Brow Lift
Brow lift surgeries are often combined with eyelid surgeries. If the patient has droopy eyebrows, eyelid surgeries performed alone may not make the patient happy enough. Combining brow lift surgeries with eyelid aesthetic surgeries provides longer-term youth to both the eyelids, eyebrows and forehead.
A frequently used method in eyebrow lift surgery is the indirect method, which is performed through the same hidden incision during blepharoplasty surgery, where excess eyelid skin is removed. In this case, since a new incision is not made, there is no possibility of scarring. The outer part of the eyebrow is released upwards through the lid and attached to the tissue on the bone from the inside at the desired height. In this method, only the outer part of the eyebrow can be raised.
Raising the eyebrow with an incision just above the eyebrow (direct eyebrow lift) provides the most effective and longest lasting result. However, this method, which has the possibility of scarring, requires appropriate patient selection and very serious experience. In this method, in which direct tissue is removed, the intended amount of elevation and the desired eyebrow shape can be obtained mathematically. In this method, only the outer part or the whole of the eyebrow can be raised. In most cases, an experienced surgeon can provide scar camouflage with special techniques and, if necessary, post-operative injections, and there is no scar problem in the long run.
Less invasive methods have been developed to protect the nerves with the help of an endoscopic camera by entering through small incisions made in the scalp. Although they have a shorter duration of effectiveness compared to surgeries performed with incisions directly over the eyebrow, they are still effective for years; Endoscopic methods have advantages such as the ability to remove the entire forehead and the absence of scarring.
In eyebrow and forehead lift, a very effective lift can be made with lengthwise incisions made just in front of or just behind the scalp. However, these procedures, in which the entire forehead is raised, are not preferred today for some reasons such as requiring a long recovery period and causing loss of sensation, and are only recommended for a small number of suitable patients.