In many patients, the forehead area and the area around the eyes are the first to show signs of aging. As the natural aging process progresses, the eyebrows can descend to a lower position along the forehead, sometimes settling below the natural brow line. In these cases, the natural arch of the eyebrow is lost and the tail of the eyebrow begins to sag. Horizontal lines across the forehead can begin to form as a result of patients unconsciously raising the eyebrows to relieve heaviness that the sagging eyelids exert on the upper lids. Sagging of the brow can contribute to fullness and heaviness of the upper eyelids as well. Between the brows, vertical frown lines can be an area of concern; build-up of the muscle tissue in this area can create deep creases that can give the face a tired or angry appearance. The goals of brow lift, also called forehead lift, are to elevate the eyebrows, restore the natural arch of the eyebrow, soften horizontal forehead wrinkles, and alleviate the eyebrows contribution to heavy, puffy upper eyelids.
Endoscopic Brow Lift
The endoscopic brow lift is designed to elevate the eyebrows and restore the natural arch of the eyebrows by lifting the tail of the eyebrow to a more youthful position. The result is an aesthetically pleasing, youthful arch to the eyebrow. Oftentimes, with the traditional brow lift method, the head of the eyebrow can be lifted to a position above the tail, creating an unnatural, perpetually surprised or overly alert appearance. Typically, elevation of the brows during this procedure softens or helps to eliminate horizontal forehead wrinkles. Endoscopic brow lift generally results in a beautiful outcome with minimal scarring due to the fact that only a few small incisions along the hairline are necessary to complete the lift.
The Endoscopic Brow Lift Procedure
Small incisions are made within the hairline along the scalp through which the endoscope and specially designed surgical instruments are inserted to complete the procedure. The endoscope provides Dr. Constantine with a view of the structures beneath the skin while he completes the lift of the forehead tissues. During the procedure, the tiny muscles between the eyebrows, which cause fine to deep frown lines to appear, can be surgically removed to relax and smooth the area in an attempt to permanently remove frown lines. Brow lift is often combined with facelift or eyelid lift to achieve more comprehensive facial rejuvenation.