Eyebrows tend to descend with age and can make the eyes appear more tired or sad. Depending on the nature of your aesthetic concerns and goals, Dr. Ho will select the most suitable brow lift technique to give your eyes a fresh and more youthful look.
What is Brow Lift?
Brow lift is a surgical procedure designed to elevate the position of the eyebrows. The eyes are the first features of the face to demonstrate signs of aging. With aging, the forces of gravity bring about downward descent of the eyebrows (brow ptosis), which in turn may contribute to a heavy appearance of the upper eyelids as well. While non-surgical treatment options such as neurotoxin can help create a temporary brow elevation effect, only brow lift surgery offers a more permanent and definitive solution to brow ptosis. Dr. Ho specializes in brow lift and performs each surgery according to the anatomic issues and surgical goals of the individual patient.
What are the different surgical approaches to Brow Lift?
There are several different techniques in brow lift surgery, and the most ideal approach may vary by patient. The most commonly performed approach is the endoscopic brow lift, which utilizes minimal incisions in the hair-bearing scalp and releases suspending tissues and ligaments to mobilize and elevate the brows. The ideal candidate for this approach possesses a flat forehead with a normal or low hairline. If a patient demonstrates a high hairline, they may be more suited for a trichophytic or pretrichial brow lift approach where the incision is placed within or in front of the anterior hairline, respectively. The coronal brow lift is an older surgical technique that involves a longer incision in the hair-bearing scalp but is associated with higher risk of paraesthesia and is not indicated for patient with high hairlines or male pattern baldness. A temporal brow lift addresses the lateral component of the brows only and is performed through incisions made in the temple portion of the hair-bearing scalp. A mid forehead brow lift is performed via incisions made along forehead wrinkle lines, whereas direct brow lift is done through incisions made directly above the brows. These two approaches are typically pursued in bald male patients with prominent forehead wrinkles and/or asymmetric brows.
What is Dr. Ho’s approach to Brow Lift?
As a facial plastic surgeon, Dr. Ho specializes exclusively in aesthetic and reconstructive procedures of the head and neck region including various surgical techniques for brow lift. Dr. Ho dedicates ample time and effort with every patient to determine which surgical approach best meets their goals and expectations. Dr. Ho pursues a conservative approach to brow lift: she avoids removing excessive skin or placing tissues into excessive suspension that may put a patient at risk of an overcorrected and unnatural result. Her surgical technique focuses on creating a natural, more youthful-appearing result that is catered to the individual patient’s anatomy. In addition, Dr. Ho often performs upper eyelid surgery in conjunction with brow lift to further enhance a patient’s rejuvenated eye appearance. Her goal is to create a more youthful and aesthetically balanced look for every brow lift patient.
What should patients expect after Brow Lift?
Each brow lift procedure is different and catered to the individual patient. Therefore, the types of incisions utilized as well as extent of swelling, bruising, and tenderness that occur after surgery will vary by patient. Every brow lift patient will follow-up with Dr. Ho one week after surgery for suture removal. Each patient will then follow-up again at weeks to months out at regular intervals for re-evaluation. The down time for brow lift is usually minimal; most patients can return to normal daily activities apart from heavy lifting, straining, and strenuous activity the day after surgery. Patients should expect immediate bruising and swelling after surgery that typically resolve by one to two weeks out from surgery. Post-operative pain is usually mild and managed well with prescribed pain medication. Improvement in the appearance of the eyebrows is typically observed immediately or after most of the bruising and swelling has subsided. Dr. Ho seeks regular follow-up with her patients to ensure that every patient heals well and is satisfied with their surgical outcome.
What are other surgical procedures that are routinely performed with Brow Lift?
It is common for other procedures to be performed at the same time as brow lift surgery, depending on the patient’s anatomic issues and surgical goals. They include but are not limited to the following: facelift, neck lift, upper and lower eyelid surgery, fat transfer, and laser skin resurfacing. Dr. Ho is experienced in a wide range of aging face procedures and will thoroughly evaluate each brow lift candidate and discuss with them whether they would benefit from additional procedures at the time of their surgery.
What are the Ideal Eyebrows?
Dr. Ho believes that while every face is unique, the ideal eyebrows help contribute to a more awake, refreshed look to the eyes and are harmonious with the rest of the face. The ideal eyebrow rests just above the supraorbital rim (upper bony of the eye socket) and arches at the level of the lateral border of the iris in females and rests at the supraorbital rim with less arching in males. The medial end of each eyebrow should line up vertically with the lateral aspect of the nostril on the same side, whereas the lateral end should approach an oblique line that passes tangentially from the nostril to the lateral corner of the eye on the same side. Dr. Ho uses several of these anatomic principles as a foundation for her surgical approach as well as her aesthetic intuition in brow lift surgery.