Brow
(forehead) Lift: Our Approach
The position of the brows affects the
appearance of the entire face, but most important the
appearance of the eyes. The
aging forehead skin lengthens and brows tend to descend,
causing the thick skin beneath the brows to cover the eyelids.
By surgically elevating the eyebrows, the brows themselves
can be aesthetically shaped and the excess skin of the
upper lids reduced, often minimizing the need to remove
the eyelid skin directly.
UNIQUE APPROACH
 |
We
have originated a technique that allows the surgeon
to accurately shape and securely fix the brows,
eliminate frown lines, and minimize forehead wrinkles.
|
This technique has provided a more consistent,
natural and long-lasting result.
- Accurately placed incision along the frontal hairline
- Creation of flap of skin and underlying
fat – that does not involve the muscles and nerves
of forehead
- Direct fixation of the skin of brow area to underlying
tissues
- Use of progressive tension sutures to advance and
anchor the skin of the forehead to the underlying tissues
- No drains required
- Final scar usually imperceptible
See progressive
tension sutures (PTS) ».
|
An
example of our PROGRESSIVE
TENSION SUTURE TECHNIQUE to
anchor and advance the skin of the forehead. Minimizing
recovery, eliminating the need for drains, yet enhancing
the final result.
|
 |
These
photo series show the minimal scars that result with
the Progressive Tension Suture technique. |
We have found this to be a very effective
approach to sagging brows - with a high rate of satisfaction
and minimal complications. We even published
an article in a peer-reviewed journal about this: Pollock,
H. and Pollock, T.A. Subcutaneous Brow Lift With Precise Suture Fixation and
Advancement », Aesthetic Surgery Journal.
(July/August) 2007. pp. 388-395.
Standard Browlift Surgery
Cosmetic Surgery: Promises and Pitfalls™
PROMISES
 |
The
brow lift is a method to surgically elevate the eyebrows
to an attractive and youthful position. This reduces
forehead wrinkles, eliminates excessive upper eyelid
skin, and brightens the appearance of the eyes!
|
PITFALLS
A good operation when indicated and properly done,
however :
- Over-correction of the browlift can result in a
“deer in the headlights“ appearance.
- Most frequent complication is recurrence of the brow
sag which the reason for so many devises
to hold the brows in position, including skeletal
fixation (screws in the skull), suture support,
and other devices.
- Many techniques are used to correct brow sag, however
there is no single outstanding technique. In fact,
“A respected author concluded in a recent scientific
article that management of eyebrow ptosis (sag)
remains a most challenging problem and that there
is no single superior solution for brow ptosis currently
available”
- Most browlifts are done at the level of
the bony skull, which places the surgeon at a mechanical
disadvantage (lifting skin from the deeper layers)
- Scalp scars may be visible
and often the hairline is elevated by surgery.
Facial
Rejuvenation Page »
More
Promises and Pitfalls Information »
Back to
Top »
|
