Also known as a Forehead Lift, this procedure improves the appearance of the forehead by smoothing wrinkles, repositioning a low brow, and reducing the fullness in the upper eyelid. There are a few different techniques that involve various incisions of different lengths and positions, and sometimes the use of an endoscope. In youth the brow is just above the bony rim of the orbit. It has a gentle arch and the tail or lateral end is slightly higher than the medial end. During the aging process, the brow can loose its arch and sag, over-filling the upper lid.
When To Consider A Browlift
- Sagging or low eyebrow position creates a tired, sad, or grumpy appearance
- You have deep creases across the forehead
- You have creases between the eyebrows
- You have excess skin hanging over your eyes
About The Procedure
There are three variants to the brow lift procedure. Choosing the right one is based on your anatomy and your goals. Dr. Minniti will give you the pros and cons as they relate to you to help you understand which is best.
Open Browlift
Also known as the coronal brow lift, this is the original technique. An incision is made in the hair-bearing scalp spanning from ear to ear. All the soft tissue of the scalp and forehead is released and pulled back. Excess is reduced and the incision is closed, usually with staples. Dr. Minniti rarely performs this technique as it has few indications.
Endoscopic Browlift
Small incisions are used to release the scalp and forehead tissue to allow repositioning backward, lifting the brow. The endoscope is used to allow visualization to facilitate the procedure. This technique is used on people with less significant brow sag.
Temporal or Hybrid Browlift
Incisions are made in the temple within hair-bearing scalp and extend to the hairline centrally. Only skin is elevated to reposition the brow laterally, where the majority of brow sagging exists. Variations include extension of the hairline incision to lift more central brow, and endoscopic assistance to remove the frown muscles. This is Dr. Minniti’s most frequently used technique due to its versatility and safety.