Eyebrow position plays a pivotal role in facial expression and aesthetics. The brow’s natural proximity to the eyes gives it a significant influence on how the eyes appear. Low set brows can make one seem stern or tired. In this instance, the skin between the brow and upper eyelid can appear bloated and create the illusion of upper eyelid skin excess.
Although there are different reasons for this procedure, my patients in Orange County and Irvine seek a brow lift to improve the upper eyelid appearance.
Can be Combined with Blepharoplasty
In many cases, an upper eyelid lift or blepharoplasty is also performed at the same time to further enhance the overall aesthetic result of a browlift. Browlifts are typically performed using small, minimal access incisions placed within the hair-bearing portion of the scalp. These incisions are very well hidden and, when fully healed, essentially unnoticeable. Browlifts can also include some modification/weakening of the muscles that produce frown lines, producing a lasting and beneficial effect similar to botox use in this area.
How Can I Benefit from this Technique?
Patients with low set brows who desire a more youthful appearance to their eyes can benefit greatly from a browlift. Generally, patients seeking this procedure are looking to correct the following issues:
- A tired, sad or stern look on your face
- Deep forehead creases
- Frown lines or furrowed brows
- Excess skin or fatty tissue over your eyes (an upper blepharoplasty may be needed to enhance the result)
There are a number of different approaches to performing a browlift. The selection of a particular type is dependent on individual anatomy and ultimately one’s goals.
- Open (or coronal) Technique: The incision starts above both ears, and across the top of the scalp, where the hair conceals it. A small wedge of hair bearing scalp is excised, thereby pulling and lifting the forehead/eyebrows. This technique is ideal for patients with a low frontal hairline or short forehead.
- Endoscopic (or Minimal Access) Forehead Lift: This is my preferred technique. This method uses 2-3 small incisions on the top of the scalp, with an additional incision on each side of the temple. The incisions are completely concealed within the hair and are unnoticeable when healed. An endoscope is sometimes used to aid in visualization through these small incisions and facilitate the surgery.
- Transpalpebral Browpexy: The browlift is performed through the same incision used to perform an upper blepharoplasty. An anchoring device or suture is used to suspend the brow in a higher, more desirable position.
- Pretrichial Brow lift: The incision is placed at the junction between the hairline and forehead skin. The forehead skin is lifted and the excess skin is excised, thereby lifting the brows. The scar is very well camouflaged by this natural junction of hair and skin. This technique is ideal for individuals with high foreheads.
Recovering After a Brow Lift Procedure
Recovering from this procedure can vary on the patient and the technique used. However, stitches or staples are typically removed in 7-10 days, and bruising and swelling should subside within a few weeks. Keeping your head elevated and using cold compresses should help ease the swelling.
I take pride in my work and love seeing positive results in my patients. If you are considering this or a similar facial aesthetic procedure, set up a consultation and we can start taking the steps to a more confident you.