The shape and position of the eyebrows is a reflection of one’s youth and mood. A fatigued and tired appearance caused by drooping of the eyebrow is often one of the earliest signs of aging. The eye appears crowded and smaller than normal, with abnormal fullness of the upper lids. Frown lines, permanent creases between the eyebrows, and brows that are extremely low in the middle can make a person appear tense or angry. Eyebrows lowered at the sides can make a person look sad. Unanimated brows lacking movement can look unnatural.
Brow lifting is the general term used to refer to a variety of surgical techniques designed to raise and reshape the eyebrows, lift and tighten the forehead skin, and relax vertical creases between the eyebrows. A variety of brow lift techniques are available. Techniques vary depending on placement of the incision. A mid forehead lift often is appropriate for men who have an abundance of forehead creases. Incisions are made directly across the forehead, using natural creases to camouflage the scar. In women with high hairlines, the incision can be placed along the hairline. The incision is made on an angle, which allows the hair to grow through the scar. Skin is usually removed to elevate the eyebrows.
Endoscopic brow lift is our preferred technique. It is done by inserting a viewing device called an endoscope and specialized surgical instruments through several small incisions made just behind the hairline. Skin and muscles are lifted and fixed in place. This procedure repositions excess forehead skin, without removal. Endoscopic surgery has the advantage of smaller incisions, less numbness and itching. There is typically not much pain after surgery. The recovery can vary depending on how much bruising occurs.
The brow lift operation addresses the upper face and may be combined with the blepharoplasty (eyelid) or facelift operation or may be performed independently as an outpatient procedure in an ambulatory surgical center. A female with properly arched animated eyebrows will appear more youthful and cheerful. Men should have a more flattened eyebrow only slightly raised. For information contact Tower Cosmetic Surgery; www.towercosmetic.com or (209) 216-3323.