Brow lift

The eyes and brows have an extraordinary ability to convey emotion. These features, which play a critical role in defining beauty, are also one of the first to show signs of aging. Over time, our brow descends and creases begin to form in our skin. With synchronous aging of the eyelid and tissues around the eye, a heavy brow can make us look older or more tired, exude false negative emotions and even obstruct our vision.

WHAT IS A BROWLIFT?

A brow lift is most commonly performed to correct ptosis, or low position, of the brow and to rejuvenate the brow-eye facial subunits. Depending on a patient’s gender, hairline position, forehead creases and desired brow shape, one of several different approaches can be selected. In restoring the brow to its normal position, the frontalis muscle of the forehead no longer needs to pull up on the brow as hard. This effectively reduces the prominence of forehead wrinkles which can develop over time. In patients with a heavy brow and excess upper eyelid skin, a browlift combined with an upper blepharoplasty can help open up the eyes and improve the visual field.

A brow lift can also be performed to improve the aesthetics of the brow shape. Many women undergo a lateral brow lift to raise the outer ends of the brow. This results in a brighter and more youthful look to the face.

Case 1

ENDOSCOPIC BROW LIFT

Various methods exist to perform a surgical brow lift. The technique used is always based on the individual patient’s anatomy and needs. Depending on the technique, surgical incisions can be placed inside the hairline, behind the hairline or in deep forehead creases. The number and length of incisions can also vary depending on the type of brow lift performed.

A highly effective and advanced surgical technique is the endoscopic browlift. Dr. Sharma typically places four small incisions, each approximately 2 cm in length, about one finger’s breadth behind the hairline. Two incisions on each side of the head are positioned with respect to the peak of the brow and lateral tail of the brow, respectively. Using special instruments to elevate tissue from the hairline down to the brow, key points of fusion between fascia and bone are released, allowing the soft tissues of the brow to lift up. The brow is suspended in a higher position and the incisions are closed.

Hair does not need to be cut or shaved for an endoscopic browlift. When the incisions are designed with respect to the angle of the hair follicles, there is no hair loss around the incision. Downtime after a brow lift surgery is generally 1 to 2 weeks with minimal post-operative discomfort.

CASE 1: 59 year old female who underwent Total Facial Rejuvenation surgery. 6 week result. She had a heavy brow and eyelids, midfacial volume loss, jowls and severe laxity of her neck skin and deep neck structures. She underwent an endoscopic brow lift, upper and lower blepharoplasty, facial fat grafting, extended deep plane facelift and deep plane neck lift.