Brow Lift Surgery
A brow lift is a Plastic Surgical procedure that lifts the eyebrow to an aesthetically pleasing youthful position.
With the brow there are differences in female and male beauty. The feminine eyebrow begins just in the upper eyelid crease and slowly elevates reaching a peak two thirds of the way along the eye and then tapers down. The male brow in contrast is level and remains somewhat horizontal.
In the youthful eye the feminine eyebrow begins just in the upper eyelid crease and slowly elevates reaching a peak two thirds of the way along the eye and then tapers down. With age and sometimes trauma the position of the eyebrow changes and droops, this gives a tired look to the patient’s eye and contributes to asymmetry. Together these both cause an unattractive eyebrow region. Brow lift in the simplest form can be performed with injections but often requires surgical approaches.
At Artiste Plastic Surgery a Brow Lift is performed for the following reasons:
- To raise the eyebrow
- To provide a more youthful brow position
- To rejuvenate the eyelid brow region
- Together with a facelift
We offer Brow Lift Surgery to enhance and open up your eyes.
Brow Lift TECHNIQUES
Coronal Brow Lift
An incision from ear to ear in the scalp and dissection to the brow enables the medial and lateral brow to be elevated. The corrugator and procerus muscle are often excised to prevent Glabella wrinkles. This incision is used now for revisions, hairline lowering and adjustments to eyebrow position.
Endoscopic Assisted Brow Lift
This is the preferred access for a brow lift. With or without the aid of an endoscope a series of 5 small vertical incisions are made in the hair. This allows visualisation and mobilisation of the attachments of the eyebrow to raise the brow to a desired position.
Temporal Brow Lift
A lateral temporal lift involves a lateral incision in the hair over the lateral brow. This enables dissection and lifting of the lateral brow and improvement in fine lines. This is suitable for patients with only lateral brow ptosis that don’t require a full brow lift. It can be done under LA.
Direct Brow Lift
Through a carefully placed incision directly above the eyebrow, skin cab be removed to shape and lift the eyebrow directly. This is a simple office based procedure but main disadvantage is the potential visible scar.
Through an upper eyelid incision, the brow can be elevated by surgically created adhesions. The corrugator muscle can also be excised with this approach.
Dermal fillers or structured fat grafting can be injected into the lateral brow to efface wrinkles and raise the eyebrow. Fat can also be used to maintain a youthful fullness in the eyelid region.
Anti Wrinkle Injections
Neurotoxins can be injected into the lateral orbicularis muscle to weaken the eyelid sphincter this indirectly opens the lateral eye.
The other aspect to take into consideration is the trend of the times. In the 1950s there was no lateral peak, think Grace Kelly.
The Brow ages just like the rest of the face, and an understanding of anatomy helps us understand why a brow falls and how we can lift it surgically.
The Brow/Eyelid region consists of 5 concentric layers.
- Layer 1 is Skin which is thickest on the brow and thinnest on the upper eyelid.
- Layer 2 is Fat which is prominent around the cheeks, present under the brow and negligible in the upper eyelids.
- Layer 3 is the Superficial Musculoaponeurotic System (SMAS). In the brow it represents the eyelid muscle called the orbicularis oculi which has three parts. This muscle is responsible for opening and closing the eyes.
- Layer 4 is a space that contains Ligaments. In the brow this represents a condensation of fascia.
- Layer 5 is the orbital bone of the roof specifically.
As seen in the diagram below there are anatomical variations in individuals (A) and (B). In Diagram A there is a Galeal (Muscle/ligament) attachment to bone, in Diagram B there is no attachment to the brow bone. Patients who have a (B) anatomy are more likely to have a Brow that falls or is always low or heavy.
Assessing the Brow with the Upper Eyelid
Brow Lift Options
A direct brow lift may be done in the office. This involves a direct incision over the eyebrow to lift it.
The eyelid is always assessed with the brow to determine the best course of action. Because ultimately what you want is to rejuvenate the brow region. Sometimes an eyelid procedure will complement the brow lift.
The lateral part of the brow can be lifted by changing the muscle balance between opening and closing the eye with the use of anti-wrinkle injections. This results in a subtle and temporary lift.
The downtime of a Brow Lift is 7 days.
A Brow Lift in Sydney can vary in cost due to patients anatomical factors and sometimes even insurance and medicare rebates. When assessing a brow Dr Zoumaras as an Expert Facial Specialist Plastic Surgeon, always assesses the eyelid area as the two are interrelated.
There are a few different options for a Brow Lift in Sydney at Artiste Plastic Surgery. A Temporal lift, endoscopic lift, formal forehead lift and even a Pony tail lift can lift the brow. The cost of a brow lift varies between $7-16k for the surgery fee alone.
Dr Jack Zoumaras will discuss the risk of short, and long term, complications during your consultation.
Dr Jack Zoumaras as a skilled experienced Plastic Surgeon that understands brow aesthetics will ensure your lateral brow is elevated subtly to give a striking look to the brow. The surprised look is due to excess elevation of the medial brow.
Brow lift surgery is often combined with a facelift and recovery will depend on other procedures performed. As a procedure alone the patient may go home the same day and be expected to return to work within one week.
The position of your hairline is very important as it influences where the incisions are made and how much the brow can be lifted.
A brow lift can be facilitated with the use of endoscopic equipment but the end result is the same no matter what approach is used.
With the brow there are differences in female and male beauty. The feminine eyebrow begins medially just in the upper eyelid crease and slowly elevates reaching a peak two thirds of the way along the eye and then tapers down. The male brow in contrast is level with the roof of the orbit and remains somewhat horizontal.