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Brow Lift

Brow Ptosis Repair

The position of the eyebrow play an important role in the appearance of the periocular area.   The brow can be likened to a curtain rod  – by raising and lowering the brow, the amount of skin that rests over the lid changes and in effect plays a role in the amount of lid platform that is visible.  If the brow, or rod, is lower then there is more skin hanging down and if it is higher then there is more lid platform visible.  It is sometimes necessary to address this at the time of upper lid surgery whether it is an upper lid blepharoplasty or ptosis repair.   There are several types of techniques and the type that bests suits the patient will be selected by Dr. Parbhu depending on the patient’s current brow position, underlying facial structure, age, health status, gender, and overall goals or desires of the patient.

Nonsurgical Brow Lift

Botox® cosmetic can be used to lift the temporal brows.  It is temporary lasting three to four months in most patients.  It does not achieve as dramatic of a lift as surgical options.  It is a great option for patients that want to improve their appearance with minimal downtime and do not require a significant lift.

Internal Browpexy

Through an upper lid blepharoplasty or ptosis incision, the brow can be supported internally by suture fixation or other fixation device.  This is a nice technique to use in patients that do not require a large lift and are already undergoing upper eyelid surgery as it does not require an additional incision.  It also does not increase recovery time.

Direct Brow Lift

The direct brow lift is a very effective technique in raising the brows and is performed by excising skin above the brow.  The best candidates for this procedure are males who already have deep forehead wrinkles as the scar can be blend in with these lines.

Lateral Direct Brow Lift

The lateral direct brow lift is utilized to treat patients that have a lot of lateral hooding.  In this technique, skin is excised at the hairline near the temples.  This is usually done in older patients in which there is lateral hooding that cannot be sufficiently addressed with a blepharoplasty.

Endoscopic Brow Lift

The lateral direct brow lift is utilized to treat patients that have a lot of lateral hooding.  In this technique, skin is excised at the hairline near the temples.  This is usually done in older patients in which there is lateral hooding that cannot be sufficiently addressed with a blepharoplasty.

Coronal Brow Lift

With a coronal brow lift, an incision is made behind the hairline extending close to one ear to the other ear.  Excess scalp is removed to elevate the brow.  The muscles that cause forehead wrinkles can be removed to help smooth these lines with this technique.

Patients can feel numbness along the incision or forehead for up to six months.  The nerves that direct movement of the brow can also be damaged during this surgery which could lead to a palsy.  This is usually temporary as well but may rarely be permanent.  This approach can also raise the hairline.  If this is a concern the incision may be placed in front of the hairline.