Our Services > Subbrow Lifting

Lift Drooping Outer Corners with Hidden Incision Technique

Enhance your look with a naturally sharper finish

Droopy outer eye corner, or "sad eyes," is a condition commonly seen with aging, where the outer corners of the eyes sag lower than the inner corners, resulting in a tired and aged appearance. Even with adequate rest, this condition can persist. Subbrow lifting surgery is an effective method to address drooping outer corners by creating a hidden incision under the brow (Subbrow Lifting). This technique not only lifts the outer corners of the eyes but also enhances the eyelid fold for a refreshed, natural, and youthful appearance.

Causes of Drooping Outer Corners

Drooping outer corners can occur in everyone, although it may not directly affect daily activities. However, it can significantly impact one’s confidence and appearance, as it makes the face look tired or dull despite adequate rest. The primary causes of drooping outer corners include:

1. Aging

As we age, the skin, muscles, and tissues begin to degrade, causing the outer eyelid skin to sag. This results in drooping outer corners and can even cause the eyelid skin to sag as well, often seen in individuals aged 40 and above.

2. Decrease in Collagen and Elastin

As people age and engage in risky behaviors like smoking or frequent sun exposure, collagen and elastin levels in the skin decrease, leading to sagging and drooping eyelids.

3. Genetics

For some, drooping outer corners can appear early, around the ages of 20-30, due to weak skin structure around the eyes, inherited genetically.

4. Daily Lifestyle Habits

Certain behaviors such as excessive eye rubbing, prolonged screen time, insufficient sleep, and stress can accelerate the degradation of tissues around the eyes, leading to earlier signs of sagging outer corners.

Subbrow Lifting Surgery (Hidden Incision Under the Brow)

Subbrow lifting surgery is designed to correct drooping outer corners caused by excess sagging skin and fat. This surgery is commonly performed for those with aging eyes or drooping outer corners, and it can improve vision when the eyelid skin sags severely. The hidden incision technique is performed below the eyebrow to lift and tighten the skin naturally, enhancing the overall appearance of the eyes. Additionally, this procedure can also benefit individuals with pre-existing double eyelids who want a clearer eyelid fold and a more defined, natural-looking outer corner.

Our ophthalmologists will evaluate each case individually to ensure the right technique is chosen for the patient's needs and desired results.

Benefits of Subbrow Lifting Surgery

Subbrow Lifting surgery offers numerous advantages, making it an effective solution for drooping outer corners. These benefits include:

1. Hidden Incision for Seamless Results

The incision is made underneath the brow, ensuring it remains hidden. Once healed, the scar is nearly invisible, and the area blends naturally with the surrounding skin.

2. Lifts the Eyes Without Needing Double Eyelid Surgery

Ideal for those already with double eyelids who want a more defined fold or to reposition the outer corners for a “fox-eye” look, without changing the overall shape of the eyes.

3. Short Recovery Time

After surgery, most patients can return to their normal routine within a few days. Swelling and redness will gradually subside within 7-14 days.

4. No General Anesthesia Required

This is a minor surgery using local anesthesia, reducing the risks associated with general anesthesia and speeding up the recovery process.

Who is Suitable for Subbrow Lifting Surgery?

Subbrow lifting surgery is suitable for individuals who experience one or more of the following concerns: Drooping outer corners that make the eyes appear sad or tired. Excess skin or sagging skin beneath the eyes. Uneven eyelid folds on both sides. Individuals who already have double eyelids but want a clearer fold or more lifted outer corners. Those seeking a more defined, youthful look for their eyes.

Steps for Subbrow Lifting Surgery

Subbrow lifting surgery requires precision and accuracy, from planning the procedure to closing the incision with care to ensure it blends naturally with the brow. The process at BEA Clinic is tailored to each patient’s unique needs and includes the following four steps:

Step 1: Design and Anesthesia

The ophthalmologist will assess the eye shape, eyebrow curvature, the degree of sagging, and the amount of excess skin under the outer corner. The incision is then planned to align with the overall facial structure. Local anesthesia is applied, along with an anti-anxiety medication if needed.

Step 2: Making the Incision and Removing Excess Skin

After anesthesia takes effect, the surgeon makes a small incision under the eyebrow, following the pre-designed path. The excess skin and sagging tissue around the outer corner of the eye are carefully removed or redistributed.

Step 3: Tissue Layering and Suturing

The ophthalmologist meticulously repositions the tissue and sutures the incision with fine sutures, ensuring that the scar is hidden beneath the brow.

Step 4: Final Results

Once the incision heals, the outer corners will appear lifted, the eyelid fold will be more defined, and the eyes will appear more open, with no major changes to the overall eye shape. Results will be noticeable within 1-2 weeks and will become clearer as swelling subsides within 1-3 months.

Preparing for Subbrow Lifting Surgery

Proper preparation is key to ensuring a smooth surgery and minimizing risks of complications. Follow these guidelines:

Provide a full medical history, including any underlying conditions, medications, allergies, or previous surgeries.
Discontinue blood-thinning medications such as aspirin and ibuprofen at least one week before surgery.
Avoid makeup and skincare products around the eyes and eyebrows on the day of surgery, and remove contact lenses prior to surgery.
Refrain from alcohol and smoking for at least 2-3 days before surgery.
Rest adequately, at least 6-8 hours before surgery, and stay hydrated.
Have someone accompany you to the clinic, as you should not drive after surgery.

