Brow lift

Brow lift

A beautiful brow frame the eyes.   Sadly with age, the brow droope with time and create the triangle eyes.  Many people assume they have excess skin on eyelid and hence request eyelid to be be removed.  Yet, aggressive upper eyelid blepharoplasty cause brow to be pulled down even more and cause the sad downward brow look.

Therefore brow lift should be done to reposition eyelid to its original youthful position.   It is important not to overdo it to avoid a surprised look.  Care should be paid to create an attractive eyebrows suitable to gender.  A successful brow lift surgery in combination with  suitable upper eyelid blepharoplasty, it can create a pleasant look.

Different forms of brow lift

  1. Direct brow lift:  It is the most powerful brow lift.  However, it left with a scar and suitable for those who don’t mind a scar and brow droope associated with facial nerve palsy.
  2. Endoscopic brow lift:  “Scarless: brow lift as scar is hidden in the hairline.  Unfortunately with its distance, the power of lift can be not as powerful and sometimes may requiring brow fixation sutures which may leave with a bit of scar near brow area.
Pre Op: Lower eyelid bags with significant descent of mid cheek. There is a deep nasojugal fold.

Right end tail brow droope (dark blue arrow) leads to secondary pseudo excess skin appearance. This create triangular eyes appearance.

 

Post op: reduced eye bags appearance and smooth lower eyelid-cheek junction. Patient looks much more refreshed.

A slightly uplifted brow tail (dark blue arrow) .  The eyes are no longer triangular shaped but double eyelid is showed (light green).  And magically,  it conveyed a brighter more uplifting look.

Before and after photos

Pre op: a downward end brow with subsequent pseudo excess upper eyelid skin (dermatochalasis) leading to triangular eye appearance and a depressed look.

Post op: lower eyelid bags has disappear (Results in one month)

Post op:  Brow is lifted (dark blue arrow) and eyes are no longer triangular shaped but double eyelid is showed (light green).  And magically,  it conveyed a brighter more uplifting look.

Pre op:  sleepy and disinterested look.

Post eyebags removal: left lateral pose

Post  Brow lift and ptosis correction repair:   Much alert and engaged look.

Pre op:  sleepy and disinterested look.

Post eyebags removal: left lateral pose

Post op: Post bilateral direct brow lift and ptosis repair on a 83 years old man.   It looks natural

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