral limbus line.

References: 

• The Brow Fat Pad Suspension Suture: Safety Profile and Clinical Observations. Eftekhari K, Peng GL, Landsberger H, Douglas R, Massry GG. Ophthalmic Plast Reconstr Surg. 2018 Jan/Feb;34(1):7-12. 
• Tarsal platform show after upper eyelid blepharoplasty with or without brassiere sutures. Figueiredo MN, Tao J, Akaishi P, Limongi RM. Arq Bras Oftalmol. 2017 Nov-Dec;80(6):345-349.
• The Quantitated Internal Suture Browpexy: Comparison of Two Brow-Lifting Techniques in Patients Undergoing Upper Blepharoplasty. Baker MS, Shams PN, Allen RC. Ophthalmic Plast Reconstr Surg. 2016 May-Jun;32(3):204-6.
• Minimally invasive surgical adjuncts to upper blepharoplasty. Briceño CA, Zhang-Nunes SX, Massry GG. Facial Plast Surg Clin North Am. 2015 May;23(2):137-51.

Relevant Financial Disclosures: None