Post-Surgery Care for Subbrow Lifting Surgery

Proper post-surgery care is crucial for a quick recovery and optimal results. Follow these guidelines:

Avoid makeup, contact lenses, and skincare products around the eyes for at least one week after surgery.
Gently wash your face with a clean cloth, avoiding direct rubbing on the incision site.
Avoid touching or rubbing your eyes, as this can disrupt the healing process.
Refrain from heavy exercise, water sports, and sauna for at least 1 month after surgery.
Avoid smoking and drinking alcohol for 1 month post-surgery.
Sleep with your head elevated using 2 pillows during the first 3 days to reduce swelling and aid healing.
Avoid fermented or shellfish foods for the first month post-surgery.
Apply a cold compress gently around the eyes during the first 48 hours to reduce swelling.
Take medications as prescribed by your doctor, especially antibiotics, and consult your doctor if you notice any allergic reactions or issues.
Wear sunglasses when going outdoors to protect your eyes.
Attend follow-up appointments to remove stitches and ensure proper healing.

What to Know About Subbrow Lifting Surgery

With subbrow lifting surgery, the incision is hidden beneath the brow, making it almost invisible after healing. However, you may experience mild discomfort, swelling, and bruising around the eyes in the first 1-3 days. By following the prescribed aftercare, these symptoms will gradually subside, and the scar will fade.

Final results will be clear within 3-6 months, depending on individual healing. Although the body will continue to change with age, the subbrow lifting procedure provides long-lasting, natural results.

Possible complications are rare, but include:

Uneven outer corners.
Numbness around the incision site.
Abnormal bleeding from the incision.
Infection at the incision site.

Meet Our Ophthalmologist

Dr. Jirach Jatechayanon

Dr. Jirach Jatechayanon is an ophthalmologist at Bangkok Eye Aesthetics (BEA Clinic), specializing in eyelid surgery. He has extensive experience in subbrow lifting, double eyelid surgery, under-eye bag surgery, and eyelid skin treatments.

Bachelor of Medicine, Rangsit University
Board Certification in Ophthalmology, Khon Kaen University
Certificate of Advanced training in double eyelid surgery under the guidance of a Dr. Cheangariyavong, Facial Plastic and Reconstructive Surgeon
Certificate of Advanced training in double eyelid surgery through the International Fellowship in Advanced Aesthetic Science program (IFAAS), South Korea

Before & After

Results may vary for each individual.

Before

After

Before

After

Before

After

Before & After

Examples of subbrow lifting surgery results from BEA Clinic show effective correction of drooping outer corners. Schedule a consultation with our ophthalmologist to plan your treatment. Contact us via LINE Official: https://lin.ee/gKyYK6F

*Results may vary depending on the individual.

Price and Cost of Subbrow Lifting Surgery

The cost of subbrow lifting surgery is 31,900 THB, which includes:

Surgical and medication costs.
Post-surgery care (antibiotics, pain relief, and anti-swelling medications).
Home care kit for wound care.
Stitches removal post-surgery.
Swelling reduction light therapy after surgery.

For an accurate cost based on your unique eye shape, we recommend an initial consultation with the doctor to get more detailed information.

Why Choose BEA Clinic?

BEA Clinic is a healthcare facility specializing in eyelid and eye contour surgeries. We focus on personalized treatment plans that align with each patient's facial structure, eyelid shape, and specific needs. The key features of our clinic include:

Extensive experience in eye surgeries, including treating drooping outer corners, weak eyelid muscles, double eyelid creation, and under-eye bags, enabling us to provide comprehensive and continuous care.
A focus on individualized design to tailor treatments that best meet the needs of each patient.
Doctors with experience in performing surgeries in fully compliant operating rooms, following all legal standards.

Frequently Asked Questions (FAQs)

1. What is Subbrow Lifting Surgery?

Subbrow Lifting is a procedure that lifts the sagging skin at the outer corners of the eyes by making an incision under the eyebrow. The excess skin is then removed, and the incision is carefully stitched to align with the natural contour of the brow, lifting the outer corners of the eyes into a more youthful and appropriate position.

2. How long does eyelid lift surgery take?

Generally, the procedure takes about 60-90 minutes for both eyes, depending on the specific issues and the surgical plan for each individual. After surgery, patients can return home on the same day and do not need to stay overnight at the clinic.

3. Will the incision be visible after surgery?

The incision is made under the eyebrow, which is a discreet area that effectively hides the scar. Once the wound heals, the scar will gradually fade naturally. It's essential to follow the doctor's aftercare instructions to ensure proper healing.

4. How long is the recovery period?

Most patients can resume their normal activities after the surgery. However, there may still be some swelling during the first week, so strenuous activities should be avoided, and the incision site should not be touched directly.

5. How long will the results last?

The results from drooping outer corner surgery can last for many years, depending on factors such as personal care, genetics, and age-related tissue changes. Generally, no additional surgeries are needed in the short term.