Face Procedures | Brow Lift







Forehead Lift



Two common signs of aging are a wrinkled forehead or droopy eyebrows.  One of the most common concerns is the upper eyelids, which are a combination of the upper eyelid skin and the eyebrow skin.  The forehead lift, in the past, was an unacceptable procedure to many people because it meant a large incision which went across the top of the forehead and from ear to ear.


Today, the operation is performed endoscopically.  There are only three to five small incisions, and no hair needs to be cut or shaved.  The operation uses a minimally invasive technique employing an endoscope and microscopic equipment.  Scalp and hair are preserved.  The brows elevate in a natural way without creating a startled look.  The forehead drops because of laxity of the skin assisted by gravity.  It is further pulled down by the Depressor Muscle Group which is situated above the nose and in and about the eyebrows, and can create a scornful or angry look.  The muscle group called the Elevator Group elevates the brows, but they have to work very hard against the ravages of gravity, aging, and loss of elasticity.


Droopiness of the upper and lower lids is a frequent aesthetic problem.  The upper lid problem is normally a combination of upper eyelid fullness and droopiness of the brows.  There are patients whose upper eyelids are improved just by brow surgery and there are other patients need a combination of both procedures to achieve a desired result.  The upper eyelid operation involves removal of skin, some muscles and the unwanted fat which create hooding.  This incision is made in a natural crease.


Should the patient have droopiness of the eyelids, this can also be corrected at the same time.  Also corrected at the time of eyelid surgery is the descent of the outer aspect of the eyelid complex.  With the upper lids, it is important to remove only enough tissue so that the eyelid still closes easily.  This obviates the concerns of dryness, irritation, and other problems.


The lower lid is treated by a combination of approaches depending on the anatomical problem.  For most patients the removal of fat is done transconjunctiivally, which means from the inside of the eyelid.  The external approach can be used for removing extra skin and /or muscle.  Approximately 96% of our patients have a transconjunctival removal of fat and a resurfacing procedure to tighten the skin.  Depending on the skin type, this could mean a laser or chemical peel.  These operations restore a youthful appearance to one of the most important areas of the face: the eyes.  It should be noted that eyelid surgery is frequently performed on young people.


For additional information on facelifts visit:  www.surgery.org


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The Reed Center for Plastic Surgery - 45 East 85th Street New York, NY 10028 Phone (212) 772-8300 Fax (212) 517-6832