Cosmetic Surgery for Eyebrow and Forehead Lift
Eyebrow and Forehead Lift
Brow ptosis or sagging eyebrows is generally caused by loose forehead skin. The brow lift elevates the eyebrows, diminishes the Brow ptosis or sagging eyebrows is generally caused by loose forehead skin. The brow lift elevates the eyebrows, diminishes the forehead wrinkles and frown lines, and smoothes the skin of the whole forehead.
Coronal Brow Lift
The coronal brow lift is the traditional brow lift that has been performed successfully for decades. In this procedure a strip of hair baring scalp above and between the ears is removed. The eyebrows and forehead are released and elevated and the wound is closed with staples and after three days, the patient may wash and style his or her hair. The patient can expect to have some numbness on the top of the head for the first three months after surgery.
Endoscopic and Small Incision Brow Lift
In this procedure rather than having a strip of scalp removed, two to four small half inch long incisions are made on top behind the hair line, and a small tuck is made in the scalp above the ears. The forehead is elevated and fixated with tiny devices that remain in place for two weeks. The patient may style his or her hair over the devices which are removed in the office using topical anesthetic. Alternatively the brows can be elevated using endotine implants beneath the skin that are absorbed over the course of a year. This procedure is preferable for people with thinning or no hair on the top of their scalp in whom the thin scar line of the coronal brow might be exposed.
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 preoperatively have a very high forehead the incision can be made just at the hairline so the forehead does not become higher. The incision at the hairline is closed with sutures rather than staples.
Mid-forehead Brow Lift
This is a less frequently performed procedure used to elevate one or both eyebrows. It is used for a patient who is bald and has pre-existing deep forehead creases. In plastic surgery all incisions are hidden. In the other procedures described the incisions are hidden behind the hairline or at the hairline and in this case the incision can be hidden in a pre-existing wrinkle excising a strip of forehead skin above or below that crease. Sometimes the incision is made through two horizontal creases resulting in one line where there were two.