The forehead and eyebrow region often show noticeable signs of aging. Looseness in these structures may cause drooping eyebrows, eyelid hooding, forehead furrows, and frown lines. In browlift surgery, the structures responsible for these problems are tightened or altered to smooth the forehead, raise the upper eyebrows, and improve frown lines. A browlift may be performed alone, or in conjunction with other procedures, such as a facelift, or eyelid surgery.
Browlifts may be done in a variety of ways, providing several options for patients that can be tailored to their anatomy, the appearance of their forehead and brow, and their desires. Among the factors to consider when choosing a browlift technique are: the position of the hairline; the gender of the patient; the extent of brow drooping; the presence of frown lines; and, whether other procedures, such as a midface lift, will be combined with the browlift.
Browlifts may be performed through a coronal scalp incision, which extends from just above one ear to just above the opposite ear, positioned well within the hair. Alternatively, in patients with a high hairline, an incision at the hairline (pretrichial incision) may be used to avoid raising the hairline further. Both of these methods allow lifting of the brows as well as modification of the muscles that create frown lines.
Endoscopic methods may be used as well in certain cases. The endoscopic technique allows for modification of the frowning muscles through much smaller incisions, although not as much lifting of the brows can be accomplished using this method.
Temporal browlifts are done through incisions within the temporal hair, and are used primarily when modification of the lateral or outer parts of the brows and forehead are indicated. In addition, through this approach some modification and redraping of the soft tissues of the outer corner of the eye are also possible.
Endoscopic brow-midface lifts combine a temporal browlift, modification of the frowning muscles if necessary, and a midface lift in once procedure. This method is ideal for younger patients with early signs of facial aging (slightly drooping lateral brows, descent of the outer corner of the eye, formation of a groove between the lower eyelid and cheek, early sagging of the cheek soft tissues, and deepening of the nasolabial folds). This procedure allows correction of these signs of aging through incisions within the temporal hair with less swelling, bruising, and down-time than with a standard brow and facelift. It is usually performed in younger patients who do not yet need a full brow and facelift.
Based on his consultation with you, Dr. Muzaffar will suggest the most appropriate technique to achieve your desired results. Dr. Muzaffar's background as a craniofacial surgeon provides him with particular expertise in performing such techniques.