brow lift in Mentor OH types of brow lift

What exactly is a brow lift anyway?

What is brow lift?The goal of a brow lift is, quite literally, to raise the eyebrows. Our foreheads start to drop as well age (thanks gravity!) This makes the eyebrows drop down, which can make the eyes look older. In women the eyebrow should be slightly above the orbital rim- that ridge of bone right above your eye. In men the eyebrow should be at the level of the orbital rim. If your eyebrows are lower than this and you have excess skin over your upper eyelids, you may benefit from a brow lift.

What are the types of brow lift?

Open brow lift:

  • Often considered the “gold standard”.
  • Hides the incision back inside the hair line or just in front of the hairline, depending on how high your forehead is.
  • Removes the corrugator muscles- these are the muscles between your eyebrows that cause those little vertical lines when you frown. Botox works temporarily, but removing the muscles is a permanent result.
  • Smooths horizontal forehead lines by stretching the skin.
  • Elevates the brow by removing a strip of skin.
  • Has a fairly easy recovery: Most patients experience some bruising and have a headache the first couple days. It’s also common to have numbness over the scalp behind the incision which may take several months to go away.

Endoscopic brow lift:

  • Is considered less invasive than an open brow lift.
  • Uses five small incisions instead of one long one.
  • Also removes corrugator muscles.
  • Elevates the brow by anchoring it to the skull using suture or an Endotine device. The endotine is made of polylactic acid. It dissolves over 60-90 days, after the skin and scalp have healed in their new, higher position. This also smooths horizontal forehead lines by stretching the skin

Direct brow lift:

  • Excises skin just above the eyebrows.
  • Raises the entire brow. (Endoscopic brow lifts and open brow lifts also raise the entire length of the eyebrow. Contrast this with lateral and TransBleph brow lift below).
  • Does not address the “11s” frown lines because the corrugator isn’t removed.
  • Does not smooth horizontal forehead lines.

Lateral brow lift

  • Use a small incision over the lateral aspect of the forehead at the hairline
  • Is good for lifting just the lateral end of the eyebrow.
  • Does not address the “11s” frown lines because the corrugator isn’t removed.
  • Does not smooth horizontal forehead lines.

TransBleph brow lift:

  • Uses an Endotine device placed through an upper eyelid (blepharoplasty) incision.
  • Is good for adding more arch to the eyebrow, and can adjust the center of the eyebrow.
  • Does not address the “11s” frown lines because the corrugator isn’t removed.
  • Does not smooth horizontal forehead lines.

Which brow lift is right for you?

How do you know which type of brow lift is right for you?

Type of brow lift you needWhat type of lift you need depends on your problem areas and your hairline (for hiding scars). If you just need a little more arch to the eyebrows, a lateral brow lift may be perfect. But if you need to smooth horizontal lines, get rid of frown lines, and raise the eyebrows, than you’ll see better results from an endoscopic or open brow lift.

Most importantly: make sure you are seeing a plastic surgeon or facial plastic surgeon who is experienced in multiple techniques. I’ve seen non-plastic surgeons who only offer one type (often the lateral mini-lift) and it’s not right for all patients.

Dr. Greer is a plastic surgeon in Cleveland, Ohio. Her passion is helping moms regain their confidence by getting rid of sagginess, wrinkles, and stubborn fat using surgery, laser, Botox and fillers. Check out her website for more information, or to download a FREE copy of “The Busy Mom’s Guide to Plastic Surgery.

Greer Plastic Surgery