Browpexy vs Browlift - What's the Difference?

Can an expert explain how a browpexy differs from the browlift?

Doctor Answers 15

Browpexy vs Browlift Differences

Browpexy is a suture or limited surgerical procedure to lift a portion of the eyebrows.  A Brow Lift or Forehead Lift is a surgical procedure that lifts the entire forehead and eyebrows.  IMHO, Bropexy gives s minimal, temporary lift of a section of the eyebrows, where the Brow Lift lifts the entire Forehead and Eyebrows, is more reliable and longer lasting.


Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Browpexy Vs. Browlift

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.

The difference between a browpexy and a browlift

A browpexy is performed through an incision through the upper eyelid and lifts the brow by suturing it in a new higher position at the brow.  A browlift is performed through one of more incisions in the hairline and the entire skin of the forehead is moved upward to lift the brow.  A brow lift can be done either endoscopically or through a coronal incision, or something in between.  Both will lift the brow, but with different secondary effects.  Browpexy is good for men that may have a receding hairline, and doesn't usually address wrinkles in the forehead. A browlift smooths the forehead but also tends to raise the hairline a bit.  Each has it's role.

Leif L. Rogers, MD, FACS
Beverly Hills Plastic Surgeon
4.4 out of 5 stars 21 reviews

Browpexy is a type of a brow lifting procedure

There are various types of procedures that can be done to lift the brows, some which include browpexy, and  endoscopic brow lift.  Both of these can result in satisfactory results depending on such factors as severity of the brow ptosis (droop of the brows), age, gender, and surgeon preference. These techniques utilize different surgical incision sites to ultimately reposition the brows to a higher position and also change the shape (or contour of the eye brows).  A browpexy uses the same incision as a blepharoplasty (through the upper lid) and the brow and underlying soft tisses are secured to higher position.  An endoscopic brow lift utilizes small-incisions within the scalp to help elevate the lids under the assistance of endoscopic-guided visualization. 

What is the difference between a browpexy and a browlift?

A browpexy lifts the brow and fixes it to the skull.  The eyebrow does not move.  It is usually done for cases of facial nerve paralysis.  A browlift elevates the static position of the brow but the eyebrow remains fully mobile.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

Brow Lift

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

Browpexy

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.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Browpexy, generally means a suturing of the brow

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.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 64 reviews

Browpexy vs Browlift

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.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Difference between Brow Pexy and Brow Lift

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

 

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 79 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.