Psychologists tell us that the first place that people look at when they look at us are our eyes. There are a number of treatments in this important region of our face that enhance the appearance of our eyes. Eyelid tucks, Botox treatments, fillers all play important roles. Browlifts are procedures that are designed to do just that, elevate the brows. Eyebrows come in many shapes and sizes. Brows are very important in conveying expression including happiness, concerned, surprise, sadness, and worry. There is no consensus on the ideal aesthetic eyebrow. In general though most prefer eyebrows that allow good exposure of the eyes and eyelids. Most also agree that the outer eyebrow be positioned somewhat higher than the inner eyebrow.
There are many factors that contribute to the shape of our eyebrows including our genetic makeup. Excessive squinting or raising the brows also play a role. Unfortunately, the number of birthdays that one has maybe the most important factor. With time, gravity tends to stretch out the forehead skin and the eyebrows droop. Wrinkling of the forehead occurs with excessive muscle action both from expression and also from the overtime work our muscles must do to keep our brows held up.
If tweezing and penciling do not do the trick, a browlift may be in order. There are several techniques that I use for raising eyebrows depending on many factors including ones anatomy and desired positioning of the eyebrows. These include endoscopic brow lift, the classic open browlift and direct browlift.
The endoscopic brow lift is the browlift that is most common. This technique is a nice technique for those looking for a mild to moderate elevation of the brows, especially on the outer brows. Through short incisions on the scalp and with the help of an endoscope which is a miniature magnifying camera, stitches are placed under the skin to elevate the eyebrow. The more classic open eyebrow lift involves a longer scar but is suited for those that require a maximal amount of eyebrow lift both in the outer and inner parts of the eyebrow. The location of the scar may run up and over the mid-scalp or along the hairline. Direct browlifting is a small procedure that places a short scar over the upper border of the outer eyebrow when lifting the outer eyebrow. Each of the different procedures has its advantages and disadvantages and we would discuss all this during consultation.