Eyebrow & Forehead Lift

EYEBROW AND FOREHEAD LIFT

Aging changes in the eyebrow and forehead can result in an angry, tired appearance.  The skin between the eyebrows may bunch and wrinkle.  The brow lift elevates the brows, tightens and smooths the skin of the whole forehead and lifts the adjacent upper eyelid skin.  This results in a happier, more rested and alert appearance.

ENDOSCOPIC AND SMALL INCISION BROW LIFT

Because the modern trend in surgery is for smaller, hidden incisions, the endoscopic or small small-incision brow lift is our most frequently used brow lift procedure.  Two to four small, half inch long incisions are made on top of the head, on top of the hairline.  There also may be small tucks taken in the scalp above the ears.  The eyebrows and forehead are released, elevated, fixated with staples and tiny devices.  After three days, the patient may wash and style his or her hair over the devices that are removed in the office using topical anesthetic two weeks after surgery.  This procedure is a good option for people with thinning or no hair on the top of their scalp.

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This woman had a small incision brow lift as well as upper eyelid blepharoplasty and lower eyelid fat repositioning

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After having a small incision brow lift to elevate the brows and upper eyelid skin, plus a posterior ptosis repair to open his eyes wider, this man’s field vision was much increased. He also looked and felt more awake.

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Her original concern was a right lower eyelid bump which was found to be a malignant basal cell carcinoma. The cancer was completely removed leaving a defect that was repaired using a skin graft. Since she was already having surgery, she chose to enhance her appearance with a small incision brow lift, upper eyelid ptosis repair, and lower eyelid fat repositioning.

CORONAL BROW LIFT

The coronal brow loft is a traditional brow lift that is not frequently used currently due to a longer incision.  A strip of hair-bearing scalp above and between the ears is removed and the wound is closed with staples.  The patient can expect to have numbness on top of the head for the first three months after surgery.

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PRETRICHIAL BROW LIFT

In the previous two types of brow lifts, coronal and endoscopic, when the forehead and eyebrows are pulled up, the hairline is also pulled up resulting in a slightly higher forehead.  For patients who already pre-operatively have a very high forehead, the incision can be made at the hairline so the forehead does not become higher.  The incision at the hairline is closed with sutures rather than staples.

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MID-FOREHEAD BROW LIFT

This is a less frequently performed procedure used to elevate one or both eyebrows.  It is used in a patient with pre-existing forehead creases.  In plastic surgery all incisions are hidden.  In the previous brow lifts described, the incisions are hidden behind the hairline or at the hairline; in this case the incision can be hidden in a pre-existing wrinkle, excising a strip of forehead skin above or below that wrinkle or crease.  Sometimes the incision is made through two horizontal creases resulting in one line where there were two.

BOTOX BROW LIFT

A mild brow lift can be accomplished by relaxing the eyebrow depressor muscles with Botox.  Dr. McKinstry can raise or lower one eyebrow or a portion of an eyebrow to make uneven eyebrows appear more symmetric.

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This patient’s main concern was a basal cell skin cancer involving about 3/4 of the margin of the left lower eyelid (including the eyelashes). It was reconstructed to give her a normal eyelid position and function.
After this, she wanted her eyebrows lifted without additional surgery. Botox was used for a mild Botox brow lift.

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This woman did not want to have surgery. Her lower eyelid fatty “puffs” were disguised by filling in the hollows below with filler (Restylane and Voluma). She also had Botox injected in her forehead to reduce the frown lines, and slightly raise and soften the eyebrows, (a botox brow lift.)