A forehead lift is a procedure that corrects drooping, sagging brows and smoothes forehead lines. When your brow sags, it can create dark, tired eyes and furrows on your forehead that may make you appear angry even when you are not. A forehead lift raises the brow to improve the look and feel of your eyes and erases a furrowed brow and nearby lines and wrinkles. A forehead lift may also be combined with a blepharoplasty, or eyelift, to further refresh your eye area, or with laser resurfacing to additionally diminish lines and wrinkles.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to raise the eyebrows and diminish lines. The conventional surgical method places the incision just behind the hairline, where it is well hidden. It can also be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar functional and cosmetic results.
There are several procedure options to raise the eyebrows and refresh the forehead: The indirect brow lift or “brow pexy,” a direct brow lift, and endoscopic forehead lift using the Endotine fixation device.
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 benefits 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 lifted. 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.