Many older individuals complain that they have a perpetually tired, angry, or sad appearance. Much of this has to do with changes that occur in the forehead, brows, and upper eyelids during the natural ageing process. Drooping of the eyebrows and the development of lines and wrinkles between the eyebrows, on the forehead, and near the eyelids can contribute to this sad, heavy appearance in the periorbital region. Fortunately, Dr. Darrell Perkins offers brow lift surgery at his practice in Sydney, New South Wales. Also known as a forehead lift, brow lift surgery is an effective procedure that can eliminate a tired or sad appearance and make an individual appear more awake and lively.

Cosmetic and Functional Improvements

The aim of a brow lift is to give the patient a refreshed, youthful rejuvenation of the forehead and periorbital region. The procedure is commonly performed in conjunction with eyelid surgery. Brow lift surgery elevates the brow into a position that enhances the patient’s appearance. Brow lift surgery can also address the wrinkles between the eyelids and lateral aspect in the crow’s feet region, as well as remove the hooding on the actual part of the eyelid and brow that make an individual appear tired or angry or even obstruct vision.

Many of the changes that occur due to ageing in the brow are not all cosmetic. If both the brows and upper eyelids sag enough, the visual field can become impaired. Patients with this condition may complain that at the end of the day they must lean back in order to actually see under their drooping eyelids. This covering of the visual field produces a reflex where the individual must continually contract his or her forehead muscles to raise the eyebrows in order to clear the vision field. This chronic muscle contraction exacerbates the forehead wrinkling and further ages the forehead. Brow lift surgery performed at our New South Wales practice in Sydney can correct problems with the eyelids, brows, and forehead and reverse this part of the natural ageing process.

Before Brow Lift Surgery

The actual ideal position of the eyebrow varies with age and race. This has a lot to do with periorbital symmetry. For an older patient who has a longer lower eyelid, a higher brow position seems to be aesthetic. In a younger patient with a short lower eyelid, a lower eyebrow position is considered desirable. Another important thing to realise when considering undergoing brow lift surgery at our Sydney, New South Wales practice is that there is a difference with brow appearance between the sexes. For females, it is more aesthetic to have the outer portion of the eyebrow higher than the inner or medial portion. Many women intrinsically know what the most aesthetic shape for their eyebrows is as they pluck their eyebrows to achieve that shape. However, in males, a horizontal position of the eyebrow is more appropriate.

The term brow lift covers a wide variety of procedures. The factors that will govern the choice of procedure depends on the sex of the patient, the position of the hairline and eyebrows, and whether it is required for the lateral and/or medial eyebrow to be elevated. In addition, brow lift surgery depends upon whether there is requirement for the division of muscles between the eyebrows. Patients who are interested in a brow lift must be expertly assessed during a consultation at our Sydney, New South Wales practice and it has to be very clear what the patient is actually trying to achieve and which parts of the face require rejuvenation or treatment. As with most procedures, brow lift surgery is designed and tailored to address the specific issues of a particular patient.

The Brow Lift Procedure

Brow lift surgery involves incisions of varying length, elevation of the skin and/or muscle of the forehead and the brow, division or manipulation of the muscles that are affecting or causing crinkling, and repositioning and fixing the elevated tissues at a higher level.

The traditional brow lift procedure involves a cut behind the hairline, which allows correction of all the elements of the brow that a patient wishes to correct. Brow lift surgery is a large operation and has similar recovery and complications as those associated with a facelift type of surgery. More commonly now, a modification of this procedure is used where smaller incisions are used in just limited areas. The most common area that requires elevation is the lateral brow, and this can easily be done through a small and temporal incision. The muscles in between the eyebrows can actually be approached via the incision for the upper eyelids in order to minimise surgery and dissection. Other tailored procedures may be even a direct excision of skin above the brow. This may be an applicable procedure in the elderly male, as this produces excellent results.

Endoscopic brow lift surgery is also a well accepted procedure. This procedure involves the assistance of a telescope for vision and dissection. In essence, endoscopic brow lift surgery follows all the same principles as the open brow lift procedure; however, the goal is to minimise the number of incisions created to hasten recovery. As with all plastic surgery procedures, no one procedure is better than the other. The secret is to analyse the patient accurately and assess which procedure is right for his or her specific needs or goals.

A brow lift is often performed in combination with facelift surgery and eyelid surgery for more comprehensive facial rejuvenation.

Interested in Brow Lift Surgery?

Brow lift surgery at our New South Wales practice in Sydney is an exceptional way to restore an energetic, youthful appearance to the face. Dr. Darrell Perkins uses the most advanced surgical techniques to reduce or even eliminate lines and wrinkles. Please contact Dr. Perkins to schedule an initial consultation for brow lift surgery.