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Plastic Surgery of the Brow
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Browlift - Before |
Browlift -After |
In Wellington I usually use a limited incision browlift technique
to avoid the problems of endoscopic browlifts and open browlifts.
This technique is modified from that described by David Knize from
Colorado.
A browlift
-lifts the eyebrow into a more youthful position
-decreases the bagginess of the upper eyelid
-reduces wrinkles and deep furrows of the forehead
-the central frown muscles are removed.
A brow lift may be performed under local anaesthetic which decreases
costs.
I usually perform a browlift during a facelift.
The surgery may be performed endoscopically through small incisions
although for a longer lasting effect in heavy brows I prefer a scalp
incision. I use this incision frequently as a craniofacial surgeon
and it allows a very substantial lift.
Cautions if you are contemplating brow surgery
Upper blepharoplasty
Upper eyelid bags should not be removed if the brow is well descended.
If this is done the brow cannot be elevated later as the upper eyelids
will be pulled up exposing the eye.
Surprised look
Ensure your surgeon does not elevate the lateral part of the brow
too much. This leaves a “surprised” look.
Hairline
Ensure your hairline is not pulled too far backwards. I avoid this
by using an “intertrichial” hairline incision when this
is appropriate.
Corrugator muscles
Ensure your surgeon removes the corrugator supercilli muscles. These
are the central frown muscles often treated with Botox. There anatomy
is quite complicated but a properly trained surgeon will be able
to safely remove them without damaging adjacent structures.
Facial nerve
Your surgeon will have to be careful of the frontal branch of the
facial nerve. This can be damaged when stopping bleeding from the
so-called sentinel vein and will paralyze one half of the forehead.
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