What Are the Benefits of Brow Suspension?

Interested in alternatives to a brow lift, what are the options available?

Doctor Answers 4

Brow suspension - save your money!

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I have tried many techniques of minimally invasive brow suspension and in my humble opinion they don't work any better (and at time not as good as) Botox injections and they don't last any longer than Botox injections.

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Brow lift alternatives

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I am always struck by patients' preoperative trepidation about undergoing brow lift as the procedure is tremendously successful. Many have the preconceived notion that ptosis or sagging in the upper eyelids requires blepharoplasty whereas the reason for the ptosis is sag in the brows. Except in instances of baldness, the scars are hidden inside the hairline and recuperation is quite rapid. I have yet to be convinced of the efficacy of the endoscopic procedure or by modified surgery in this area.

Can You Tell Me More About the Benefits of Brow Suspension?

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I'm afraid I can't because, IMHO, Brow Suspensions are a very poor third or fourth option for raising the eyebrows.  The Coronal Brow Lift remains the gold standard for lifting and raising the eyebrows and I believe that still holds true today.  Suspension, Endoscopic Brow Lifts and any other method of raising the eyebrows that uses suspension techniques are not as effective and consistentlky reliable IMHO.  If your eyebrows are low, have several evaluations with plastic and cosmetic surgeons experienced in performing Brow Lifts and go from there.

IMO, suspension techniques were and are hyped to avoid larger scars but at the expense of reliably accomplishing the primary goal of the procedure (in this case, raising the eyebrows).

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Benefits of Brow Suspension?

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The fact that there are SO many ways to raise the brows indicates that none of them is the unquestioned "best" way to do so. While the old Coronal Brow Lift has been the unquestioned gold standard for lifting the brow, we have seen Endoscopic Brow Lift coming to the scene and then slowly leaving. We have seen limited "open" brow lift methods being suggested and a flurry of barbed suture Brow Lift techniques come and go.

The limiting facts in Brow Lifting are
- The brows need to be lifted centrally to maintain their graceful arch. Lifting the brows more laterally results in a demonic, Mr. Spock surprised look which is less than attractive
- After the brows are lifted the great challenge is to keep them in that position while the tissues are healing. If the brows drop soon after surgery not much is achieved.

Suture suspension, in my opinion, is hampered by multiple factors: the visibility of the sutures in thin skinned people (creating a "Banjo stringing" effect), the fact that no real scar tissue is created under the brows in their new position to weld them in place means that when the sutures break or have to be replaced, the brows will sag.

In all, a "not ready for prime time" procedure.

Peter A Aldea, MD

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.