What is a Brow Lift?
Regardless of your age, the appearance of your eyes can influence how you are perceived by everyone you interact with. Many people who want to improve the appearance of their eyes will look in the mirror and raise their brows using their forehead muscles as well as their fingers. Based on these actions, it’s natural to believe that a brow lift procedure can help you improve the appearance of your eyes. I’ll go over how I counsel my patients on the advantages and disadvantages of brow lift surgery.
I perform several different types of surgical brow lifts as standalone procedures. Brow lift surgery is frequently combined with cosmetic eyelid surgery and facelift surgery. In my practice, I use neurotoxins such as Botox, Dysport, Xeomin, and Jeuveau to perform various types of non-surgical brow lifts.
Botox Brow Lift Before and After
In addition to neurotoxins, I use hyaluronic acid fillers as part of a non-surgical brow lifting strategy to provide brow support and elevation. I’m well-known for performing cosmetic eyelid surgery. as well as specialized procedures not typically performed by general plastic surgeons such as: eyelid ptosis surgery, eyelid retraction repair, and revision eyelid surgery for complications from surgeries performed by other doctors’.
When considering brow surgery, it is often overlooked how much the brows contribute to your facial expressions. Your brows may not be a focal point, but when they are trimmed, shaved, or microbladed, they become a more prominent facial feature, and not always in a good way. Any change in your brows can have a significant impact on the appearance of your face. The slightest change in the shape of your brows can convey anger, sadness, or surprise.
With this in mind, any cosmetic procedure that may alter the height and shape of the brows must be carefully planned, with the expected outcome being as predictable as possible. It is widely assumed that brow lifting surgery can result in a stereotypical “plastic” appearance. These overly arched brows or overly tight faces have essentially become a meme in the entertainment industry. For brow lifting and shaping, there are several surgical options.
As with any cosmetic concern, we must first define the diagnosis or problem before defining the solution. When the brows have descended or drooped, I perform surgical brow lifts for this condition is known as brow ptosis. Ptosis is the term for drooping, and brow ptosis can have a negative impact on the appearance of your eyes.
How is a Brow Lift Done?
My approach to brow lifting is to subtly reshape the brows so that they frame the eyes in a proportional, harmonious, and natural manner. I have performed the full range of brow lifting procedures in my over 25 years of practice.
These include coronal brow lift, endoscopic brow lift, hairline trichophytic brow lift, temporal brow lift, and direct eyebrow trichophytic brow lift. I realized many years ago that like fashion, brows have aesthetic trends. High and arched brows for women were considered ideal in the aesthetic field in the 1980s and 1990s. I was skeptical of this aesthetic because so many people were getting brow lift surgery for brows that had not dropped. I have a different perspective, and my approach back then and now is to restore or shape the brow rather than perform a generic brow lift.
As previously stated, I perform a large number of non-surgical brow lift procedures to not only lift the brows, but also to address a small amount of skin excess over the eyes. Botulinum toxin injections can be strategically placed to raise the brow by several millimeters. It works by relaxing the forehead depressor muscles like the procerus, corrugator, and orbicularis oculi as this muscle group pulls the brows downward. As a result of relaxing the depressor muscles, the frontalis muscle which lifts the brows works unopposed. This effect can last up to 6 months, but patients usually come in at 4 months before the effect wears off completely.
Brows may droop as a result of volume loss caused by diminishing bone and soft tissue, which can be seen as the temples become hollower with age. I use long-lasting hyaluronic acid fillers at the bone level to restore brow support. This strategy can be used in conjunction with other structural volume correction techniques for areas such as the cheekbones, jawline, and chin.
One of the techniques I frequently use for brow lifting, or as I prefer to call it, eyebrow shaping, has been more accurate and predictable. As previously stated, aging causes bone volume loss, which causes the brows to droop and descend. I create a design, and then I place the incisions to create a natural shape.
I also perform the procedure in such a way that brow hairs can grow through the incision, which is known as a trichophytic incision. I further enhance the surgical area’s appearance by using advanced wounding materials such as extracellular matrix by ACell and platelet-rich plasma, also known as PRP.
Another advantage of using extracellular matrix and PRP is that it can help thicken thinning brow hair. Aging is also associated with eyebrow hair thinning. I’ve been using extracellular matrix and PRP for the non-surgical hair loss treatment TrichoStem Hair Regeneration since 2011. Men and women suffering from genetic and hormonal hair loss travel from all over the world to our offices in New York, Long Island, and Northern Virginia for this treatment.
Do I Need a Brow Lift or Blepharoplasty?
When your eyes look hooded without the presence of eyebrow ptosis, I recommend cosmetic upper eyelid surgery. Cosmetic eyelid surgery can open up the eyes by addressing excess or redundant eyelid skin, soft tissue, and fat. When performed artistically, and with the right amount of contouring, and removal of skin, fat and soft tissue, it’s remarkable how cosmetic eyelid surgery can brighten the whole face.
Since I design and perform cosmetic eyelid surgery to maintain facial character so you look like yourself, my patients often report how their friends and families recognize that they look better, but they can’t figure out why.
I address concerns about potential risks by explaining that expertise and experience are the way risk is reduced in any endeavor, whether it’s flying a plane, or performing delicate eyelid surgery. Expertise and experience are critical to reaching a level of artistry. If you were to play the piano, your ability to compose is dependent on your mastery of piano skills. In eyelid surgery, I design the skin removal and the eyelid crease by factoring in the skin quality and elasticity the way a sculptor understands the material they’re working with so that any sign of surgery is barely perceptible, if it’s visible at all.
Can a Brow Lift Be Done Under Local Anesthesia?
I perform both brow lifting and eyelid surgery under local anesthesia with LITE IV sedation, avoiding general anesthesia entirely. When you are under general anesthesia, you are paralyzed and must rely on a respirator to breathe for you. Many people experience nausea and vomiting after general anesthesia, and require an overnight stay at a facility before returning home. In comparison, with local anesthesia and LITE IV sedation, my patients are comfortable during surgery, breathing on their own, and leave about 2 hours later smiling and thanking my staff.
The eyes are important for all types of interaction. The aggressive retailing in the aesthetic field creates a false equivalency in the marketplace, which has harmed countless people, especially those attempting to save money. Since this area is so important for both your appearance and your vision, I cannot emphasize enough the importance of a thorough consultation to determine whether brow surgery is right for you.