Browplasty Workup

Updated: Nov 02, 2018
  • Author: J David Kriet, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Laboratory Studies

See the list below:

  • In general, only studies indicated to evaluate underlying medical conditions and ensure safe anesthesia are necessary. Routine preoperative blood work is not obtained.

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Other Tests

See the list below:

  • Visual-field testing

    • Visual field testing may be helpful for documenting the severity of brow ptosis.

    • During testing, 2 sets of visual fields are obtained, one with the brow in the relaxed, ptotic state and one with the brow in the elevated (ie, taped) position.

    • Improvement in the visual field is then documented, as depicted in the images below.

      Preoperative photograph of 61-year-old man concern Preoperative photograph of 61-year-old man concerned with visual-field limitation in superior and lateral gaze. Note marked brow ptosis and dermatochalasis with hooding. This patient is a candidate for functional browplasty and blepharoplasty.
      Visual-field test of 61-year-old man concerned wit Visual-field test of 61-year-old man concerned with visual-field limitation in superior and lateral gaze. Note the dramatic improvement in visual fields when the brows and upper eyelid skin are elevated and taped (blue line, relaxed; red line, taped; green area, visual-field improvement).
      Photograph of 61-year-old man concerned with visua Photograph of 61-year-old man concerned with visual-field limitation in superior and lateral gaze, two months following endoscopic browlift and upper and lower blepharoplasties. The patient's visual-field complaints resolved with surgery.
    • This test is generally reserved for patients with functional brow ptosis and is sometimes required by insurance carriers as part of the precertification process.

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