Understanding Endoscopic Brow Lifts

Eyebrow LiftAs we age, parts of our body start to droop – gravity and time seem to spare no one! Much of this results from loss of volume and laxity of the skin occurring in both the face and the body, becoming a concern for many people.

One area of the face that can be bothersome is a sagging brow. As our brows droop, it creates an aging look and can make us appear sad, tired or angry. Wrinkles in the forehead can then deepen as we try to lift our brows to help counteract this look—this action can be an unconscious drive that we aren’t even aware of. A brow lift can help rejuvenate the face, especially in the upper part, and can ensure your expression on the outside matches your inward emotion.

Though there are many ways to lift a brow, the endoscopic brow lift approach is one of the most cosmetically appealing, since visible scars on the face will not occur. This technique has been around for a number of years and has replaced more conventional methods for brow elevation, especially when related to aesthetic concerns.

The endoscopic brow lift procedure involves making 3 to 5 small incisions above the hairline to allow for release of tissue along the forehead, under the brows and out to the sides. As the release gets closer to the brows, a scope is introduced to allow direct visualization of important nerves so as not damage them. Also, the muscles in between our brows that create an angry look when we frown can be weakened or redraped to create a smoother central forehead. Once the soft tissue of the forehead is more mobile, it can then be contoured to a more youthful position. A brow lift is typically performed under general anesthesia and takes one to one and a half hours to complete. The upper eyelids may be bruised and swollen for one to two weeks following surgery.

Although the endoscopic brow lift is a very effective approach with high patient satisfaction, the Emory Aesthetic Center also performs other lift techniques to this area, as one size does not fit all. Our surgeons have excellent experience in various brow lift techniques and can help guide you based on the results you desire.

About Dr. Brent Hayek

Dr. Brent Hayek, plastic surgeonDr. Hayek’s areas of expertise include both reconstructive and cosmetic procedures. He addresses “droopy” (puffy) or malpositioned eyelids, treats Graves disease or thyroid problems as they affect the eyes, and orbital problems including tumors around the eye and fractures that affect the protective bony walls. Dr. Hayek also handles tearing problems that involve obstruction, infection or other issues of the tear drain system.

Dr. Hayek performs a number of eyelid and facial cosmetic services include Botox®, facial fillers and peels, upper and lower blepharoplasty, midface and endoscopic forehead lifts.

Dr. Hayek’s research interests include eyelid and orbital tumors, as well as various implants suitable for long-term eyelid reconstruction. He has published articles in peer-reviewed publications, book chapters and has presented at regional, national and international meetings.

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