Browpexy vs Browlift - What's the Difference?

The browpexy is a procedure with
limited applications that’s designed to elevate and stabilize the eyebrow.  The procedure is commonly performed in
combination with upper lid blepharoplasty.  Through the blepharoplasty incision the eyebrow is anchored
to the forehead at a higher level. This procedure doesn’t lift the entire forehead,
only the eyebrow.  The eyebrow is
fixed in a stable position where it has very little
movement.

In contrast, brow lifts can be
performed with open or endoscopic approaches.  This procedure involves lifting the entire forehead and results
in a dynamic forehead with normal movements.

Occasionally, browpexies are done
in combination with blepharoplasty surgery in men with receding hairlines who
want to avoid forehead scarring. 
In the vast majority of patients with brow descent the procedure of
choice is the browlift.

Both procedures have pros and cons,
it’s therefore important to discuss aesthetic goals with your surgeon so the
best option can be chosen for you.

I do the brow pexy in people who need a brow lift but dont want one. I will do it through the upper eyelid incision and the goal is to hold the brow up for a while and not actually lift everything

A brow lift is a broad or general term referring to lifting and repositioning the eyebrow. Brow lifts may be performed via multiple different methods such as coronal, pretrichial, endoscopic, direct, etc. Brow pexy is one specific type of brow lift, which is typically performed via an upper eyelid incision. Plastic surgeons may differ regarding some nomenclature. Speak with your plastic surgeon to determine specifically what he/she plans and the name he/she gives to that plastic surgery. Best of luck.

Dr. Chaboki

 

Browpexy is a more minimally invasive browlift performed through the upper eyelid.  Meanwhile the term "browlift" is a much broader term which describes the lifting of the brow via a number of possible approaches (endoscopically, via an incision behind or on the hairline, via an incision directly above the brow, or via an incision in a forehead crease).   To see what might be the best option for you, an in-person consultation is required.  Have a nice day!

A brow lift can be in the form of an endoscopic lift, coronal lift, or temporal brow lift.  A brow pexy is most likely direct elevation of the brow via a forehead incision or one that is done through an upper eyelid incision.  It's difficult to recommend one for you without actually examining you.

Although some surgeons may delineate between these two terms, as mentioned above, some surgeons may use them interchangeably.

Some surgeons may use "browpexy"  to describe the technique whereby one attempts to stabilize the brow position through eyelid approaches. This does not achieve a long lasting lift, but can give a nice subtle result.

It is important to discuss the goals of the surgery as well as different surgical approaches [coronal, pretrichial, trichophytic, mid-forehead, subciliary, endoscopic and trans-eyelid] with your surgeon. Each technique has its pros and cons and may be appropriate for different patients with different needs, and not all surgeons are well versed in all the different techniques.

Good luck

A browpexy is a procedure performed through an upper eyelid blepahroplasty incision to suspend the brow in a more levated position. Traditionally, these procedures are not usually long-lasting.

Browpexy, generally means a suturing of the brow while doing a blepharoplasty procedure.  The doctor goes under the brow and simply sutres it in position.  It doesn’t give you a brow lift.  It is used to stabilize the brow, changing the contour slightly.  A brow lift is when we lift it significantly.

A browlift involves either a coronal approach or endoscopic approach to raise the entire forehead.  At the same time, the corrugator, procerus, and frontalis muscles can be softened and adjusted.  Occasionally fascia grafts are placed through the acute glabella lines between the eyebrows when a browlift is performed.  A browpexy is usually performed on 1 side where there is asymmetry and a simple suture suspension technique or some type of fixation device is used to bring up the lateral portion of the brow.  This can sometimes have only temporary results.  

Most plastic surgeons would say that a BrowPEXY is a procedure performed through the eyelid approach that is done in an effort to enhance a blepharoplasty and give an improved elevation to the brow. It doesnt last long, isnt very powerful but can add a benefit to the procedure. A BrowLIFT is a procedure from a variety of approaches (endoscopic, coronal, direct, pretrichial, temporal, etc.) that will be more definitive in elevating the position of the brow. These approaches are more powerful and precise in what they can provide.