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Best Surgical Approach to Lower Left Eyebrow?

asked 1 year ago by Lulu in Rockville
Latest answer by Babak Azizzadeh, MD
Question viewed 314 times
Tags: endoscopic, lower, options, temples, uneven

Is a temporal lift sufficient usually to fix a left eyebrow that's lower than the right? An older doctor said a coronal is needed (though i'd go to someone else who'd do it through endoscopy, if I wanted that. A younger doctor said he'd do a temporal lift through endoscopy? The older doc said temporal lifts don't work that well, but he suggested seeing the younger doc. Track record on temporal lifts?

14 answers to Best Surgical Approach to Lower Left Eyebrow?

+1

Options for lowering asymmetrical eyebrow

You would need a comprehensive approach to lift one side of the brows. This is commonly seen in patients with Bell's Palsy which causes one side to be significantly lower. Endoscopic or temporal lift should suffice as a first start. see video
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon
+1

Coronal brow lift is where you cut the whole scalp

In general, coronal brow lift is where you cut the whole scalp, peel it and lift it. This procedure is usually done by older doctors. It does work. It will lift the brow up, but it is a very invasive procedure with a lot of downtime and is associated with more complications. For brow lifting, I prefer endoscopic brow lifting surgery. It’s a more technically dependent surgery, meaning there’s more technology involved, so a lot of doctors may not have... more
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon

www.ChelseaEye.com

+1

Temporal lift works well laterally

Temporal lift works well laterally. It just depends on who is doing the procedure. You have to make sure that the structures that are holding the eyebrow down are release to allow the eyebrow to come up and then fixing it up there is important. The more that your surgeon knows the better. Pictures would be better for me to find out what you are talking about. Fat injections are another way of doing this in a minimally invasive way. see video
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Best surgical approach to lower eyebrow

Temporal lifts tend to not work as well because you are not addressing the problem.  A temporal lift is only going to lift the lateral portion of the eyebrow and not the entire eyebrow.  If there is that much asymmetry of the eyebrows, a coronal approach is best used to try to balance the asymmetry of the eyebrows.  It is important to also adjust the depressor muscles pulling down the eyebrows to give a symmetrical change.  Endoscopic approaches do not work as well as the... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Treatment for uneven eyebrows

There are many different surgical approaches to the eyebrow: coronal, trichophytic, direct, midforehead, and coronal are some of the most common methods. One disadvantage of the more traditional approaches, such as coronal and trichophytic, is that the surgeon is trying to manipulate the brow position from a distant incision in the hairline. The endoscopic browlift also can have the same problem. Direct browlifts, where the incision is made directly along the eyebrow, can lead to visible... more
Gregory J. Vipond, MD

Pasadena Facial Plastic Surgeon
+1

Correction of uneven brows

There are several approaches to uneven eyebrows: coronal, endoscopic, transpalpareal (under upper eyelid), subcutaneous, temple lift, that all can achieve the result you are looking for. The chpoice really depends on the aesthetic apperance and the surgeon's personal preference. However, the real question is why you have the problem int he first place. If there is an underlying assymetry of the frontal bone then the likelihood of long term succes is small. The brow will "slide"... more
Andrew Pichler, MD

Sacramento Facial Plastic Surgeon
+1

Asymmetric brows

Dear Lulu, All the discussions from the other doctors about the various brow lifting techniques are thorough and accurate.  However, before taking the step to surgery, the first question should be why do you have asymmetric brows?  Have you had this asymmetry your entire life?  Did you have a Bell's palsy?  Do you have an underlying drooping eyelid on the opposite side?  Do you have a preference for the opposite (higher) brow?  Except in specific... more
Yoash R. Enzer, MD

Providence Oculoplastic Surgeon
+1

Techniques to achieve brow symmetry

There are quite a few different techniques that can be utilized to achieve brow symmetry, ranging from a bi-coronal incision to a browpexy, and methods in between.  The least invasive is a browpexy, in which an incision is made in the upper eyelid of the affected side and the brow is released from the underlying tissues.  Sutures can be placed from the brow to above the hair line to suspend the brow in the proper position as it heals.  Absorbable sutures are used so no foreign... more
Leif Liu Rogers, MD

Beverly Hills Plastic Surgeon
+1

Brow Lift Surgery Options

Hi Lulu, Unlike traditional brow lift surgery that involves an incision across the entire forehead, the endoscopic brow lift is a minimally invasive method of lifting the eyebrows. Plastic surgeons perform minimally invasive plastic surgery through very small incisions hidden in the hair & scalp to recreate a youthful appearance. Brow lift surgery lifts and repositions sagging tissue that occurs with natural aging and sun damage. Endoscopic brow lifts, also called an... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Temporal brow lift is a great way to raise the outer eyebrow

The lateral temporal brow lift is an excellent way to lift the outer part of the eyebrow.  If the inner and outer parts of the eyebrow need to be elevated, then a coronal lift is usually required.
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+1

Many different approaches to browlifting

An experienced surgeon will have "many tools in his bags", and no place is this more important than in "browlifting". There are literally a half a dozen different approaches/techniques to browlifting and each is appropriate in the right setting/patient. Factors to consider are gender, skin type [thick vs thin tissue], hair line/density, forehead wrinkles, and most importantly degree and location [tail vs head vs entire brow]  of brow descent. This defintely would... more
A.J. Amadi, MD

Seattle Oculoplastic Surgeon
+1

Variety of techniques can be used to fix an asymmetric eyebrow

There are multiple ways to adjust the eyebrows. The most aggressive approach is a coronal brow lift, which requires creating an incision across the scalp, basically from ear to ear. This does seem like a lot of surgery to go through just to adjust the position of one eyebrow. Less aggressive surgeries involve placing an incision in the mid-forehead or above the brow. However, these techniques will produce visible scars and are usually used to elevate the entire brow complex, not... more
Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

+1

Lowering Left Eyebrow with Surgery

Temporal Lifts are less effective that a Coronal Brow Lift or a full Endoscopic Brow lIft.  If you have a portion of an eyebrow or even only 1 eyebrow that's lower and targeted to be lifted, this limited procedure could be tried first.  The issue is to avoid placement of incisions that would preclude you from having a formal Coronal Brow Lift at a later time should this smaller procedure fail. IMHO, it's always best to find a plastic an cosmetic surgeon that does all... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Unilateral brow lift

A long term satisfactory result of lifting one brow by either of these approaches is uncommon in my experience. But a lot depends on the degree of brow asymmetry and how you use your facial muscle of expression.  The best long term unilateral (one brow)  results I have experienced is with a direct subcutaneous brow lift which involves creating a  minimal scar somewhere between the top of the brow and the hairline. Ask to see pictures of similar cases that are at least one... more
Sheldon S. Kabaker, MD

Oakland Facial Plastic Surgeon

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