• Other names: Brow lift, forehead lift, coronal lift, endoscopic brow lift, direct brow lift, temporal lift, mid-forehead lift, internal brow lift, browplasty, browpexy, upper face lift
According to data from the American Society of Plastic Surgeons, the number of forehead lifts (another name for brow lifts) performed in year 2015 was 67% less than in year 2000, the biggest drop for any cosmetic surgical procedure studied and the culmination of a steady downward trend over the last decade.
Why is this? Read on to learn more.
• Primary goal: Elevation or reshaping of drooping eyebrows
• Secondary goals: Softening of horizontal forehead wrinkling and vertical glabellar (the area between the brows) frown lines
Muscles of the Eyelid, Brow, and Face
|A||Orbicularis Muscle (palpebral)||Eyelid closing muscle|
|B||Orbicularis Muscle (orbital)||Eyelid closing muscle|
|C||Frontalis Muscle||Forehead muscle|
|D||Procerus Muscle||Muscle that lowers brows|
|E||Corrugator Muscle||Muscle that brings brows together|
|F||Midfacial Muscles||Muscles of the cheek|
|G||Malar Fat Pad||Large cheek fat pad|
|H||Suborbicularis Fat (SOOF)||Fat pad beneath orbicularis muscle|
|I||Temporalis Muscle & Fascia||Muscle of temple|
• Anesthesia: Different surgical options are available; the more extensive the approach, the deeper the required level of anesthesia. General anesthesia or deep intravenous sedation ("twilight sleep") is advisable for coronal forehead lifts.
• Operative technique: Many operations and combinations of operations exist. A lift can be achieved by skin and muscle removal, tucking of underlying muscle, and/or loosening of forehead and scalp periosteum with physical resuspension at a higher level. Incisions may be closed by using simple sutures, staples, bone screws, or sutures placed through bone tunnels.
• The many variations (photos on pages that follow and in the before and after section):
• Coronal forehead lift (also called open, transcoronal, or bi-coronal brow lift), in which the scalp is incised from ear to ear over the top of the head. The incision is usually hidden about an inch into the hair but may sometimes be placed just in front of the hairline (pre-trichial incision) if the hairline is already relatively high.
• Endoscopic forehead lift, in which the forehead is loosened and elevated through three or four one-inch long incisions hidden in the scalp using specialized instruments and a small camera called an "endoscope"
• Temporal lift, in which the incision is made over the temple and only the outer portion of the brow is lifted
• Midforehead lift, in which the incision is placed within a deep wrinkle on the middle of the forehead . . .