Approaches to a brow lift

For people who think that their eyebrows are too low, have a heavy look to the eyelids, or want help with wrinkles on the forehead, a brow lift may be the answer. A brow lift has several approaches with the goal to elevate the eyebrows and the soft tissue between the brows and the eyelids. As an added bonus, some of the approaches serve to tighten the forehead skin and smooth out the upper eyebrow wrinkles.

Endoscopic Brow Lift

The endoscopic approach to the brow lift makes incisions just inside of the hairline. Through these incisions the tissues are elevated off of the underlying bone to the level of the bone around the eye socket. Once this is done, the tissues are pulled up and secured. There are variable ways to secure the tissue but most studies indicate that some type of securing is necessary for about a week for the tissues to reattach to the bone. The incisions are hidden in the hairline and as such are not noticeable. This type of approach is good in most patients but can be problematic in those who are bald or who have a high hairline.

Trichophytic brow lift

This is the more classic method for brow lifting. An incision is made along the entire hairline. Through this incision the tissues are again lifted off the bone. Excess skin is removed and the incision is closed. Once healed, the incision is very difficult to see.

Direct brow lift

A direct brow lift is done by excising skin just above the eyebrows to pull them up. This is good in older people who have severe laxity of the brows and who cannot tolerate another approach. There is a visible scar left just above the brow but often this will look like a wrinkle when healed.

Upper blepharoplasty brow lift

For those patients who simply want to put the brow in a new position and are not worried about forehead wrinkles, an upper blepharoplasty brow lift can be performed. Through the same incision that a blepharoplasty is performed, the skin and other tissues are elevated off the bone of the forehead. An absorbable device is then place to hold the brow up until the tissues have healed in the new position. Once healed, the scar is very difficult to see.

For more information about brow lifts, forehead lifts, or other cosmetic procedures, visit Dr. Verret on the web or call for a consultation 972.608.0100.

Dr. Verret is a facial plastic surgeon in the north Dallas suburb of Plano, TX. He is board certified in Otolaryngology Head & Neck Surgery and fellowship trained in facial plastic and reconstructive surgery. He specializes only in cosmetic and reconstructive surgery of the face and neck. His practice includes surgical and non-surgical techniques including Botox, Juvederm, facial fillers, acne scar revision, rhinoplasty (nasal reshaping), blepharoplasty, facelift, eyelift, brow lift, forehead lift and hair restoration. For more information about Dallas plastic surgery be sure to visit him on the web or call for an appointment at 972.608.0100.

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