Northwest Eye Facial Rejuvenation
Nicholas J. Schmitt, MD
Brow Lift Surgery
Before and After Video: Transeyelid Brow Lift
What is brow ptosis (droop)?
Brow ptosis (droop) contributes to upper eyelid bagginess and droop by pushing more skin and fat downward onto the lids. A blepharoplasty removes excess skin, but does not correct a sagging brow.
Brow ptosis (droop) contributes to upper eyelid bagginess and droop by pushing more skin and fat downward onto the lids. A blepharoplasty removes excess skin, but does not correct a sagging brow.
What is brow ptosis (droop)?
Brow ptosis (droop) contributes to upper eyelid bagginess and droop by pushing more skin and fat downward onto the lids. A blepharoplasty removes excess skin, but does not correct a sagging brow.
Can Botox lift the brows?
Yes, in some cases Botox can lift the brows. Often, at the corners of both eyes, there are muscles that pull the brows down. Botox injections can temporarily paralyze these muscles, resulting in elevation of the brow. However, this treatment usually works best in patients whose brow ptosis is mild.
What is a transeyelid brow lift?
If a patient is looking for the “ultimate” cosmetic result, and mild to moderate brow ptosis is present, a transeyelid brow lift is indicated.
A transeyelid brow lift is performed through the upper lid skin crease incision in conjunction with a blepharoplasty. This avoids the scar of the direct brow lift (see below). A preoperative melancholic, sleepy look is exchanged for an alert, happy look.
First, a blepharoplasty is performed. Next, a small absorbable device called an Endotine is fixed to the bone and elevates the brow to the desired position. The device dissolves over a period of months leaving the brow in the new, intended position. The blepharoplasty incision is then closed using a fine absorbable suture.
A transeyelid brow lift is performed through the upper lid skin crease incision in conjunction with a blepharoplasty. This avoids the scar of the direct brow lift (see below). A preoperative melancholic, sleepy look is exchanged for an alert, happy look.
First, a blepharoplasty is performed. Next, a small absorbable device called an Endotine is fixed to the bone and elevates the brow to the desired position. The device dissolves over a period of months leaving the brow in the new, intended position. The blepharoplasty incision is then closed using a fine absorbable suture.
What is a direct brow lift?
There are instances where the brow ptosis is severe and a brow lift is necessary, in addition to a blepharoplasty, to improve vision. In these cases, a direct brow lift is often indicated.
A direct brow lift is similar to a blepharoplasty, where forehead tissue directly above the brow is removed. This provides a very effective lift of the brow, and can have a very dramatic effect on the appearance of a patient. The down side to this procedure is a thin scar directly above the brow. Usually, brow hairs camouflage this well.
A direct brow lift is similar to a blepharoplasty, where forehead tissue directly above the brow is removed. This provides a very effective lift of the brow, and can have a very dramatic effect on the appearance of a patient. The down side to this procedure is a thin scar directly above the brow. Usually, brow hairs camouflage this well.
What can I expect after surgery?
* Postoperatively, there is minimal discomfort and patients rarely require more than extra-strength Tylenol.
* It is important to ice the eyelids and brows often for the first few days to minimize bruising and swelling.
* It is also important to keep the head of the bed elevated.
* Minimize bending over and heavy lifting for the first week.
* Patients may return to work after a few days.
* Make-up may be applied in 1-2 week
* It is important to ice the eyelids and brows often for the first few days to minimize bruising and swelling.
* It is also important to keep the head of the bed elevated.
* Minimize bending over and heavy lifting for the first week.
* Patients may return to work after a few days.
* Make-up may be applied in 1-2 week
