Brow Lift: Q&A
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Direct Brow Lift?
I had an upper eyelid lift about 12 years ago. I went for a consultation, and the surgeon said the skin above my eye is too thin,so I can't have another upper eye lift. He suggested a direct brow lift, where the incision is made in my eyebrow, or directly above. The stitches disappear in about a year. This is the second surgeon who independently recommended this. Second question. My eyebrows are very light and thin. I was thinking about getting permanent eyebrows done. Which should be done first?
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14 Doctor Answers |
Asked by
EasyGoinGal
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Direct browlift
The direct browlift is an older procedure that was popular 20 to 30 years ago. It is not commonly performed today. It is usually only preformed today for a unilateral brow ptosis in a unilateral facial nerve paralysis. When a bilateral brow lift is needed, an endoscopic or coronal approach is used to raise the entire forehead. The browlift also adjusts muscles of the forehead including the frontalis, corrugator, and procerus muscles when needed at the same time.
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Eyebrows
A direct excision for a lift is appropriate for certain patients. I would get the tatoo after the surgery is complete
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Lateral Brow Lift
If there is a facial rejuvenation surgery that is over-recommended and often overdone these days, it is without question the browlift. Look no further than the celebrity photo magazines for pictures of stars who look like they have just sat down on a plate of tacks. The goal of aesthetic plastic surgery should be to make a person look better and more youthful, not merely different, and certainly not as though one is perpetually surprised. My goal is to provide my patients with results which...
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Direct browlift
25 years ago when I first went into practice I did direct browlifts. They were easy and I was able to talk some patients into it that did not want traditional surgey for forehead or brow drooping. Unfortunately I hated my results. The incision was always visible and unsightly no matter how carefully I did the closure. After a half dozen or so cases I completely dropped the operation from my consideration. Simply stated ....a lousy operation that should never be done. ...
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Best way to elevate brows
Vary by who you talk to. The simpletons will suggest the direct browlift as you describe. The technology invested will talk about endoscopic techniques. Then there are those in between. We all have our favorite way of doing things but you should return to your plastic surgeon and ask them about the other ways to accomplish this, including the coronal, subcutaneous, and endoscopic techniques in addition to your direct method. If they don't want to discuss...
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Direct Browlift Produces Suboptimal Scars
While you have subnitted no pictures for evaluation, it would be hard to imagine under what circumstances a direct browlift would be the best approach. The direct browlift scar is rarely a good one and if one wants an incision that avoids hairline distortion the pretrichial hairline approach would be far superior. Regardless of the browlift technique, micropigmentation (tattooing) of the eyebrows should be done after the lift.
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Direct Browlift
Dear GoinGal,
Personally I prefer to do a brow lift with an endoscopic approach. With an endoscopic lift you are technically undermining the skin down to the malar region or cheekbone and then shift the skin and tissues back to it's natural position prior to the aging process. This procedure in my opinion gives a more natural appearance as you are not removing any skin and you have no visible incisions. The other advantage is that you get a mid facelift at the same time where the...
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Browlift
It's hard to make a recommendation without evaluating you and the position of your brows and eyelids first. However, I generally perform my browlifts endoscopically to hide scars, but this also depends on your hairline. Please consult with a board certified specialist who can best assist you in achieving the results you seek.
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Direct Brow Lift?
I guess first I would want to know if you are a male or female and what your hair pattern is. I can see no good reason to avoid a full forehead lift unless there is some hair pattern problem. In any case I would avoid the direct brow lift. After 30 years of doing brow lifts I have seen a number of unhappy patients with direct brow lifts (fortunately I didn't do the surgery). they don't like the scars and want them fixed and there is really nothing you can do about them.
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Direct Brow Lift?
I have performed Brow Lifts for 25 years and do not use or recommend Direct Brow Lifts for the following reasons:
The incisions are directly above the eyebrows and even if the scar turns white, it's quite visible.
There are small villous hairs directly above the eybrow that allow the brow edges to appear feathered and soft. A Direct Brow Lift removes these villous hairs making the eyebrow edges appear sharp as if drawn in with a marking pen.
You should...
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Direct Brow Lift?
A direct browlift is a great procedure in specific patients. There are often better ways to perform a browlift procedure which almost immediately camouflage the incision. The downside to the direct browlift is that the scars can be objectionable for a year. As Dr. Kabaker suggested you might want to have permanent makeup performed after the procedure at which point the scars can also be tattooed to help with camouflage.
Both endoscopic and open browlifts provide very nice results without...
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Direct brow lift
Certainly get another opinion. There must be a good reason for two surgeons to recommend direct brow lifting although both may have the same background in training. If a direct brow lift is to be done, it might make more sense to have permanent makeup done afterwards.
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The Irregular Trichophytic Forehead Lift is what would be best.
The Irregular Trichophytic Forehead Lift is what would be best. The hair grows they the scar and the scar does not show. Also, your hairline is not raised which it is when the incision is made behind the hairline. See an experienced surgeon familiar with this technique which we developed 35 years ago.
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Direct brow lift
This procedure is ideal for a small subset of people due to the possibility of a permanently visible scar which is often difficult to hide.
A more traditional approach would be an open or endoscopic brow lift. The incisions are in the hair and not visible. These techniques will also address the skin excess of the entire forehead not just the brow position.
Seek out a board certified plastic surgeon to discuss all of your options. I hope this was helpful.
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