Brow Ptosis (Drooping Brow)

Brow ptosis (pronounced Òtoh-sisÓ) is a condition in which the eyebrow droops or sags. A brow lift is a surgical procedure that can improve appearance and/or the upper field of vision. Depending on the degree of ptosis, there are several techniques that our doctors may recommend for you:

Brow Pexy

Often in conjunction with upper eyelid surgery, a Brow Pexy is performed through the upper eyelid. An incision is made along the natural crease of the eyelid and the brow area is accessed through incision. The brow is raised to the desired height and sutures are placed to firmly secure it in place.

Direct Brow Lift

In a direct brow lift, a wedge of excess skin is excised directly along the outermost hairs of the eyebrow, allowing the brow to be elevated. The incision is then closed with sutures. A direct brow lift may have benefit for both male and female patients. However, it can be particularly effective for male patients because men typically have more dynamic expression lines along their brow and forehead which allow incision lines to blend naturally.

Endoscopic Forehead Lift

In an endoscopic forehead lift, 4 to 5 incisions are made along the hairline through which an endoscope can be inserted. The surgeon utilizes the camera on the endoscope to view muscle and tissue below the surface of the skin. Forehead muscles are loosened from the skull so the brow can be. Several small bio-absorbable implants (Endotine Fixation Devices) are inserted into the outer layer of the skull. The implants dissolve over time and the forehead remains in its newly elevated position.

Brow Ptosis Repair is usually performed in an outpatient surgical facility under anesthesia that induces a "twilight" state. Sedated consciousness is preferred so the surgeon can accurately adjust the brow line. 


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