The use of the fiber-optic endoscope for performing brow and forehead lifting came of age while I was in my fellowship training and I was fortunate to be on the front end of that learning curve. Prior to 1993, most all brow and forehead lifts were done using a large incision from ear to ear across the scalp that often resulted in numbness of the scalp, hair loss, and a wide, visible scar.
The endoscope not only obviated the need for that incision but ushered in a novel perspective for rejuvenating this area of the face. Rather than simply cutting and pulling the scalp, attention was directed on rejuvenating specifically those elements that were the result of aging. The technology improved as did our level of understanding about the aging process, and the “endoscopic browlift” evolved.
My Philosophy on Brow and Forehead Lifts
My current philosophy is to use the scope to allow me to alter a few specific muscles and attachments in order to render a subtle softening of appearance. Although the maneuvers I employ in each case here in Beverly Hills are different, I generally try to attain a similar aesthetic outcome. I prefer the center of the brows to be on the low side yet not too close together. The brows should arch but there must not be too much distance between the brow and the orbital rim, as this can make the person look startled or hollowed out. I usually move the brows out to the sides rather than vertically. The muscles that enable a person to frown are sometimes divided or sometimes left alone. There is no skin removed with my technique.
The brows are secured to the bone in their desired position and any redundant tissues are redistributed backwards over the remaining scalp where there is a greater area to accommodate them. I feel that a well-executed brow lift is more conservative than a blepharoplasty as there is no tissue removed and no visible incisions. Although one might be tempted to think of brow lifts and blepharoplasties as comparable operations with the same goal of improving the aesthetics around the eye they are not. Often times I find that performing both procedures allows for the optimal balance and aesthetics.
Real Patient Testimonial
Again, I appreciate your patience over the past two years, and I would recommend you highly to anyone; both for your surgical skills and your bedside manner. Maybe I will see you a few years down the line as I age 🙂
FAQs about Brow Lift
What is a brow lift?
A brow lift, also known as a forehead lift, is a facial plastic surgery that alters the signs of aging on the brow and forehead area. Common issues include the deep horizontal creases that appear on the brow, furrows between the eyebrows, and sagging skin that makes you look worn out.
How does the doctor tell if I’m a good candidate for the surgery?
During the initial consultation, the doctor takes a thorough medical history and performs a physical examination of your brow area. Your plastic surgeon will look at your bone structure, brow position, skin elasticity, and the thickness of your skin. This helps the surgeon create a plan for the surgery that you will discuss. If you’re in good health, you are an ideal candidate. Men and women who take blood thinners or who have medical conditions, such as heart disease, may be advised against the surgery. Every case is evaluated on an individual basis.
Can I pair a brow lift with other facial plastic surgeries?
Patients often combine a brow lift with blepharoplasty. Talk to your doctor to see if you’re a good candidate for both procedures at the same time.
What happens during the surgery?
After the anesthesia is administered, several small incisions are made within the hairline. With the aid of a fiber optic endoscope, the doctor fixes the underlying muscle and tissue to help bring the brow back into an ideal position. Once in position, the brow is reattached to the bone and excess tissue is redistributed to other areas of the brow that could use filling. The muscles that control frowns may also be altered. The goal is to soften the signs of aging without raising the brow so much that the patient looks startled and without removing skin or tissue.
How long will it take?
Every surgery is different, so it’s hard to give an exact time frame. In general, the surgery may take one to two hours to complete. In most cases, you will undergo the procedure and be released the same day.