Dr. Branman Awards Dr. Rhys Branman's Cosmetic Surgery Blog

Brow Lifts to Remove Deep Furrows

January 6, 2014 - Rhys Branman, MD

Many people over 40 begin to notice furrows appearing on the forehead, their brows appearing low and heavy, perhaps “crow’s feet” and “worry lines.” These are indications that you might be a candidate for a brow lift or forehead lift. However, if you have a significant degree of skin hanging over the upper eyelids, I may recommend an upper eyelid surgery, blepharoplasty or both. Whether you would be better served by a brow lift or eyelid surgery will be dependent on your specific needs. You have a choice of Brow Lifts at Little Rock Cosmetic Surgery Center.

As I have stressed many times before, each patient must be treated individually. The procedure that is best for someone else may not be the procedure that is right for you. In our consultation, we will determine exactly what techniques and procedures will enhance your natural beauty the most. There are several reasons I often prefer what is called an “Open Brow Lift.”  I might suggest an “open brow lift,” as opposed to an endoscopic Brow Lift if your hairline is already high, for instance. The endoscopic technique not only lifts the brows but also shifts the hairline up very slightly. Which procedure is appropriate for you will also depend upon just how much lax skin you have on your forehead. The open lift allows for removal of redundant skin after the muscles that cause the frown lines are relaxed, and the forehead lifted. This is not possible with an endoscopic lift.

The Open Brow Lift also allows me a clearer view of the structures of the forehead with a direct visual rather than using the endoscopic camera and also allows for a larger correction. The larger the correction made, the longer lasting the procedure will be. I personally think that open brow lifts often last longer, but of course that that depends on the individual. This traditional brow lift allows for more elevation of the medial (middle) portion of the brow, whereas with an endoscopic lift allows most correction in  the lateral (outer) portion of the brow. Access to the medial area is important for a balanced natural look between the lateral and medial portions of the brow. It is the lateral portion of the brow that gives the brow its arch, and often short horizontal wrinkles are caused by the movement of this part of the brow. However some patients have wrinkles in the medial portion of the forehead that need to be corrected. Ptotis (drooping) generally begins at the medial portion of the brow.

In either case, depending on the amount of correction needed, I will recommend what is best for the patient. If you have thinner skin and a lower hairline, the endoscopic method might be best for you. It is also possible that eyelid surgery would enhance your brow lift, or be indicated instead of a brow lift. I perform both types of Brow Lifts at Little Rock Cosmetic Surgery Center in Little Rock, Arkansas.

Feel free to call Melinda at the front desk for your consultation with me. 501-277-0707

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