Introduction: The aging of the upper periorbital region usually leads to a combined alteration of brow ptosis and loss of fat tissue. Volumetric senile browlift (VSB), an innovative technique based on earlier practices, produces eyebrow repositioning associated to volumetric augmentation through fat flaps, allowing full rejuvenation of the upper periorbital region.

Objective: The authors evaluate the efficacy of the VSB in patients with ptotic eyebrows and senile orbit/sunken eyelid.

Methods: The charts of 20 patients treated with VSB by the senior author from January 2009 to February 2010 were retrospectively reviewed.

Results: The age range of the 20 patients in this study was 44–70 years. All patients were female. The patients presented with complaints of tired-appearing and excess of skin on the upper eyelids. All the patients were satisfied with their 1-year postoperative aesthetic results. There were no complications.

Conclusion: VSB is ideal for patients with ptotic eyebrow and senile orbit/sunken eyelid who need eyebrow repositioning and volumetric augmentation. VSB achieves excellent results through a standard upper eyelid blepharoplasty incision and allows the surgeon to perform a concomitant periorbital augmentation achieving full rejuvenation of the region.

Conflict of interest : None declared.