What is a brow lift or forehead lift?

A brow lift, also known as a forehead lift: Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes. Improves frown lines, the vertical creases that develop between the eyebrows.

Forehead and Eyebrow Lift

Many people feel that they need eyelid surgery because they have droopy upper eyelids. In actuality, they may need their forehead and eyebrows suspended back to their youthful position.

If excess eyelid skin is removed in a patient with sagging brows, the condition can actually be worsened, because the tightening may cause the brow to descend even more. For this reason, it is important for the surgeon and patient to fully realize the contribution of droopy brows before removing eyelid skin. If the patient has droopy brows and excess eyelid skin, then they may be addressed at the same surgery.

About Forehead and Eyebrow Lifts

Some surgeons may fail to evaluate brow position and if too much eyelid skin is removed, a brow lifting procedure may be impossible in the future. For this reason, evaluation of the brow position must be considered.

Elevating the eyebrows, a forehead and brow lift smooths the horizontal forehead wrinkles and decreases the activity of the muscles between the eyes and on the forehead that are responsible for scowling.

Mini Brow Technique (Transfollicular Brow Lift)

Most types of brow and forehead lifts can elevate the hairline, fail to address deep forehead wrinkles and may require screws, holes or plates in the skull to maintain the elevation.

All of these problems can be alleviated by the mini open brow technique. This surgical approach utilizes a special incision know as a transfollicular or trichophytic incision. This incision is made just behind the hairline and done in such a manner that the hair will regrow through the incision scar. This technique is done only under the skin as opposed to the deep tissues like other techniques. The hairline is not elevated and can actually be lowered with the mini open brow technique. Since this is a skin incision technique, no holes are drilled in the skull and no hardware is required. In addition, many surgeons feel that this technique is the most stable type of browlift and the results can last longer. The mini open brow technique should not be confused with the older type of coronal brow incisions. These older techniques required extremely large incisions on the scalp and very deep dissection. That is not the mini open brow technique. The mini open brow technique can be thought as a facelift for the brow as it is a very similar technique to facelift surgery where excess skin is removed to increase longevity of the operation.

The basis of this technique is a precision incision that allows the hair follicles to regrow through the scar. This is called a transfollicular or trichophytic incision method. The result is an incision scar that is barely noticeable. The diagram below illustrates how the hair follicles grow through the precision incision.As the healing progresses, the hair regrowth becomes evident which camouflages the scar. The picture below show a patient’s hairline before mini open brow lift and 8 weeks after surgery with new hair growth surrounding the scar.

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