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Occasionally the appearance of excess upper eyelid skin is caused by a lowering of the eyebrows. This operation restores the brow to a more youthful elevated position using either surgical telescopes with small incisions in the hairline or removal of skin at the hairline. Alternatively an incision in the upper part of the brow can be used.

The surgery is performed under general anaesthetic usually as a day case procedure but often is combined with other procedures such as eyelid surgery. Skin sutures are removed at 1 week and any scalp sutures or staples at 2 weeks. As with most facial procedures resting in an upright position is advised to minimise bruising and swelling. Fortunately complications are uncommon but can include damage to sensory or even motor nerves; some altered scalp sensation is expected and usually temporary.

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