Can a brow lift be done by removing skin hidden within the scalp or temporarily be done using fillers to pull skin up? (photo)
Doctor Answers 5
A brow can be lifted a few different ways. The brow lift was originally designed and done, as you described, excising skin at the top of the scalp from ear to ear. This is called a coronal brow lift. The major disadvantage is the large scar that is easily seen across the top of the head. The second approach is called a pretrichial or hairline brow lift. This is similar to the coronal, but the scar is at the hairline. A third technique is a "direct brow lift" where the skin is excised either directly above the brow or along one of the creases/lines at the mid-brow. This is good for elderly patients where the scar is easily hidden in a deep ceases, but not a great option for you.The final option is an endoscopic brow lift, this is done through a few small incisions in the hair, the scalp is lifted and then suspended on dissolvable "tacks" that are secured to the bone. It is hard to tell by your photo, but I think you would be a good candidate for either the"pretrichial brow lift" or the endoscopic brow lift. By doing the brow lift, you will see the your eyes open up and you will not have the excess skin at your upper eyelids. I recommend that you see a board certified plastic surgeon who is comfortable doing these procedures. Good luck, Ian Lytle, MD
Can a brow lift be done by removing skin hidden within the scalp
I have used Botox, or one of the other neurotoxins to elevate the brows for over 30 years however there is a limit to their ability to raise brows that are very low in position.
Hope this helps.
Brow lift options
There are a number of options to elevate the brow and surrounding forehead tissues. Based on your photos, I do not believe that the non-surgical techniques such as injectable filler or energy based deices would provide adequate elevation and long term support. The surgical brow lift is a proven and effective option. I prefer to use the endoscopic approach which uses 4 small incisions behind the hairline and minimizes any visible scar. Your picture indicates that you have a relatively higher hairline which would be further raised by a traditional brow lift so it may be reasonable to consider a modification placing the incision at the hairline in order to avoid raising the forehead. In any event, I would suggest that you review these options with a board certified plastic or oculoplastic surgeon that has experience with these techniques.