Which Brow lift technique is the best suitable?

Brow lift surgery, often called forehead lift is a cosmetic surgical procedure that can help you get rid of heavy and droopy eyes. Due to the aging process, genetics, lifestyle, gravity, and health conditions, people experience sagging skin and wrinkles on different body parts. Sagging eyelids, being the most earliest and noticeable effects of facial features, make people look fatigued, angry and older than their actual age. Brow lift procedure can help people look active and younger by removing frown lines, excess fat and excess skin. This can be a complete life-changing solution to restore the youthful appearance and well-defined contour. There are multiple approaches of this procedure to address various concerns such as:- 

• Heavy eyes
• Sagging upper eyelids
• Drooping brow
• Downturned eyebrows
• Downturned outer eyes
• Crow’s feet
• Deep forehead lines
• Asymmetry between brows
• High forehead
• Tired or angry appearance

A skilled surgeon can customize the technique depending upon your concerns, skin laxity, health condition and goals that you aspire to achieve from the procedure. This blog will serve the purpose for you to decide the most appropriate technique out of various. 

First of all, you must be aware that there are two broad procedural options:-

• Surgical brow lifts
• Non-surgical brow lifts

You can choose invasive or non-invasive considering their scope of results, benefits, risks and limitations which are detailed below. 

Techniques of Surgical Brow Lift

Open or Coronal Brow Lift 

This technique is the traditional one and also referred to as classic brow lift. While performing this technique, surgeons make long incisions from ear to ear across the forehead. This is why surgeons get full access and control to elevate the eyebrows, to smooth the forehead and even to lift the hairline if the patient has a smaller forehead. Moreover, scars are camouflaged as incisions are made in beveled style that allows hair to grow through itself. Although its results are longer lasting than any other technique, it can cause permanent numbness from behind the incision to the vertex of the scalp. This disadvantage has made it less popular now. 

Classic or Endo-Coronal Brow Lift

This technique involves an incision in the scalp right behind the hairline. Thus, you will not get any noticeable scar. Brows are lifted by removing and trimming the excess skin from the area with the hair. You will lose one or two inches of hair strip with which your hairline is moved up and your forehead will be smoothen. This is an ideal procedure for the people having thick hair. This procedure offers long lasting results and restores your youthful appearance. 

Hairline advancement or Trichophytic Brow Lift 

Hairline or Trichophytic brow lift is the most beneficial option for the people who have higher hairlines naturally and want to decrease the distance between the hairline and eyebrows. During the procedure, incisions are made right at the hairline and forehead junction. The skin from the forehead is removed and incisions are beveled which allow the hair to grow through it. This technique minimizes the visibility of scars. Surgeon skillfully lifts and smoothes the brows along with wrinkles. There is no risk of direct hair loss or hairline recession. Unlike endo-coronal brow lift, it does not raise the hairline. However, in some cases, the hairline is moved forward to create a more youthful appearance. 

Endoscopic Brow lift

While performing this technique, a proficient surgeon uses a specific device called endoscope with which a camera is attached. A series of tiny incisions is made in such a way that they are all hidden within the hairline. Your surgeon is aided by the endoscope that is inserted into the forehead and required images are projected on the screen. This enables the surgeon to lift the brow precisely and reposition the forehead tissues to achieve a youthful and refreshed look without making long and open incisions. This also helps the surgeon to identify any nerve close to the eyebrows and protect them during the surgery. However, in this technique skin is not removed at all. Lastly, the new elevated brow position is protected and stabilized with well-hidden small incisions. 

This is a wonderful option having less downtime as it is less extensive than the other techniques. Also, patients experience less pain and there will be no numbness of scalp. It is best suitable for the people who are in their 30s and experiencing the beginning of the forehead droop and have enough skin elasticity. 

Lateral or Temporal Brow lift

This technique specifically targets the outer one-third portion of eyebrows. Since it does not cover the whole brow area, it is less extensive. It is performed to correct the downturned eyebrow; the portion that descends first as we age which creates heaviness to the upper eyelid and makes us look sad and depressed. This technique offers less dramatic results with a shorter recovery period and fewer chances of risks compared to other brow lift techniques. It is often combined with upper eyelid surgery. 

Trans-blepharoplasty Brow lift

This technique is the modification of lateral brow lift. It elevates the brow with the help of lateral brow technique and standard upper blepharoplasty. This is minimally invasive technique as the incisions are made in the upper eyelid crease and behind the upper hairline. It involves a very short recovery period. 

Direct Eyebrow lift & Mid-forehead Brow lift 

These two techniques are rarely used now because these approaches give prominent scars resulting from incisions, made directly above the eyebrow and within the folds of the upper eyelid. These give better access to the surgeon to address the issues, however visibility of incisions have made these less popular.  

TECHNIQUES OF NON-SURGICAL BROW LIFTS

This technique is used when the patient does not want to undergo any incisions and sutures. The most prominent benefit of this technique is you don’t require any off period as it involves no recovery time. You will be able to go to work directly after the treatment session. 

The most advanced dermal fillers, botox, and neurotoxin injections are injected to improve the skin texture, to smooth the wrinkles, and enhance volume along the brow line. These methods can also address crow’s feet and frown lines between the eyebrows. 

However, this non-invasive method is more appropriate for younger patients who have early eyebrow descent. In case, you have lost the skin laxity and have more than enough sagging skin around the brow area then instead of bringing any fruitful outcome, it may worsen the case for you. Moreover, you must bear in mind that the results of this technique are quite mild and temporary. These will typically last for five to six months then you might need a touch-up or revision session. An experienced and skilled surgeon will guide you precisely with the best course of action to meet your expectations.  

Brow differences between both the genders

There are structural differences in men and women. In general, men have much thicker and lower eyebrows along with flat foreheads. They also have a brow ridge above their eyes. On the contrary, females have thinner and higher eyebrows comparatively. Their foreheads are curvier and do not have any brow ridge.

Depending upon these differences, they have different appearances. These differences form the basis to use different and suitable techniques of brow lift procedure for both the genders. A skilled surgeon will come up with a customized treatment plan to achieve the most radiant results. 

Conclusion

Surgical and non-surgical brow lifts, both techniques are specifically designed to rejuvenate the upper face for a more youthful appearance. Only a well-qualified, well-experienced and skilled surgeon can determine the most appropriate technique for your brow lift that will help you achieve your goals. Our surgeons will evaluate your face and your natural characteristics like hairline, brow dropping degree, skin laxity and your desired results. This evaluation will be beneficial to decide and recommend a technique that can produce the most wonderful results for you.