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Brow (forehead) Lift: Our Approach

The position of the brows affects the appearance of the entire face, but most important the appearance of the eyes. The aging forehead skin lengthens and brows tend to descend, causing the thick skin beneath the brows to cover the eyelids. By surgically elevating the eyebrows, the brows themselves can be aesthetically shaped and the excess skin of the upper lids reduced, often minimizing the need to remove the eyelid skin directly.

NORTH DALLAS PLASTIC SURGERY'S UNIQUE APPROACH

 

We have originated the PROGRESSIVE TENSION SUTURE TECHNIQUE that allows the surgeon to accurately shape and securely fix the brows, eliminate frown lines, and minimize forehead wrinkles.

 

This technique has provided a more consistent, natural and long-lasting result.

  • Accurately placed incision along the frontal hairline
  • Creation of flap of skin and underlying fat – that does not involve the muscles and nerves of forehead
  • Direct fixation of the skin of brow area to underlying tissues
  • Use of progressive tension sutures to advance and anchor the skin of the forehead to the underlying tissues
  • No drains required
  • Final scar usually imperceptible

Read more about progressive tension sutures (PTS) ».

An example of our PROGRESSIVE TENSION SUTURE TECHNIQUE to anchor and advance the skin of the forehead. Minimizing recovery, eliminating the need for drains, yet enhancing the final result.


These photo series show the minimal scars that result with the Progressive Tension Suture technique.

We have found this to be a very effective approach to sagging brows - with a high rate of satisfaction and minimal complications. We even published an article in a peer-reviewed journal about this: Pollock, H. and Pollock, T.A. Subcutaneous Brow Lift With Precise Suture Fixation and Advancement », Aesthetic Surgery Journal. (July/August) 2007. pp. 388-395.

Standard Browlift Surgery


Cosmetic Surgery: Promises and Pitfalls™

 

PROMISES

The brow lift is a method to surgically elevate the eyebrows to an attractive and youthful position. This reduces forehead wrinkles, eliminates excessive upper eyelid skin, and brightens the appearance of the eyes!

PITFALLS

A good operation when indicated and properly done, however :

    • Over-correction of the browlift can result in a “deer in the headlights“ appearance.
    • Most frequent complication is recurrence of the brow sag which the reason for so many devises to hold the brows in position, including skeletal fixation (screws in the skull), suture support, and other devices.
    • Many techniques are used to correct brow sag, however there is no single outstanding technique. In fact, “A respected author concluded in a recent scientific article that management of eyebrow ptosis (sag) remains a most challenging problem and that there is no single superior solution for brow ptosis currently available
    • Most browlifts are done at the level of the bony skull, which places the surgeon at a mechanical disadvantage (lifting skin from the deeper layers)
    • Scalp scars may be visible and often the hairline is elevated by surgery.

Facial Rejuvenation Page »

More Promises and Pitfalls Information »

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