Browlift - Overview

• A forehead lift, also known as a browlift or browplasty, is a cosmetic surgery procedure used to elevate a drooping eyebrow that may obstruct vision and/or to remove the deep worry lines that run across the forehead and may portray to others anger, sternness, hostility, fatigue or other unintended emotions

Why does the brow droop?

• Eyebrow ptosis is a result of gravitational and involutional changes that result in eyebrows that rest lower than their normal position.
• Other causes of brow ptosis include facial palsy, tumors, and asymmetry.
• Patients may present complaining of difficulty with vision because of
  1. secondary dermatochalasis
  2. irritation of the eyes from lash ptosis (again caused by secondary dermatochalasis), or
  3. cosmetic concerns.
• Aging: The effects of aging lead the brow and forehead to fall due to the skin's loss of elasticity.
• Environmental: Sun, wind, and the pull of gravity all affect the face; Frown lines and wrinkles may develop across the forehead

What happens as the brow drops?

• Your expression may not reflect how you actually feel, you may appear tired or angry
• As a result, many people have opted for a procedure known as the forehead lift.
• Based on variations in how men and women age and on new advances in medical technology, different methods are used to perform this procedure.

Indications Sagging forehead; brows which hang low and close to the eyes Deep vertical furrows between the brows

Should you consider a brow lift?

• Forehead lifts are an option if you have a sagging brow or deep furrows between the eyes.
• To predict the outcome, use your hands above your brows and on the edges of your eyes and lift the skin upwards while looking in a mirror.

Note the following: The distance from the central brow-to-upper eyelid is very small (brow-upper-lid, BUL) The opening of the eye (palpebral fissure) is very small (excess skin)

When is the best age to consider this surgery?

• it usually done between age forty and sixty-five, although it may be necessary at an earlier age.
• Good health and realistic expectations are prerequisites.