Women tend to have higher more arched brows than men, while men have lower, heavier, and more prominent brows. Among the cluster of surgical procedures that comprise facial feminization and facial gender confirmation surgery, a brow lift is used to raise the eyebrows to a higher, more feminine position on the face.
Depending on your age, a brow lift may also create a more youthful and rejuvenated appearance. It will improve — or even eliminate — common telltale signs of aging such as “sagging” eyebrows, wrinkles on the forehead, and crow’s feet. The procedure addresses horizontal and vertical lines, such as frown lines and furrows between the eyebrows and around the eye — most specifically with regards to the corrugator muscle — the muscle between the eyebrows where Botox® and Dysport® injections are often placed. Typically, during a brow lift, we will sever the corrugator muscle which eliminates the future need for Botox® and also alleviates vertical wrinkling between the eyebrows permanently.
Not all brows need to be lifted. In fact, some just need to be shaped into a more feminine form and aesthetic. Also, depending on your existing facial features, your brows may naturally elevate to a higher position as you get older, so in terms of an aesthetically pleasing brow, the shape and position of the “tail” of the brow is actually more important than its overall height. Additionally, as we age, we may lose facial volume in our temple areas. This loss can be significantly improved upon by restoring volume with a natural filler such as your own body fat via a fat transfer procedure.
Brow lift surgery is performed under general anesthesia usually via an “open” approach during your long format facial feminization surgery session. Although endoscopic brow techniques are common, we achieve better results with an open approach because it allows for better control of the final result. Many plastic surgeons do not offer an open approach because they are not comfortable with its highly technical aspect and opt for a less demanding approach. Precise knowledge of anatomy is required to offer this procedure to our patients and we feel in most cases this open approach provides a superior result. In either surgical technique, an incision is made in the hairline or in front of the hairline, which leaves little to no visible scarring.
Your brow lift may also be performed at the same time as a hairline restoration, feminizing rhinoplasty, or forehead reduction/contouring depending on the scope of your facial feminization transformation.