Brow Lift – Lifting Your Expression Positively!

A brow lift (also known as forehead lift or browplasty) is a cosmetic surgery procedure used to correct a drooping eyebrow or remove ‘worry lines’ that occur across the forehead. A weak eyebrow might obstruct vision and worry lines might ruin the appearance of a clean forehead.

Of the many side effects of aging, sometimes the skin and soft tissue around the brow might lose elasticity and exposure to the sun might cause the brow to descend a level below the orbital rim. This gives a permanently tired or angry looking appearance. A brow lift might be the solution to raise the sagging eyebrow that obstructs vision and also the unsightly lines on the forehead that clearly shout out about aging. It can also remove the furrows between the brow that give a brooding look marring the smile that can otherwise come on the face.

What does a brow lift do?

A brow lift

  • Raises sagging eyebrows that form a hood like projection over the upper eyelids
  • Removes the tired/angry look and gives an alert, youthful expression around the eyebrows
  • Soothes horizontal expression lines in the forehead and also vertical frown lines between the eyebrows
  • Reduces wrinkles that occur on the bridge of the nose, between the eyes

How is it done?

Traditionally, a brow lift is a plastic surgery where an incision is made from one ear to the other over the top of the head. But this method has been related with a big scar across the forehead and hair loss. So patients opt for the other lesser invasive varieties of brow lift surgeries. But in case complications arise, or people have excessively dropped brows and forehead, they require the traditional surgery method.

Direct Brow Lift

In the direct brow lift method, the incision is made directly behind the dense, thick eyebrow hair. It can also be made behind or within a thick horizontal forehead wrinkle. Direct brow lift is the most direct, simplest method but is suitable only for men. Raising hairline is not a side effect of the direct brow lift, unlike other methods

Indirect Brow Lift

Almost similar to the direct brow lift method, the indirect brow lift has one major difference. If the incision is made in a natural forehead crease some way above the eyebrow instead of directly on it, the method is the indirect brow lift. Indirect Brow Lift is used as an option when the eyebrow hair is not full enough to hide the scar from the direct brow lift. This procedure is best suited for males who have baldness or deep wrinkles in their forehead. This procedure has a few major disadvantages – the incision leaves a noticeable scar amongst the wrinkles. The indirect brow lift method also does not in any way remove the wrinkles or the glabellar fold.

Pretrichial Brow Lift

The pretrichial brow lift is also called the hairline brow lift and the incision is made at the front of the hairline at the top of the forehead. The incision can also be made a few millimetres into the hairline if the procedure so requires. The excess fat and skin tissue is then removed, sealing the forehead in the lifted position. The scalpel incision follows 2mm behind the hairline and extends into the hair in the temporal region.

Pretrichial Brow Lift method is suited for people who have a full head of hair and do not want the extension to their forehead that might result in a higher hairline that is the side effect of other methods like the endoscopic brow lift or coronal brow lift.

Endoscopic Brow Lift

An endoscopic brow lift (also known as the limited incision brow lift) is performed by making two small cuts in the hairline (sometimes in the temple and possibly on the inside of the upper eyelid crease). Once the incisions are made, the plastic surgeon can place endoscopes and micro instruments under the forehead skin. This releases the muscles that cause furrows between the brows. The endoscopic brow lift lifts sagging eyebrows.

Forehead lifts are also commonly done with endoscopic brow lift methods only. An endoscope, a surgical system with thin pencil sized arms is inserted through incisions that are about 3/8th of an inch long. An attached camera in one of the arms displays what is under the patient’s skin. Other arms also carry surgical tools for cutting or grasping functions. This can help the surgeon see what is going on under the skin and guide treatments better.

Endoscopic Brow Lift technique is used when there is a limited amount of excess sagging skin. Endoscopic Brow Lift has become a reason for a revolutionary transformation where face lifts are concerned. This method opens and brightens the upper face and smoothes the furrows and wrinkles, softening age lines that give a permanent scowling expression.

Dr. Debraj Shome is a trained plastic surgeon who has successfully performed many face lift and brow lift operations and transformed lives of many thousands of patients who prefer him for his excellent treatment methods.


About Dr. Debraj Shome

Debraj Shome-2
Debraj Shome, MD, DO, DNB, FRCS (Glasgow), FICO (USA), MNAMS, MBA (Healthcare Management, Vanderbilt University, USA), is Consultant Facial Plastic Surgeon, Oculoplastic Surgeon & Cosmetic Surgeon at Nova Specialty Surgery, Mumbai, India..Read more

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