In older Asian patients in whom the upper eyelid skin has lost elasticity and stretched but who don't want to introduce a new eyelid crease or alter the crease now present, the incision to remove excess skin may be placed immediately below the brow.

Best candidates are in their late thirties and up and have enough skin wrinkling to hide the scar.

The procedure is especially effective in relieving "lateral hooding," or droopiness of the skin along the outer end of the eyelids.

Infrabrow blephaorplasty (also called subbrow blepharoplasty) can be helpful in patients who desire skin removal but have already undergone several previous double eyelid operations earlier in life and have substantial inner scarring.

Because the eyelid itself is not undergoing surgery, the operation cannot address accompanying problems such as ptosis, fat bulging, or hollowness.

Instead, infrabrow upper blepharoplasty is a simpler operation that is more appropriate for decreasing skin overhang that may be interfering with vision or who desire a mild rejuvenation.

Infrabrow blepharoplasty is seldom an appropriate choice for younger patients and cannot be used to form a double eyelid.