Brow lift without muscle reduction - will this provide good results? (Photos)

Question

Is it not recommended to perform a trichophytic brow lift without debulking the muscles? I have dry eyes and also don't like feeling "paralyzed." Out of an abundance of caution, I would like to do the lift without reduction of muscle. Surgeon does not recommend but will do what I want. Am I going to be disappointed? I have a lot of extra forehead skin and skin laxity.

Andrew Miller, MD · Answer

Based on your photos, your brow position does not appear to be too bad (it's above the level of the bone). Maybe the upper eyelid skin can be reduced to sharpen the eyes. But also, it's not necessary to do a significant reduction of muscle in a browlift as long as the brow is fully released during the procedure. Botox may be needed in the long to control wrinkles. Be sure to see a facial specialist for consultation.

Philip S. Schoenfeld, MD, FACS · Answer

In a trichophytic browlift the incision is placed just inside the frontal hairline.  When the forehead skin and muscle are elevated, both skin and muscle are removed but that has no bearing on forehead mobility.  I think what your surgeon is alluding to is removal of muscles at the "11's" between your eyebrows.  I would check with them to see if that is what they have planned for you.

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