Ageing within the upper third of the face causes horizontal creases in the forehead, deflation of the brow fat pad and and descent of the eyebrows. This can also occur in younger patients leading to crowding of the eye-brow complex and a tired and concerned appearance. By crowding the eyelids, it can also make the upper lid skin appear hooded giving the impression of excess skin. The contour of the brow also changes with loss of the natural arc. Repositioning the brow and forehead not only raises the brow and enhances the eye area, but also restores the youthful shape to the bowline.
The procedure for rejuvenation of the forehead and eyebrows is known as a brow lift. There are several ways to lift the brow surgically and these include the endoscopic brow lift, or 'keyhole brow-lift' which hides small incisions of about incisions behind the hairline. A surgical telescope (endoscope) is then used to visualise the areas requiring lifting. Other procedures to address brow droop are a direct approach with fine incisions above the brow, or the 'transblepharoplasty brow lift', where a hidden incision is made in the eyelid and the brow lifted internally. Another important treatment option is botulinum toxin, which is used to weaken the muscles that pull the brow down, providing a 'chemical brow lift'. Browlift surgery is often performed in conjunction with other surgery to the eyelids for removal of loose skin or bags (Blepharoplasty).
Although the endoscopic brow lift is the most popular, it is not suitable for everyone and Mr. Ezra will provide a set of options along with the pros and cons of different approaches so that you can make the decision thats right for you.