A brow lift is a procedure used when there is extra skin on the head associated with wrinkling and lowering of the eyebrows. This procedure significantly rejuvenates the upper parts of the face and eyes and is often combined with eyelid surgery.
The procedure can be done endoscopically, with a few small incisions in the hairline, if the hairline is low and the hairline can be reasonably moved back without any loss of aesthetics. Often this is not the case and the incision is made at the hairline and the skin below the hairline is removed leaving the hairline in place. Special techniques are used to make this scar invisible.
Occasionally the hairline can actually be moved forward in someone who has a very long forehead with a high hairline. This is an innovative procedure that Dr. Green developed and which has been published by some of his colleagues who have also adopted this technique.
A brow lift can be combined with the weakening of the corrugator muscles that cause the “11s” deformity of the mid-brow (often treated with Botox).
Occasionally a modified technique with the elevation of just the lateral brow is used where the full brow lift technique is not needed. This is often done with eyelid surgery and reduces the amount of skin removed from the eyelids and thereby improving the eyelid scar by avoiding a junction between thin eyelid skin and the thicker skin above.