Periorbital Rejuvenation Brow Lift Workup

Updated: Jun 26, 2018
  • Author: Gregory Gary Caputy, MD, PhD, FICS; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
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Laboratory Studies

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


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.


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. [4]


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