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Brow Lift Failure - Options to Fix?

asked 1 year ago by Wondering....
Latest answer by Francis R. Palmer, III, MD
Question viewed 208 times
Tags: upper eyelids, 3 months post-op, failure, loose skin, options

Doctor says anchor points for coronal brown lift didn't hold. Now eyes are too close to brow & have a "mean look, w/eye bruising near nose. Upper blepharoplasty unadvised by 3 plastic surgeons before.Now hard to use eye shadow w/loose skin above eyes.What caused brow ptosis or broken sutures? Why bruising in eye skin near nose after10 wks. w/ lower blepharoplasty, fat fill, etc?Will time, laser, upper blepharoplasty, thread lift, Trichophytic,endoscopic, anything help? I prefer no more surgery.

7 answers to Brow Lift Failure - Options to Fix?

+1

Brows fell after Brwo Lift.

In your question you specifically mentioned a Coronal Brow Lift but also mentioned "anchor points" which is an indication and term used for an Endoscopic Brow Lift, not a Coronal Brow lift. An Endoscopic Brow Lift doesn not remove excess scalp created from elevating the eyebrows and scalp but rather uses sutures, threads, hooks or screws to anchor the raised tissues in their elevated position.  These anchor points can and do loosen which would make the eyebrow drop back... more
+1

Did you in fact have a coronal lift?

I think I share the confusion of a lot of the authors here in that coronal brow lifts actually involve the excision or removal of a portion of scalp, allowing direct pull on the entire skin/muscle flap of your forehead. "Fixation" points per se are more apt descriptors for an endoscopic, minimally-invasive lift, where the pull is maintained by fixating the tissue to the bone. In a coronal lift, the lift effect is achieved by virtue of the fact that the hairline is raised, pulling... more
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Brow Lift Failure - Repair Options ?

With due respect without photographs and an inconsistent history it is very hard to advise you. A CORONAL Browlift involves an incision over the crown of the head, pulling up of the forehead back / lifting the brows and smoothing the forehead. The excess forhead back of the incision is trimmed and the scar is hidden in the scalp. Such an operation has no brow fixation "anchor points" to come undone. The only way the brows could sag here is with separation of the wound. (You... more
+1

Faled browlift.

An open brow lift gives a lot more control , in my opinion, than the closed approach. This can be done with a hairline incision so no hair is lost and it can be done ligating just the skin(subcutaneous) or at a deeper level  depending on your anatomy and the preference of the surgeon. Pictures would be helpful as would be the knowledge of your sex.. I presume you are female from the eye shadow comment.  Ask your surgeon why you have these post operative sequelae.I have found that... more
+1

Brow lift failure

If the endo brow failed then I would go to a coronal brow lift.  There are several variations of this procedure so you may want to see your initial surgeon as well as several others.  Don't rush into anything without having all the info you need to make an intelligent decision.
+1

Brow lift

Photos would be very helpful to understand what you're describing.  If the brow shape is undesirable, revision may be possible but talk to your surgeon about it.  Bruising can sometimes last a considerable time depending on the patient and the amount of surgery done.
+1

Failed brow lift.

It is difficult to understand the technique used.  We don't usually speak of fixation points in an open coronal lift.  I think a lot of endobrow techniques are less than satisfactory.  See your surgeon.  If you don't get a good response, seek out another board certified plastic surgeon in your area. 

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