When it comes to making an instance impression, your eyebrows play a big role in catching someone’s attention. As we age, some may feel the impact of their brow area shift from dramatic to droopy or harsh. ![]() A brow lift focuses on the area above your upper eyelids. This includes some very specific areas of concern: the eyebrows (and the descent of this area), the horizontal wrinkles above the brow, the vertical wrinkles between the brows (also known as glabella lines), the hairline, and the amount of skin (or space) of the brow. Most people seek help for this area of the face when they feel they look “tired” or “angry.” Usually looking “tired” involves descent of the brow. You can tell your brow has descended, a normal occurrence of aging, by the location of your eyebrow hair in relationship to the bony prominence there (the supraorbital rim). For men, the eyebrow should be right on top of this orbital rim. Women usually like to have their eyebrow above the rim. If your brow has descended below this level, you may require a brow lift. Many people reflexively raise their brow with their brow muscle when their brow begins to descend and obstruct their vision. This can cause vertical lines to appear in the brow that create a more aged look. In general, there are two different ways of doing a brow lift: the open method and the endoscopic method. The open method involves making an incision in (or just at) your hairline, trimming the excess skin, and stitching the two sections back together. The endoscopic method involves lifting the brow through two small incisions in your hairline, using a camera to “release” your brow, and then putting some sort of anchor underneath the skin—either a suture anchor tied to a tiny screw or an absorbable synthetic anchor—to hold the brow up. Your doctor will help you choose which method will work best for you, but generally, if your brow has a lot of extra skin that should be removed, you are likely to need the “open” method. Learn more about this and other facial procedures in my book, “Making the Cut” available for purchase on Amazon.
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August 2018
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