As gravity continues to weigh and pull on us, our brows begin to fall.  The upper third of the face is usually the first place to show signs of ptosis (falling) although we usually focus on the eye lids which are in turn being pushed down.  There are many surgical techniques to elevate the brows and each is selected based on patient’s anatomy and expectations.  There are also non surgical methods of creating more subtle elevations in the brow such as the case with botulinum toxin (Botox). Carolina Cosmetics provides the full spectrum of options for browlifting.

Browlifting Procedure

Browlifting procedures are varied so the anesthetic may vary from straight local anesthesia to general anesthesia.  In some cases, the brows may be elevated through an upper blepharoplasty incision using a technique called browpexy.  Others may be candidates for a direct browlift where an incision is made and hidden just above the eyebrow.  A mid-forehead brow lift may be the answer in someone with deep furrows in the forehead while a trichophytic browlift incision may be made just at the hairline in someone in whom hairline elevation is undesirable.  The classic browlift is done through a bicoronal incision from ear to ear across the top of the scalp.  This has fallen out of favor for techniques using minimal incisions.

The endoscopic technique is becoming the most popular form of browlifting for those without high hairlines and without extremely thin hair.  Three to five small 3cm incisions are made behind the hairline after which endoscopic instruments and cameras are inserted under the brow allowing subtle elevations that create a rejuvenated and youthful appearance to the eyes.  A variety of techniques exist for brow fixation.

Recovery From Browlifting

Recovery is relatively benign although there may be a small amount of bruising at the forehead.  Most of the bruising will resolve by about one week following the browlift.