Procedures
Procedures > Male > Brow Lift > What does the procedure involve?
Brow Lift
What does the procedure involve?
The brow lift operation is performed under general anaesthetic and usually takes between one to two hours. We can use various techniques to elevate the brow. Traditional methods require an incision across the whole width of the forehead, either at the hairline or behind it, within the hair-bearing scalp. Occasionally, the incision may be best hidden in one of the creases of the forehead itself. In the traditional or ‘open’ brow lift, the elevated forehead is advanced upwards to achieve the desired elevation. We then remove the excess skin before closing the incision with stitches.
We can also achieve brow lifting by directly excising the skin above the brow. This leaves a scar adjacent to the brow which is normally well hidden. However this direct approach is perhaps better suited to men with male pattern baldness who wish to avoid conspicuous scars on their forehead and scalp. In this case, the operation may be performed under local anaesthetic.
In more recent years, the procedure can be performed ‘endoscopically’ through minimal access incisions in the scalp. We make three to five small incisions behind the forehead, which we then undermine and lift using specialised instruments. We may remove some areas of muscle between the eyebrows to reduce the downward pull on the brow and reduce midline wrinkles. Next, we secure the elevated forehead to the skull bone using stitches, a temporary screw or a specially designed dissolving bone anchor known as 'endotine'.
The forehead soon re-attaches to the bone in its elevated position, giving a more youthful appearance.
The desirable position of the brow in men and women and between the different races is different and this must be taken into consideration.
What are the issues?
What can the procedure achieve?
What does the procedure involve?
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