When evaluating your eyes, it is good to first consider the eyebrows. A youthful brow frames the eye in certain ways. Its volume is conveyed with fullness under the skin along the upper rim. The brow is feminine when it start on the bony rim towards the middle and arcs above the rim towards the sides. With age, the eyebrow and lid can have a deflated hollowed appearance and the brown can become lax and droop, giving a more masculine appearance. Finally expressive muscle activity can contribute to ‘worry lines’ between the eyebrows
An endoscopic browlift, our most popular way to address the brows, uses an endoscope to reposition or remove underlying muscle and tissue. This procedure is done using smaller incisions in the hairline and requires general anesthesia. The browlift procedure repositions the eyebrows and relaxes the frowning muscle, creating a younger and smoother look. The advantage of this surgery is that small incisions allow one to heal very quickly with a minimal amount of discomfort. The incisions are well hidden in the hair, so they are not detectable. The procedure helps decrease the excessive muscle movement in the forehead as well as reposition the eyebrows into a more natural position. In some cases, laser resurfacing may be performed simultaneously, or at a later date, to help further rejuvenate the forehead tissues and remove wrinkling.
There are other variations of browlifting including the coronal browlift, the trichophytic browlift, and the midforehead lift. Our surgeons can help you sort out what is best for you.
In some patients with exceptional eyebrow sagging, a direct browlift is recommended. This procedure accomplishes the same goals but uses an incision directly above the eyebrow, hidden in the brow hairs.
