A brow lift is performed when the eyebrows start to droop and fall below the level at which they normally sit. In a man, this is at the level of the bony ridge just above the eye socket, and in a woman this is a little higher. The eyebrows should also form a natural curve, higher on the outer aspect than the inner aspect.
There are several ways of performing a brow lift. For example, during a facelift, we can extend the incision into part of the hairline, and use this to elevate the outer part of the eyebrows. This is often enough to gently lift the brows to a more aesthetically desirable position.
Endoscopic brow lift is a procedure often performed at the same time as an upper eyelid rejuvenation procedure. In this procedure, keyhole surgery is used to insert a telescope into the hairline and lift the brows. An upper lid blepharoplasty for hooded eyelids completes the upper facial rejuvenation. The brow needs to be suspended and attached to its new position and we often use endotines to do this.
Open brow lifts can be performed when the brow needs to be lifted and the hairline needs to be adjusted. In this procedure, the whole forehead is lifted upwards to counter the effects of ageing on the brow.
The risks of brow lifting include: asymmetry, further drooping with time, swelling, bruising, over correction, under correction, blood clots, nerve damage causing patches of numbness or weakness, and the need to convert an endoscopic procedure to an open procedure if there are complications during the operation.