Brow Lift

Are you frustrated with sagging skin in your forehead region? Then the forehead lift and eyebrow lift, also called "the brow lift", may be just what you're seeking. This popular procedure is used to help reverse the aging process (think deep wrinkles and creases across your forehead caused by years of facial expressions and environmental effects). But don't be fooled. Younger people are also candidates if they have inherited traits, such as lowbrow or other problems such as deep frown lines.
What Is a Brow Lift?
The forehead lift is also known as an endobrow lift, an open brow lift, or a temporal lift. The procedure cosmetically corrects sagging in the forehead skin, upper eyelids and eyebrows.
Here's how:
Your surgeon will maneuver tissues and remove segments of muscles and skin that are responsible for wrinkles or deep frown. Sometimes, this procedure is performed in conjunction with a facelift or reshaping of the nose.
Think about it. You want your facial features to have the same contoured appearance. If you only have the work done on your forehead, other areas will appear more aged. If you are interested in learning about other procedures, you can discuss the options with your surgeon.
There are two methods to lift your forehead and eyebrow areas:

  • the classic lift
  • endoscopic lift.
The classic lift involves one continuous incision, beginning at the level of your ears and going up around your hair line. Depending on where your hair line is, the surgeon will move the incision line to avoid a visible scar. For instance, if you are a man who is balding, the surgeon can make the incision mid-scalp, so the scar can be hidden in the remaining hair. Here's how the endoscopic lift differs: Instead of making one continuous incision, your surgeon will make a few shorter incisions in the scalp. He or she will insert a scope (small camera on the end of a thin tube) into one of the incisions in order to view the tissues and muscles from a screen. At the same time, he or she will use another device inserted in another incision to make the necessary alterations.
In this procedure, small titanium anchors are used to secure the offending tissue once it's altered appropriately. Those anchors are tiny, but mighty. They'll keep your tissue under control for years. Because the incisions are smaller, this procedure is less invasive. You will experience minimal scarring and shortened recovery time.
As we age, muscles in the brow and forehead area may becomes thinner and less elastic and the structures supporting it to the facial skeleton become weaker and less able to resist the pull of gravity. One of the earliest signs of aging occurs in the forehead and eyebrow area.

Brow Lift

Facial ageing is a gradual process causing the appearance of heavy eyelids and looking tired, when in reality one may not be! Female patients find this most troubling, as there is dropping of the eyebrows and wrinkling of the skin (frown lines, crow's feet, horizontal forehead lines, etc).

Drooping of the eyebrows can also lead to excessive eyebrow skin accumulating in the upper eyelid.This is a result of the constant use of the muscles in the forehead for facial expression.


Brow Lift

The term "brow lift" is used to surgical procedure that can dramatically improve a tired or sad look above the upper eyelid and eyebrow region. It is a series of procedures that are used to; improve the position and shape of the eye brows, reduce frown lines, crow’s feet and forehead wrinkles. It is an important eyelid surgery that successfully treated the affected areas.

Brow lift surgery can be performed alone or along with a facelift and/or eyelid corrective surgery. The brow lift surgery also plays an important role in eyelid surgery, as the upper eyelids cannot successfully treat until the brow lift has been completed.


Several techniques are used including placing the incisions within the scalp; a patient was literally scalped as an incision was placed from ear to ear to elevate the forehead and brow.

Brow Lift Surgery

Forehead wrinkling has been a commonly treated aesthetic ailment with the growing use of BOTOX® and other neuromuscular paralyzing agents.

A brow lift is commonly performed on patients in the 40 to 60 range, helping to minimize the visible signs of aging.


It is important for patients to weigh all of the complications and dangers of forehead and eye brow lift surgery (brow lift), as well as the benefits before deciding if the procedure is right for them.

Benefits of Brow Lift Procedures

For most patients the benefits of brow lift outweigh the complications and dangers of surgery. Elevating the forehead and eye brow region with a brow lift can increase your confidence and restore your youthful appearance by smoothing wrinkles, releasing tension and creasing between the eye brows, and eliminating excess sagging skin that has lost its elasticity.
A brow lift is much the same as any other surgical procedure when it comes to the fact that there may be certain complications, dangers and risks associated with the surgery. While the overall goals for the brow lift surgery includes achieving younger more vital looking appearance, there may be some risks that could affect this outcome so it is important to know and to understand these risks prior to undergoing the brow lift surgery.
These risks and complications that are associated with the procedure can be both permanent as well as short term. Furthermore they may be medically related or even physical. The brow lift surgery may include risks like scarring which may be excessive and unsightly, a hematoma which is a fancy term for bleeding, you may get an infection or even have to deal with the incision healing poorly. Because the brow lift is performed using an anesthetic, the anesthesia also has its own list of complications and risks associated with it that one should be aware of.
There is also the possibility of developing a blood clot so it is important to make sure you keep the blood in your body circulating as a necessary means of preventing this since if a blood clot migrates to the brain lungs or heart it can be fatal. You may loose some hair at the incision point, but this of course can be fixed at a later date. Your hairline may become elevated giving you the appearance that you have a larger forehead then you actually have. There is even a slight chance of paralysis of the treated area or even nerve damage. It is possible that the asymmetry of your face will become skewered or you might even loose some skin.
Furthermore there is the possibility of developing an eyelid disorder, accumulating of fluid under the skin, persistent pain, skin swelling and discoloration, or even the contour of the skin ay become irregular.
Regardless of the risks and complications associated with a brow lift procedure, it is important to discuss all of them with your surgeon prior to undergoing the procedure to make sure that you know and understand them and how they can be prevented.
 
