A Brow and Forehead lift rejuvenates a drooping or wrinkled eyebrow and forehead, helping you to look less tired, angry or aged.Using either conventional (open) or minimally invasive (endoscopic) methods, brow lifting involves the alteration of the eyebrow and forehead by removal or movement of skin and alteration of muscles above and between the eyes.The result is smoothing of the forehead lines, lifting and redraping of the eyebrows for a more youthful and refreshed appearance. Brow-lifting surgery has the ability to modify the height of the hairline.In some women, for example, the forehead is high compared to the standard height of the ideal female forehead.In other words, the female forehead appears to be receding.In these cases, a pretrichial incision (incision placed in the midst of the hairline) has the ability to lower the hairline by excising (removing) a portion of the upper forehead skin causing the excessive forehead height.Brow and forehead lifting is often combined with other procedures such as blepharoplasty (eyelid lift) and face lifting for additional facial rejuvenation.

No one brow lifting technique is superior to the others.The below discussed techniques are all acceptable and commonly performed.The decision to utilize one technique over another is based on multiple factors.During your consultation with Dr. Mitchell, a thorough discussion of your options will be presented.

Coronal brow lifting is a time honored and direct method of raising the forehead and eyebrow.With this technique, not only can the forehead and eyebrow be lifted, but an excessively long forehead can be shortened.With a coronal brow lift the incision is placed either behind the hairline or just within the front of the hairline. Access to the muscles between the eyes that cause scowl or frown lines is direct and easier compared to an endoscopic approach.Division of these muscles is typically completed in order to obtain a smoother, less wrinkled result. This technique tends to result in a very long lasting result.The disadvantage of this technique is a longer scar and more post-operative sensation loss.Typically, the numbness experienced following a coronal brow lift is temporary and resolves within 6-9 months.The possibility of permanent sensation loss behind the incision is possible. The following brow lifting techniques are options.The one technique ultimately selected is based on multiple factors that will be discussed during your consultation.

Endoscopic Brow Lifting - The procedure known as an Endoscopic Brow and Forehead Lift is performed through five one-half to one inch incisions hidden behind the hairline.The main advantage is that the scars are not easily noticeable.After the incisions are made, a small camera is placed under the skin along with another of several small instruments used to complete the necessary work to reposition the brow and forehead.With this procedure the positioning of the eyebrows can be secured and the look of being tired, sad or angry can be alleviated.This procedure is usually combined with the division of the glabellar muscles, which are the muscles that cause scowl or frown lines.The results of the combination of these procedures are a more aesthetically pleasing brow and a more youthful refreshed appearance.One disadvantage to an endoscopic browlift is the fact that the hairline is moved back 1-2 centimeters.While this amount of hairline shift is typically not very noticeable, it will create an even longer forehead in a woman with a pre-operative high hairline.

Mini Brow Lift – A mini-browlift is a less invasive procedure designed to raise the brow and/or the forehead that require less initial elevation.There are various methods for accomplishing a mini-browlift.A mini-browlift results in less trauma and therefore a shorter recovery time versus the coronal or endoscopic browliftingtechniques.The first technique is called a Transblepharoplasty Browlift.This approach utilizes an incision made in the upper eyelid crease of each eye in order to gain access to the eyebrow.Unique absorbing fixation devices are used to hold the brow in its new position while the brow heals at its new level.The Transblepharoplasty Browlift technique allows for two procedures through one incision.Both a blepharoplasty (eyelid lift) and the browlift may be accomplished by utilizing only one incision on each side.

The second mini-browlift technique is like a facelift for the eyebrow.It involves making an incision within the hairline but not as long or as deep as a classic coronal browlift.The incision is fashioned in such a way where the scar is typically barely noticeable. This technique allows for some brow elevation without elevating the hairline and less post-operative discomfort and healing time.

Mid Brow Lift- A mid-brow lift is best used in patients with deep forehead creases.These patients are typically male.This technique involves making incisions directly on the forehead, fashioned around pre-existing forehead wrinkles.The advantage is a less invasive, direct brow-lift technique.The disadvantage is the possibility of unacceptable scarring on the forehead.Overall, this procedure works quite well for the properly selected patient.

Brow and forehead lifting is a surgical procedure typically performed in an accredited outpatient surgical center.Some cases of transblepharoplasty browlifting(raising the eyebrow through an incision on the upper eyelid) can be performed in an office-based setting using local anesthesia.