As we age the soft tissues of the forehead and eyelids become lax and begin to sag. This can make the eyes appear tired and smaller. If there are deep forehead creases, this can make the eyes appear even more tired. Brow lift raises the position of the eyebrows, making the eyes appear more youthful, open and less tired.
Eyebrow position and shape is extremely important for overall aesthetics of the face. Eyebrows serve to frame the eyes and it is essential to consider the brows when performing eyelid surgery (blepharoplasty).
Eyebrow position differs between males and females. In men the normal and attractive position of the brows is at the bony orbital rim, whereas in women the ideal position is above the bony orbital rim.
A browlift can be performed as a solo procedure but is more commonly combined with other facial rejuvenation procedures such as upper blepharoplasty or facelift.
Am I Good Candidate For Brow Lift?
The best candidates for browlift are those;
- Who wish to improve moderate to severe drooping the eyebrow and upper eyelid
- Do not smoke
- Are generally healthy and do not have a medical condition that could impede healing
- Have realistic expectations of the results and willing to follow all pre-op and post-op instructions
There are different types of brow lift, each with their own advantages and disadvantages. During your consultation with Mr Karri he will discuss which type is ideally suited for you. For the majority of his patients, Mr Karri performs brow lift as a daycase procedure under local anaesthetic.
Internal browpexy – usually performed in conjunction with upper blepharoplasty. Through the upper blepharoplasty incision the eyebrow is released from its deep attachment and an internal suture used to fix the eyebrow in a higher position. Internal browpexy is ideally suited for those with mild drooping of the brow.
Direct brow lift – an ellipse of skin above the brows is removed and closure of the resultant wound causes brow elevation. Direct brow lift is ideally suited for the older patient with drooping of the lateral brow. The advantage with this technique is the result can be long-lasting. The disadvantage is the potentially visible scar just above the eyebrow.
Lateral brow lift (also known as temporal brow lift) – an incision is made in the temporal hairline and the eyebrow released from its deep attachments and repositioned higher. Lateral brow lift is ideally suited for those with drooping of the lateral half of the eyebrow and will not raise the middle of the eyebrow.
Endoscopic brow lift – an endoscopic camera is used to release the forehead skin from its deep attachment. The forehead and eyebrows are then repositioned higher and held in place with sutures, screws or Endotine device (small dissolvable tack). The advantage is the incisions are hidden in the hairline and not visible but the effect is not as long-lasting as the direct brow lift.
The risks of brow lift depend on which browlift technique is chosen;
Bruising / swelling – usually settles within 10-14 days.
Numbness / itchiness of the scalp – can occur but usually settles within a few months.
Infection – there is a small risk that the device (screw / suture / Endotine) used to fix the scalp in an elevated position can become infected and needs to be removed. If an Endotine device is used this may be palpable initially but eventually resorbs and should not be a long-term problem.
Nerve injury – if you have an endoscopic brow lift there is a small risk of injuring the nerve that moves the forehead (frontal branch), resulting in decreased brow elevation and asymmetry. This is usually temporary but can be permanent.
Hair loss around the scars – this can occur with endoscopic brow lift in which small incisions are made behind the hairline.