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Aesthetic Procedures: Face

Aesthetic Procedures: Face

Aesthetic Procedures: Face

Brow And Forehead Lift

Brow and Forehead Lift
The brow and forehead make up the upper third of the face from the hairline to the eyebrow line. While individual preferences vary, the ideal brow in women should be situated above the bony rim of the eye, with a slight peak at the junctions of the middle and lateral third of the eyebrow, whilst in men, the eyebrow is usually more horizontal. The glabella region situated between the brows as well as the forehead should be smooth yet move naturally with facial expression, whilst the temple region should not be hollow, and the hairline not receded. An additional consideration is the relationship of the eyebrow to the upper eyelid, which needs to be addressed in continuity (see upper eyelid).

How is a brow and forehead lift performed?

To achieve these ideals, minimally invasive procedures such as botulinum toxin, fillers, and energy devices (including HIFU and laser therapies) can help with early ageing and mild cases requiring rejuvenation. For those who desire a more significant change in the look of the forehead and brow region, there are several surgical interventions that can help with modification of skin, muscle, and volume. These include:

  • Endoscopic (keyhole) brow lift: The brow is lifted using an endoscope via small incisions hidden in the hairline. The incisions are not visible, and healing is quicker. However, excess skin cannot be addressed.
  • Open brow lift via hairline incision: Using a full hairline incision, the anatomy of the forehead and brow can be clearly visualized and altered. This also allows excision of excess skin and alteration of the hairline position if needed. Its disadvantages are prolonged healing and a potential for visible scarring at the hairline.
  • Temporal brow lift: This is useful when the brow droops and excess forehead skin is mainly limited to the paramedian or lateral areas. After assessment, limited incisions are made at the temporal hairline region and dissection is performed to tighten the skin and lift the lateral brow. This can be a useful adjunct in upper eyelid procedures.
  • Direct browpexy: An incision is made directly in the brow along a pre-existing forehead crease to remove excess skin and fix the position of the brow. The incision is then carefully closed to minimize scarring. While this is the most straightforward way of addressing the brow, the potential for obvious scars makes this a less viable option.
  • Fat grafting to the forehead and temples: Fat grafting has become an important tool for the plastic surgeon, and in this region of the face can be used to shape the forehead and fill in hollowed temples.

A consultation with our board-certified plastic surgeon experienced in facial rejuvenation will enable a thorough analysis of your concerns and the recommended means of addressing them.

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