Brow Lift

The brow and the forehead are often the first region to show signs of aging. Heaviness and drooping of the eyebrows can give us a tired and sometimes angry look. Drooping of the eyebrows also produce heaviness of the upper eyelids which is a result of pulling down the lower edge of the brow to the upper eyelashes. In addition, there is hooding of the outer corners of the eyes, caused by drooping of the skin underneath the outer edge of the eyebrow.

As the eyebrows sag, it requires effort to keep them from blocking our vision, which causes deep horizontal creases to appear on the forehead. Repeated frowning can also cause deep vertical creases to form between the eyebrows. Sagging of the skin in the corners of the brow increases the appearance of the crows feet.

By repositioning the brow to a more natural position, the eyes will appear larger and less tired. A number of brow lifting techniques exist to improve the appearance of the aging forehead and brow region.

Endoscopic Brow lift:

Endoscopic Brow lift is a accomplished by making several small incisions inside the hairline. Using a small telescopic camera and special instruments, the entire forehead is mobilized. This frees up the forehead, so that we may move the brow up without much tension. To keep the new position in place, I prefer using a special device that fixes the forehead to the bone. The device disappears after several months so that there is no permanent foreign body. The new position is kept with reattachment of the entire undermined surface. The advantage of this procedure is that it minimizes the scar; quick recovery time; minimal discomfort. However, for patient with excessive brow ptosis, and excess skin excess, open approach is preferable.

Open Brow lift:

This surgery is accomplished by making an incision across the top of the head behind the headline. The incision is camouflaged into the hair, and no hair is shaved. The forehead is detached from it's descended position. For people with frown line, the corrugator muscle is weakened. The forehead is then elevated, excess skin is excised, and sutures are placed internally. Again, the final strength of the repositioned forehead is achieved by the attachment of the undermined surface to the new position. The advantage of this procedure is that maximum benefit can be obtained for patients with severe ptosis of forehead and excess skin.