This brow lift is
an option for younger patients with moderate
sagging. This procedure is considered a
mini brow lift where the incision is made 1 to 2
inches long - and made in the back of the hair
line in the lateral brow area. This type
of lift will help raise the tail end of the
eyebrows. It is not as major of a
procedure as an
endoscopic or a
lift - however; some mini brow lifts are very
similar to the endoscopic lift without the
The ENDOTINE is a
soft tissue fixation device, one that is absorbable
which provides fixation and stabilization
after lifting during healing - and then after
about a year, the device dissolves on its own. The ENDOTINE resembles a triangular plate with
tiny hooks that grab and hold the tissue in the
desired location after lifting.
According to the
manufacturer Coapt - ENDOTINE Trans-Bleph is the
best of both worlds for rejuvenation surgeries. It allows the surgeon to perform two procedures
through a single incision.
A natural lifting
of the lateral brow and a less surprised look
can be achieved with the mini brow lift. The
glabellar muscles cannot be diminished
however - unless this procedure is done through
the eyelid incision. Another version, is a
subcutaneous mini brow lift.
ADVANTAGES AND DISADVANTAGES OF ENDOTINE
reabsorb, leaving little permanent effect
than a regular brow lift
There are some
surgeons do not feel that the ENDOTINE Fixation Device last long at all.
numbness usually occurs after these procedures.
Cases of chronic
inflammation after brow fixation with Endotine
incision for the Direct Brow Lift is made directly behind dense,
thick eyebrow hair or within a deep
horizontal forehead wrinkle. This
procedure is normally reserved only for men. This procedure will not raise the hairline
brow lift is similar to the direct brow lift
except the incision is made in a natural
forehead crease some distance above the
eyebrow. This procedure is used in
males who exhibit baldness or deep forehead rhytids (or wrinkles) - however; their
eyebrow hair is not full enough to hide a
direct brow lift scar. The
disadvantages of this procedure is the
noticeable scar and also does not help the glabellar fold or wrinkles.
of brow elevation and softening of the
vertical frown lines between the eyes can be
accomplished sometimes through an
upper blepharoplasty incision
- which is known as an "Brow
An "Brow-pexy" is a very common procedure and is normally performed at the same time with
upper blepharoplasty or eyelid lift surgery. The brow-pexy procedure is
performed through the upper eyelid incision which is made at the natural crease
of the eyelid and the brow area is accessed through that same incision. Once the eyebrow area is reached - the tissue is raised to the desired height
and sutures are placed to firmly secure it into place.
This procedure is
used in younger patients who do not have significant forehead wrinkles.
The Brow-pexy is not useful in patients with excessive brow ptosis
or in addressing the forehead.
this procedure is that the same incision is used for
It also is a much
less invasive procedure than other forehead approaches.
The incision for a
pretrichial or a hairline brow
is made at the front portion of the hair line - at the top of the forehead. Sometimes the incision is a few millimeters into the hairline. As the brow
and forehead are lifted, the excess skin and tissue is removed.
Candidates that are good for this procedure
usually have a full head of hair and who does not want the longer forehead or
higher hairline that can result from both the endoscopic brow lift
coronal brow lift. If patients wear their hair in front of their face, the
scars are not visible - however if you wear the hair pulled back off of the
face, then the possibility of the scars showing is greater.
The trichophytic brow lift is very similar to the
- however the incision is located within the hair line compared
to the pretrichial where the incision is barely outside of the hairline.
transpalpebral brow lift procedure is
done with incisions which are made only in
the upper eyelid creases. It uses this
incision to permanently disable the frown
muscles, lift the eyebrows and to relax the
This procedure is great for:
men who are balding
who do not require
who do not need
permanent weakening of the brow and forehead muscles
The corrugator muscle
allows the eyebrows to squeeze together when you frown or worry. This
excision procedure can be done in conjunction with a brow lift or by itself. By removing part of the corrugator muscle, the patient will appear much more
relaxed and will not have the ability to create lines in between the eyebrows. The result is very similar to having
BOTOX injections between the eyebrows in
glabellar line - except with the corrugator
excision, the results are permanent.
The surgeon has to be careful with this, as
taking out too much muscle will cause contour irregularities or depressions from
where the muscle was taken.
If the corrugator muscle excision is done without
a brow lift - the incision is made with in the creases of the eyelid.
brow bone reduction is not a brow lift -
however; is an option in shaping the brow and
forehead. Patients who have a very
prominent brow with deep set eyes normally are
good candidates for this procedure.
reduction involves burring down the brow bone to
make it less prominent. Incisions are made
in the upper eyelid crease or through an
incision in the scalp. This procedure is
done effectively with
IV sedation or
Risks and Complications of Orbital Rim
frontal sinus damage
should only be considered with a plastic surgeon
who has done this many times before.
eyelid skin without fixating the brow can result
in brow descent or a recurrence of upper eyelid
hooding. Patients tend to become concerned
if the surgeon did not remove enough skin
because the brows are being pulled down. To prevent this from happening, a procedure is
done similar to a brow lift, but without raising
the eyebrows. As the forehead flap heals,
it will adhere in it's new position - anchoring
the eyebrows and preventing brow drooping with
upper eyelid surgery. For the most part,
this procedure is not done all that often, as
most people do not need brow fixation. However, your surgeon might point this out to
you at your consultation if this should be done.