Can I get a direct brow lift? (Photo)

While a direct browlift was still a popular procedure twenty years ago, we very rarely perform it today for four reasons. The first is that the scar from a dirct browlift is located in a a very visible position, while the quality of healing is often uncertain. The second reason is that to optimize control of brow symmetry, we usually want to be able to adjust both eyebrows. The third reason is that an direct browlift usually does not allow a wide enough mobilization to lift the eyebrow sufficiently. The fourth reason is that a direct browlift does not usually provide a long lasting, durable browlift. For these reasons, we would recommend that you undergo an endoscopic browlift.

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Thank you for your question and photo. Direct brow lifts are generally reserved for rare cases in which the brow has fallen to the point of inhibiting the person’s vision. Addressing this issue requires removing the tissues just above the brow to raise it, and is rarely performed for cosmetic purposes.
However, you may benefit from an endoscopic brow lift to redefine the arches and the contour of the eyelid crease. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and suggest the best approach.

A direct brow lift entails excision of skin right at the brow margin. This results in a visible scar that may persist. A better option is a pretrichial brow lift in the lateral hairline margin to lift the lateral tail of the brow.

Hello @Beautiful551611 thank you for your question. From what I can see in the picture you could benefit from a brow pexy to give and arch to the eyebrow. I can also see that the upper eyelids look heavy, you could consider an upper eyelid blepharoplasty to refresh the look. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Direct brow lifts will leave a scar. Even with the best of scars, they are often unacceptable, especially in females. We revise numerous direct brow lift scars and even then, can only improve them to a limited extent.
Your best option would be an endoscopic brow lift which can give an elegant reshaping of the brows and improve the forehead.
A coronal lift, which can give you an excellent result, would raise your hairline and would probably be unwise.
A subcutaneous brow lift is often useful when one wants to create a lateral lift and should be considered.
Internal brow lifts are pretty useless when one is trying to create a pleasing improvement in the arch and curve of the brows.
A midforehad brow lift would be inappropriate for you.
Always get physical opinions and understand the pros and cons of procedures in the hands of your surgeons. And always ask what the scars will be like. Good luck...

Irregular Trichophytic Forehead Lift gives the best Browlift If performed by an experienced surgeon familiar with this technique. Their is no visible sca as hair grows thru the line. Having done more than 5000 of these since inventing it without any serious complication other than a few pimples i still feel its the best. With this technique the Hairline can also be lowered and brow bone contoured. Make sure you see all results with the full hairline exposed with the hair pulled back and NO SCAR VISIBLE

The direct brow lift (skin excision above the borders of your brows) will help to lift your brows and give an arch to them, but it will not provide a lifting effect on your forehead. So an endoscopic forehead and brow lifting will both lift your brows and reduce the wrinkling on your forehead and give a young fresh look.