Cosmetic Surgery: Promises and Pitfalls™

Browlift Surgery in Dallas

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 mechanical disadvantage (lifting skin from the deeper layers)

  • Scalp scars may be visible and often the hairline is elevated by surgery.

OUR APPROACH

The browlift is a frequent facial procedure that we perform to improve the appearance of the area around the eyes and the eyes themselves. We have not been satisfied with results from procedures considered “standard” and have developed a new approach that permits us to precisely elevate and maintain brow position. This technique has provided a more consistent, natural and long-lasting result.

In our experience, a more superficial approach is ideal for brow lifts, since the brows are an appendage of the skin. Therefore our dissection is just deep to the skin and fat of the forehead, so that movement of the brows is most direct. In addition, we have combined our progressive tension sutures (PTS) to the browlift, so that the brows are lifted and anchored directly and precisely with sutures. The forehead is advanced with PTS. This spreads the tension of the lift over the entire forehead. The PTS firmly anchor the skin flap to the deeper tissues, eliminating the need for drains and pressure dressings. Resulting scars in most cases are barely visible.

Left: Illustration shows the approximate position and number of progressive tension sutures in the typical forehead lift.

Right: The image illustrates the skin elevation from the forehead and the advancement of the skin with PTS. Note that brows are anchored precisely and firmly to the deeper tissues.

 
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.

 
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Offices of Drs. Harlan Pollock and Todd Pollock

8305 Walnut Hill Lane, Suite 210
Dallas, TX 75231
(214) 363-2575
1105 North Central Expressway, Suite 2310
Medical Offices 2, Allen, TX 75013
(214) 509-0270
Dallas Map: Across from
Presbyterian Hospital of Dallas
Allen Map: In the
Presbyterian Hospital of Allen complex

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