Eyebrow and Forehead Lifting addresses eyebrow position and loose or wrinkled forehead skin and underlying tissue. To fully understand the benefits of eyebrow and forehead lifting, one must be aware of the importance of the position of the eyebrows. Eyebrow position changes as we age.
Our natural eyebrow position, the effects of gravity and fat deflation, how active our eyebrow and forehead muscles are, and previous eyelid, eyebrow or forehead surgeries (if applicable), all contribute to the position our eyebrows are in today.
There are several types of eyebrow and forehead lifts. The type you and your surgeon choose will depend on your current eyebrow position, facial structure, and on what is possible to maximize your appearance. The main types of brow and forehead lifting are as follows:
The Transblepharoplasty Brow Lift (Endotine Brow Lift)
This brow lift technique is useful for patients with mild to moderate brow ptosis (droop) with relatively light brow tissue. The blepharoplasty incision is used, so there is no additional scar. Small dissolvable tines (Endotines) are fixed to the bone just above the brow. The row tissue is elevated and fixed to these tines which slowly dissolve over 7 – 9 months setting the brow into a new elevated position. Patients usually return to their normal daily routine in 2 – 3 weeks.
Direct (Temporal) Brow Lift
The Direct Brow Lift requires removing a section of skin and underlying tissue above and following the full or partial length of the eyebrows. The Direct Brow Lift lifts a sagging brow while tightening and smoothing the forehead by pulling the skin and tissue of the forehead down rather than up. It therefore lowers the hairline, which is ideal for a receding hairline and/ or a high forehead. This procedure also addresses eyebrow shape and asymmetry. Care is taken to position the scar just along the eyebrows so that it is camouflaged. Patients will experience some bruising and swelling following the procedure. They are usually comfortable returning to their normal routine activities in about 2 weeks.
Endoscopic Forehead Lift
The Endoscopic Eyebrow/ Forehead Lift requires five small incisions hidden in the hair and leaves no visible scar. This procedure can lift everything from the hairline to the eyebrows. It tightens and smoothes the entire forehead while lifting the eyebrow area which “opens up” the entire upper face. Eyebrow shape and asymmetry can be addressed with this type of lift. Following the procedure there will be some bruising and swelling. Patients are usually comfortable returning to their normal routine activities in about 2 weeks.