Periorbital Rejuvenation Brow Lift Workup

Updated: Feb 09, 2016
  • Author: Gregory Gary Caputy, MD, PhD, FICS; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
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Workup

Laboratory Studies

Perform routine laboratory studies, depending on the general health of the patient, as required for routine cosmetic surgical procedures.

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Imaging Studies

If superior brow fullness is a problem and the lateral orbital rim will undergo burring, some preoperative evaluation of the area's bone thickness may be considered useful.

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Other Tests

Lower eyelid laxity (snap back test)

Draw the lower eyelid away from the globe using the index finger in a downward motion after placing it on the central lower eyelid skin. The lower eyelid should "snap back" quickly (1-2 s) to adhere to the globe once more. If it snaps back slowly, consider a lower eyelid tightening or canthal suspension procedure.

Visual acuity test

Routinely check visual acuity preoperatively.

Schirmer test

A tear-film test may be performed to test for true eye dryness preoperatively if dry eye symptoms are present. [2]

Exophthalmometer

If eye prominence is a problem, test true exophthalmos with an exophthalmometer. If found, consider referral to an endocrinologist or screening for hyperthyroidism.

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