How is a Temporal Brow Lift Different from Other Lift Methods?

Why would doctors recommend a temporal brow lift for some patients?

Doctor Answers 13

Temporal Brow Lift

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A temporal brow lift just addresses the outer one third position of your eyebrow.  It is a wonderful procedure and often times I find  the only lift  most patients need is the outer one third of the brow.  It gives the eye an elegant more open eyed look without the surprise component..

Silverdale Facial Plastic Surgeon

Who is a candidate for a temporal lift?

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When I evaluate the position of the brow, there are two basic things that I look for: the height of the brow in relation to the orbital rim and the shape of the brow.  These two factors guide the selection of the best approach for a brow lift.  In those patients where the medial brow is in good position but the lateral brow is flat to downsloping, the temporal lift is a great procedure to improve the aesthetics of the eye. 

A further benefit of the procedure is that it can easily be done under local anesthetic in the clinic.  There is almost no downtime from the surgery.  Cost is about $1500.

Now a few warnings:  Make sure that you choose a board certified facial or general plastic surgeon to do the procedure.  The dissection runs directly across the path of the facial nerve and if your surgeon does not know the anatomy, a facial droop will result.  The second thing you need to know is that it is easy to cheat with this procedure.  By removing a little scalp tissue and sewing it up, the brow will appear higher and the skin tighter.  In about 3-6 months, however, it all relaxes and the brow is right back to the position it was before. Again, pick a good plastic surgeon not a 'cosmetic surgeon' to avoid this issue.  Finally, you will get black eyes and they will last for 2 weeks.  Make sure you have adequate time before any special event.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon

The Lateral Brow "Tilt"

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As plastic surgeons, our understanding of what we are trying to achieve and how to best achieve it is greatest in the area browlifting. If one analyzes beautiful brow shape and position, one sees that the inner brow is often quite low, rising to a peak approximately two thirds of the way to the tail of the brow which is above the inner brow. This opens the eye and gives a relaxed youthful appearance to the orbit. With that in mind, I oftentimes just lift the tail of the brow and leave the inner brow low (take a look at models in women's magazines!). One might call this a brow "tilt" rather than a brow lift! The operation is less invasive and heals faster with fewer complications.
If one has deep creases between the eyebrows and heavy muscles, the endoscopic brow lift is very helpful to treat this area, but one must not release the anchoring system for the inner brow otherwise, it raises to an unnatural, high position. It is very important this be done by an experienced plastic surgeon. As icing on the cake, brow shaping by an aesthetician can optimize this look for you.

Temporal brow lift

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Temporal brow lift is used when people only need a lift in the lateral temporal area of the brows.  This is not used for a medial brow elevation.  A temporal lift is simply an excision of skin and cannot address any of the muscle function such as the corrugator and frontalis muscles and the glabellar frown lines.  

Temperal Brow Lift

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Facial aging can have a significant impact upon the brow and forehead regions.  It’s not unusual to see a wide range of anatomic variations in response to facial aging.  For these reasons there are multiple surgical procedures designed to elevate the brow.

Most browlift procedures are designed to lift the entire brow in an upward direction.  This can be done with an open technique which involves making an incision across the top the head or an endoscopic approach through small incisions.

Another option is the lateral browlift. This procedure does not elevate the entire brow but instead only elevates the lateral half of the brow.  The technique involves making bilateral temporal incisions and raising the lateral brow in an upward direction.

The lateral browlift is utilized when the lateral half of the brow needs elevation, but the central brow doesn’t.  The procedure is an excellent tool for shaping the eye brow as well.

Lateral brow lifts don’t elevate the hairline.  They are associated with lower complication rates and less down time.

The lateral browlift is an excellent option for treating patients with isolated lateral brow descent.  In this group, results are excellent with rapid recoveries and minimal complication rates.

How is a Temporal Brow Lift Different from Other Lift Methods?

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 Temporal Brow Lifts, often called Lateral Brow Lifts, are limited dissection Brow Lifts for elevating the outer segment (lateral section) of the eyebrows.  These lifts are less invasive but don't affer the lasting results that a full Coronal Brow Lift does, IMO.  

Temporal Brow Lift

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A temporal brow lift is a lift of the outer portion of the brow.  It can be done in conjunction with an endoscopic brow lift or as  stand alone procedure.  In some patients, the lateral lift is all you need.  There is less down time and patients really like the results.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 47 reviews

It is a limited procedure.

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Temporal browlifts are small incision procedures that are used to lift the outside portion of the eyebrows to decrease the hooding that occurs above the outside area on the upper eyelid.  It is a lower risk procedure than can often being combined with upper blepharoplasty (eyelid tuck) to optimize the look of the upper eye region.  

If a patient needs the central portion of the eyebrows, or the central and outside portion of the eyebrows lifted, then procedures such as endoscopic browlift or transblepharoplasty corrugator muscle resection can be used to shape the affected areas.

An evaluation by a specialist in facial plastic surgery who is board-certified by the American Board of Plastic Surgery or the American Board of Facial Plastic and Reconstructive Surgery, can help you decide on which procedure would fit you best.

Good luck,

Dr. Shah

Depends on who is performing the surgery, terminology is variable amongst surgeons

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It depends on who is performing the surgery. Generally speaking, temporal brow lift only addresses drooping of the outer portion of the eyebrow (which is the most important region to be treated). The terminology is variable and not consistent amongst surgeons.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Temporal browlift versus other lifts

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I personally prefer to do an endoscopic lift and undermine the area down past the zygomatic arch. This allows you to free the entire area and simply shift the brow back into it's original pre aging state. From this approach you may select the amount of lift deciding on the patients aesthetic needs.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 213 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.