Brow Lift (Browplasty)

What is a brow or forehead lift (browplasty)?

A brow lift or forehead lift (also known as a browplasty) is used to alleviate wrinkles on the forehead and/or sagging eyebrows. Brow lifts are also ideal for reducing unwanted horizontal or vertical lines and wrinkles on the forehead, including frown lines or deep furrows between the eyebrows.

Do all brows need to be lifted? Or is brow “shaping” more important?

There is no “one size fits all” approach to brow lifting, so the answer depends totally on your unique facial features and underlying bone structure. Old-fashioned concepts in brow lift surgery stressed that all brows need to be lifted but this is not necessarily an improvement for some people.

Recent innovations include the endoscopic brow lift – a procedure that has decreased the patient downtime but increased the number of brow lifts performed with mixed results.

Depending on your facial features, more than 30% of the population shows an actual elevation in brow position as they age. This observation makes clear that not every brow should be lifted and that the overall shape of the brow, and position of the outside “tail” of the brow, is more important than the height of the brow on the forehead. Additionally, we may lose volume in key areas of the brow – this can be significantly improved by restoring volume with a natural filler such as your own body fat using the fat transfer technique.

In fact, less aggressive procedures aimed at improving the shape of the brow and restoring volume to the brow are a vast improvement over the old paradigm of simply raising the brows. As the position and shape of the brows are improved, you may also find that an additional procedure such as an upper eyelid lift may also assist to restore the eyes to a youthful and fully rejuvenated appearance.