The Aging Brow (Browlift)

The brow and forehead is the oft most overlooked part of the tired or aging face. It is frequently discussed as a complement to eyelid or blepharoplasty surgery. The forehead and brow can be divided into two sub-categories: the glabella (area between the eyebrows and just above the nose), and the brow position. These can be addressed separately.

The Glabella

While often overlooked by people seeking facial rejuvenation, the glabella is one of the most important and central aesthetic areas requiring repair. The “V” shaped muscles of the glabella, called the corrugator muscles create the furrows, parallel vertical lines or “the 11’s between the eyebrows. The treatment goals of both surgery and injectibles is to weaken the pull of these muscles, thus reducing the lines and heaviness created by brow furrowing.

In surgery, this is done by actually delicately removing a segment of the muscle below the skin, permitting a gentle and natural relaxation of this area between the eyebrows. In many cases, this can be safely, although temporarily achieved with the use of injectible Botox™ or Dysport™. With injectible glabellar treatments, treatments should be repeated every 3-4 months to maximize results. Early treatment with Botox may actually prevent the progression of glabellar furrows and lines.

Brow Position

Brow position determination can be a more complex issue. Typically, a heavy eyebrow is associated and/or easily confused with a heavy upper eyelid. A heavy eyebrow can be masculinizing for women, and in men, severe brow sagging can actually result in altered upward visual field. This can be the equivalent of a curtain or brim obstructing the top of the visual field. Curvature of the brow is another important consideration. An aesthetically pleasing feminine brow is typically curved, with the highest point of the brow just over the outer corner edge of the eye, or colored portion of the eye.

Browlift surgery is best performed via an irregularly shaped and camouflaged incision just at or behind the hairline, or 3 inches back beyond the hairline. The determination of what is best for whom is usually determined by forehead length, hairline position, and hair thickness. These incision are almost always nearly invisible in the long-run. Endosocpic browlift requires shorter incisions, but has much more unpredictable results. Permanent treatment of the glabella and in setting brow position can be achieved via open browlifts. These have the most natural, conservative, and predictable appearance over the long term.

News & Events

Vacuums, gravity and the human face:  How our understanding of ENT/airway disorders may be backwards?!  learn more...
Nasal Shortening = Success in Rhinoplasty for breathing and aesthetics learn more...
Sleep apnea in females, a diagnostic masquerade! learn more...
Toward a more reliable, natural and predictable Rhinoplasty…in Westport learn more...
Trusting Your Plastic Surgeon learn more...