When we see a person we first focus on the eyes; therefore, the eyes represent the most important aspect of an attractive face. The eyebrows are extremely important for the overall aesthetics of a face; unfortunately, the brows are commonly overlooked or not addressed appropriately.
As a result of the normal process of facial aging, the forehead is commonly affected causing droopy eyebrows. Over time, horizontal forehead lines develop and unappealing frown lines between the brows can accentuate an aged and sometimes angry appearance.
On the contrary, brows positioned too high may appear unattractive and may lead to the unpleasant “surprised look”, a browlift outcome that always needs to be avoided. The appearance of droopy eyelids may be in part due to brows that are positioned too low.
These unfavorable developments can be reversed and corrected with the help of a browlift. Various techniques of browlifts are available to address to concerns of our patients. Dr. Fechner chooses these browlift techniques depending on the specific features and needs of the patient.
The browlift is a surgical procedure designed to enhance the appearance and position of the eyebrows resulting in a more youthful, open and pleasant look.
The eyes are directly affected by reducing the stern appearance that a low brow position conveys. In addition, certain forehead muscles (i.e., corrugator muscles) can be relaxed for a decrease in the frown lines between the eyebrows. Deep forehead creases can be softened for an attractive and refreshed appearance.
During your initial consultation, Dr. Fechner will carefully examine your face with its aesthetic and functional characteristics. In particular, he will focus on the region around the eyes. Important aspects to consider are the position of your eyebrows as they relate to the upper eyelids. The discussion will include the patient’s eyebrow position in younger years and goals to achieve the desired and natural look. Dr. Fechner will assess the depth of frown and forehead creases and the symmetry of the brows.
A browlift can be performed as a separate procedure, but more commonly it is combined with other facial rejuvenation procedures such as facelift, blepharoplasty or skin resurfacing. Before your browlift, you will receive specific instructions on how to prepare for your procedure, what to expect and how to care for your forehead afterwards.
The eyes represent the most prominent facial feature and they signify the focal point when we observe a face. Therefore, our initial impression of a person will be influenced by the appearance of the eye region. Genetic family traits, age, characteristics of facial expression and environmental exposures all impact the forehead and brow appearance.
There are significant gender differences in the brows: The female brows are positioned higher with the bony rim shining beneath a well-positioned eyebrow. In men, a normal and attractive location for the eyebrows is at the bony rim but not below. A brow position that is too low lends a stern and tired appearance. It can contribute to full upper eyelid or eyelid droopiness. Combined with deep frown lines, the aged and angry look may be accentuated.
In patients with severe brow droop, even visual impairment may arise. Therefore, good candidates for browlift are female or male patients with some of the above characteristics. Commonly, additional treatments and procedures are offered for a balanced facial enhancement.
Dr. Fechner performs browlifts routinely as an outpatient procedure either in the office or in a day-surgery suite. Usually, relaxing medication is administered beforehand to help the patient be comfortable. Alternatively, the procedure can be performed with intravenous sedation (twilight sleep). General anesthesia is virtually never used (see anesthesia).
Initially, Dr. Fechner will mark exactly the location of the planned incisions and determine the amount of browlift desired. In order to maximize cosmetic healing, Dr. Fechner places the incisions in the most inconspicuous locations. Deciding factors for incision placement and browlift technique include the patient’s specific facial anatomy and hairline considerations. After the forehead skin has been numbed, muscles of concern will be weakened for a smoother forehead appearance. The brows will be lifted in the appropriate position and excess skin may be removed. All incisions are then carefully closed with small sutures.
The browlift procedure takes from one to 1½ hours, depending upon the specific technique employed.
Dr. Fechner uses various surgical approaches to browlifting depending in part on the patient’s specific anatomy including extent of brow droop and the position of the hairline. Very important is the aesthetic understanding of the natural-appearing brow position so that a non-operated look results after the procedure. In addition, Dr. Fechner will discuss with the patient the facial appearance in younger years.
Specific browlift techniques performed by Dr. Fechner include the hairline browlift, endoscopic browlift, temporal browlift, mid-forehead browlift and brow-release with blepharoplasty. These surgical applications vary depending on incision placement, extent of surgery and precise degree of browlift and they allow Dr. Fechner to tailor the procedure to the patient’s specific needs and desires.
Improvements achieved by a browlift are usually significant and can be expected to last for many years. Most patients describe that observers are aware of the improved look but are unable to point out how this enhancement was achieved. Although the aging process will continue, there will be less likelihood of significant eyebrow droop making further browlift procedures very uncommon.
By correcting the problem areas around the eyes, you will achieve a more youthful, pleasant, and rested appearance as a result of cosmetic browlift.
For more information about some of the most common facial cosmetic procedures please follow the links below:
FRANK P. FECHNER MD. All Rights Reserved.
428 Shrewsbury Street, Worcester, MA 01604