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Brow Lift / Forehead Lift Surgery

 

                               Brow Lift or Forehead Lift - Other Types of Brow Lifts

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There are many other types of Brow Lifts available.

 

This brow lift is an option for younger patients with moderate sagging. This procedure is considered a mini brow lift where the incision is made 1 to 2 inches long - and made in the back of the hair line in the lateral brow area. This type of lift will help raise the tail end of the eyebrows. It is not as major of a procedure as an endoscopic or a coronal brow lift - however; some mini brow lifts are very similar to the endoscopic lift without the endoscope. 

The ENDOTINE is a soft tissue fixation device, one that is absorbable which provides fixation and stabilization after lifting during healing - and then after about a year, the device dissolves on its own. The ENDOTINE resembles a triangular plate with tiny hooks that grab and hold the tissue in the desired location after lifting.

According to the manufacturer Coapt - ENDOTINE Trans-Bleph is the best of both worlds for rejuvenation surgeries. It allows the surgeon to perform two procedures through a single incision.

 

                                                 Endotine Device - soft tissue fixation device

                                                      ENDOTINE Device

 

A natural lifting of the lateral brow and a less surprised look can be achieved with the mini brow lift. The glabellar muscles cannot be diminished however - unless this procedure is done through the eyelid incision. Another version, is a subcutaneous mini brow lift.

 

  • ADVANTAGES AND DISADVANTAGES OF ENDOTINE

ADVANTAGES OF ENDOTINE:

  • ENDOTINE reabsorb, leaving little permanent effect

  • Less invasive than a regular brow lift

 

DISADVANTAGES OF ENDOTINE:

  • There are some surgeons do not feel that the ENDOTINE Fixation Device last long at all.

  • Transient numbness usually occurs after these procedures.

  • Cases of chronic inflammation after brow fixation with Endotine

 

                                                Endotine Fixation Device

                                                  ENDOTINE Fixation Device

Read more about the ENDOTINE Soft Tissue Fixation Device

 

 

 

 

DIRECT BROW LIFT

The incision for the Direct Brow Lift is made directly behind dense, thick eyebrow hair or within a deep horizontal forehead wrinkle. This procedure is normally reserved only for men. This procedure will not raise the hairline like a coronal incision

 

                                               Direct Brow Lift Incision

                                     Copyright 2010 - faceandeye.co.uk - Used with permission

                                                     Direct Brow Lift Incision

 

INDIRECT BROW LIFT

The indirect brow lift is similar to the direct brow lift except the incision is made in a natural forehead crease some distance above the eyebrow. This procedure is used in males who exhibit baldness or deep forehead rhytids (or wrinkles) - however; their eyebrow hair is not full enough to hide a direct brow lift scar. The disadvantages of this procedure is the noticeable scar and also does not help the glabellar fold or wrinkles.

Less degree of brow elevation and softening of the vertical frown lines between the eyes can be accomplished sometimes through an upper blepharoplasty incision - which is known as an "Brow Pexy".

 

 

                                          Eyebrow Position for a Direct Brow Lift

                                       Copyright 2010 - eMedicine.com - Used with permission

 

An "Brow-pexy" is a very common procedure and is normally performed at the same time with upper blepharoplasty or eyelid lift surgery. The brow-pexy procedure is performed through the upper eyelid incision which is made at the natural crease of the eyelid and the brow area is accessed through that same incision. Once the eyebrow area is reached - the tissue is raised to the desired height and sutures are placed to firmly secure it into place.

This procedure is used in younger patients who do not have significant forehead wrinkles.  The Brow-pexy is not useful in patients with excessive brow ptosis or in addressing the forehead.

ADVANTAGES:

  • Advantages of this procedure is that the same incision is used for blepharoplasty

  • It also is a much less invasive procedure than other forehead approaches.

 

 

 

 

The incision for a pretrichial or a hairline brow lift is made at the front portion of the hair line - at the top of the forehead. Sometimes the incision is a few millimeters into the hairline. As the brow and forehead are lifted, the excess skin and tissue is removed.

Candidates that are good for this procedure usually have a full head of hair and who does not want the longer forehead or higher hairline that can result from both the endoscopic brow lift or the coronal brow lift. If patients wear their hair in front of their face, the scars are not visible - however if you wear the hair pulled back off of the face, then the possibility of the scars showing is greater.

 

 

 

The trichophytic brow lift is very similar to the pretrichial lift - however the incision is located within the hair line compared to the pretrichial where the incision is barely outside of the hairline.

 

 

 

 

The transpalpebral brow lift procedure is done with incisions which are made only in the upper eyelid creases. It uses this incision to permanently disable the frown muscles, lift the eyebrows and to relax the forehead frontalis muscles.

This procedure is great for:

  • men who are balding

  • who do not require skin removal

  • who do not need permanent weakening of the brow and forehead muscles

  • can be used for corrugator muscle excision and bone reduction

 

 

 

 

The corrugator muscle allows the eyebrows to squeeze together when you frown or worry. This excision procedure can be done in conjunction with a brow lift or by itself. By removing part of the corrugator muscle, the patient will appear much more relaxed and will not have the ability to create lines in between the eyebrows. The result is very similar to having BOTOX injections between the eyebrows in the glabellar line - except with the corrugator excision, the results are permanent.

The surgeon has to be careful with this, as taking out too much muscle will cause contour irregularities or depressions from where the muscle was taken.

If the corrugator muscle excision is done without a brow lift - the incision is made with in the creases of the eyelid.

 

 

 

 

The procedure brow bone reduction is not a brow lift - however; is an option in shaping the brow and forehead. Patients who have a very prominent brow with deep set eyes normally are good candidates for this procedure. 

Orbital rim reduction involves burring down the brow bone to make it less prominent. Incisions are made in the upper eyelid crease or through an incision in the scalp. This procedure is done effectively with  IV sedation or Twilight Anesthesia.

 

  • Risks and Complications of Orbital Rim Reduction:

Orbital rim reduction risks:

  • contour irregularities

  • nerve damage

  • frontal sinus damage

This procedure should only be considered with a plastic surgeon who has done this many times before.

 

 

 

 

Removing upper eyelid skin without fixating the brow can result in brow descent or a recurrence of upper eyelid hooding. Patients tend to become concerned if the surgeon did not remove enough skin because the brows are being pulled down. To prevent this from happening, a procedure is done similar to a brow lift, but without raising the eyebrows. As the forehead flap heals, it will adhere in it's new position - anchoring the eyebrows and preventing brow drooping with upper eyelid surgery. For the most part, this procedure is not done all that often, as most people do not need brow fixation. However, your surgeon might point this out to you at your consultation if this should be done.

 

 

 

 

 

 

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