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.
North Dallas Plastic Surgery’s Unique Approach
We have originated the Progressive Tension Suture 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. Benefits include:
- 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; and
- Final scar usually imperceptible.
Read more about progressive tension sutures (PTS).
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 when properly done. However, patients should consider the following:
- Misapplication of the brow lift can result in a deer-in-the-headlights appearance.
- Most frequent complication is recurrence of the brow sag. Hence, the creation of techniques 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 brow lifts 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.