In the world of cosmetic surgery, the brow lift (also known as a forehead lift) is becoming an increasingly popular choice in enhancing ones appearance. This article discusses the various types of Brow lift procedures, the pros and cons of each and what best would work for each individual patient.
Introduction to the Brow Lift (Forehead Lift) Procedure
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There are several established methods for performing an eyebrow (also called a forehead) lift. The oldest method is called a coronal brow lift. This form of a brow lift is done by making a very large incision behind the hairline from one side of the head to the other. The forehead and brow are lifted accordingly and the incision is sutured closed. The most important advantage to this form of a brow lift is the fact that the brow can be raised a significant amount by simply removing more and more skin. However, this form of a brow lift also has several very large disadvantages. The surgery is much more expensive than other forms of a brow lift. Also, there is a very large scar hidden behind the hairline in those with abundant hair. Those who do not have thick hair do not hide the incision well. Also, there can be permanent numbness in the scalp region after this form of surgery, as some of the sensory nerves are cut by the surgical technique.

Other forms of a brow lift or forehead lift are performed without making such a large incision. One such form of a brow lift is an endoscopic brow lift. This is done by making several small incisions behind the hairline and using a small camera inserted through one of the incisions, the forehead is lifted to a higher point. The advantage of this form of a brow lift is that there is no single large incision. However, the incisions still can be visible if the patient does not have a full head of hair. The technique employs various methods of keeping the forehead in a higher position once it has been lifted through the small incisions. One of these methods is a suturing method that holds the brow and forehead up higher. The other employs a device called an Endotine, which is a fixation device made of a dissolvable material that holds the brow and forehead in its higher position for three to six months before dissolving. The forehead and brow form natural attachments over this period of time that keep the brow in the new higher position.

Another method of raising the brows is to do what is called a transblepharoplasty brow lift. This is a method of raising the eyebrows through the upper eyelid incision that is made for a blepharoplasty. Since brow lifts and blepharoplasties are usually performed together, sometimes this means that the brow can be elevated without an additional incision. With this method of a brow lift, the brow and forehead are addressed from the eyelid incisions. They are lifted and raised to a higher position. Just as in the endoscopic forehead lift, the brow and forehead need to be fixated in the new higher position and this can be accomplished either with sutures or with the device called the Endotine. The advantage of this form of a brow lift is that the incisions are minimal. This allows for much faster healing and essentially no visible scars. The disadvantage of this technique is that the eyebrow and forehead may not be able to be elevated as high as with the other forms of a brow lift.

In many patients the tail of the brow will descend to a more significant degree than other portions of the eyebrow. There are many patients in which Dr. Ebroon would advise raising the tail of the brow much more than the central portion of the brow or the portion closest to the nose. Raising the tail is helpful because it can give the effects of a brow lift without giving the surprised look that no patient is interested in. The tail of the brow can be lifted with any of the methods outlined above. Usually, after consulting with the patient, your physician might recommend a transblepharoplasty assisted brow lift, perhaps with a single incision in the temple region, to achieve the desired brow position.

Brow lifts are an important part of eyelid and upper face rejuvenation. A subtle brow lift can add a tremendous amount to the effects of an upper eyelid blepharoplasty. It can enhance the rejuvenating effects of an upper eyelid blepharoplasty and is therefore a very popular procedure.

Some patients prefer to raise the brows non-surgically. This can be done to a small degree with the use of Botox. Botox is a medicine that temporarily relaxes muscles, usually for a period of three months. It is a very popular method to reduce wrinkles between the eyebrows, in the forehead, and in the crow’s feet areas. Botox can also be used in the tail of the brow to raise the tail of the brow minimally. It has this effect because there are muscles near the eyebrows that both raise the tail of the eyebrow (the frontalis muscle) and muscles that depress the tail of the brow or bring the tail of the brow down (the orbicularis muscle). If Botox is skillfully placed into the orbicularis muscle in the area in which it brings the eyebrow down, this muscle will temporarily be weakened and the muscle that raises the tail of the brow will work unopposed and perform a nonsurgical temporary minimal brow lift.

Depending on an individual’s personal anatomy and their personal feelings about surgery, the appropriate method can be employed to enhance the brow position and thereby enhance appearance.


Brow lift are divided into ‘open’ and ‘closed’ types. Each type has specific indications for its use and many variations on how they should be performed have been described. A less common indication is in the treatment of an excessively long appearing forehead due to a high hairline. The internal steps are essentially the same regardless of the type of operation selected, open or closed.

Closed, or endoscopic, brow lifting uses telescopes to access the forehead from small incisions in the scalp. It is best for those people who have a normal (or short) forehead length and for males with a family history of male pattern baldness. Minimal to no scalp tissue is removed.

In an open type or traditional, brow lifting uses a longer cut in the scalp or at the hairline and removes some scalp or forehead tissue. It is particularly good for patients with "high" foreheads.
 

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