Posts Tagged ‘eyebrow lift’

Brow Lift Versus Eyelid Lift: Which One Do I Need?

eye-checkAre you tired of looking tired? As we age, excess skin or drooping brows can cause our eyes to lose their sparkle, leaving us looking chronically fatigued. You may assume that the problem is excess skin on your eyelids—and you might be right. However, sometimes the reason is more complex. If your eyebrows have drooped, they may be causing your eyelid skin to bunch up and even crowd your eyelashes.

So, do you just have to go through life looking exhausted? Fortunately, no. Eyelid lifts and eyebrow lifts are two options that can immediately enhance the appearance of your eyes and bring back your natural sparkle. Emory Healthcare cosmetic surgeons can help you determine if you’re a candidate for an eyelid lift, a brow lift or a combination of the two.

Do I Need an Eyelid Lift?

If the issue is skin excess in your upper lids alone, without any need for change in brow position, an upper eyelid lift may be all you need. This is a relatively simple and low-downtime, cost effective way to improve the brightness of your eyes. In some cases, it can even be performed under local anesthetic.

Do I Need an Eyebrow Lift?

You may be wondering how you can tell if your eyebrows have drooped. Well, ideally, a woman’s eyebrow should start in a gentle curve above the top of her nose and rise above her orbital bone (brow bone) until it peaks at the outer edge of her eyelid. Then, the brow should gently curve out and slightly downward. The entire course of her brow is preferred to be at, or slightly above, her brow bone and both brows should be relatively symmetric.

Many people hold their eyebrows up to compensate for drooping, without even realizing they’re doing it. In order to assess if this is the case for you, stand in front of a mirror and close your eyes. Take a deep breath in and out and purposely relax your brows and forehead. Open your eyes slowly, taking care not to raise your forehead, and look at your eyelids and brow position. If your brows seem to have dropped lower than you thought they were, it’s likely that you inadvertently hold them up and may benefit from a brow lift.

Although a brow lift may sound invasive or complicated, the procedure is actually not particularly high-risk or painful.

How Will I Look After an Eyebrow Lift?

To imitate the effect of a brow lift, watch in a mirror as you take your fingers and place them between your eyebrows and hairline. Gently lift a little to see how your brow position changes and if excess skin on your eyelid is reduced. If doing this improves the skin excess at your eyelids and makes a favorable change in your appearance, a brow lift may be the right option for you. If there is still excess skin on your eyelids, even as you’re gently pulling, your surgeon may recommend a combination of eyebrow and eyelid lifts for best results.

What Can I Expect?

Satisfaction rates for brow and lid lifts are high and the downtime can be as little as five to 10 days, depending on your individual surgery. Results usually last many years and don’t often need to be “tucked up” in the way that some other plastic surgery procedures require.

Eye Enhancement at Emory Aesthetic Center

If you’re considering rejuvenating and improving the appearance of your eyes, come see one of the board-certified physicians at Emory Aesthetic Center for a complimentary consultation. We can discuss your goals and determine what treatment is right for you.


or call us at 404-778-6880 to schedule a consultation

How Do I Know if I Need an Upper Eyelid Lift or a Brow Lift?

Brow LiftSagging eyelids are a common problem that most people will experience with the aging process. Because the face functions as a single unit (meaning what occurs in the forehead affects the eyebrows and eyelids, which in turn can affect the lower face), it can be difficult at times to determine a single source for a particular concern. The truth is, it is the combination of sagging brows and excess skin on the eyelids that result in the sagging appearance of the eyelids. No two patients are alike, and it is important to tease out what is contributing to the sagging eyelids to determine which surgical repair is the most appropriate.

Upper eyelids lose elasticity over time and become redundant, giving them a tired appearance. For most women, this starts to occur in their early forties as they start to notice difficulty applying and visualizing their eye makeup. For men, it usually becomes a problem much later. When the redundancy is mild, it is mainly a cosmetic issue. When it becomes severe, it can sometimes interfere with a patient’s vision. Either case, the surgical treatment for this is an eyelid lift (blepharoplasty), where the excess skin, and usually the fat underneath the skin, is removed. This is a very common procedure that is performed and can significantly help to restore the rejuvenated appearance to the upper face.

A sagging brow should be approached with more caution, since a brow lift can significantly change the appearance and expression of the upper face. An aesthetically pleasing eyebrow usually rests at or slightly above the brow bone. For females, the outer aspect of the brow is slightly arched so that the tail of the brow is higher than the inner corner. For males, the brow tends to be essentially straight. With the aging process, the loss of skin elasticity and loss of volume from fat atrophy, result in sagging of the brows that can contribute to the sagging appearance of the eyelids. When the brows drop significantly below the brow bone, it will most likely need to be addressed surgically in order to enhance the results seen from a blepharoplasty.

There are several techniques to correct a sagging brow depending on the patient. Traditionally, a large incision across the hairline was required. There are still instances where this type of correction is needed, especially for patients with a severe droop across the entire length of the brow. Alternatively, a direct brow lift is where the incision is made immediately above the brow hairs and an ellipse of skin and soft tissue above the brows are excised and stitched closed. Although highly effective, it does leave behind a visible scar, thus making it ideal for male patients with thick brow hairs that can mask the scar. A modified version of this approach is to address the outer aspect of the brow, which leaves a minimal scar with good results. With the advent of endoscopic surgery, a brow lift can now be performed with just a small incision behind the hairline.

Many different options exist and each patient needs to be evaluated individually. A thorough preoperative examination by your surgeon is always necessary to determine which combination of surgeries would result in the best cosmetic outcome. Let the board-certified surgeons of the Emory Aesthetic Center help develop a plan that is tailored specifically to your desires and needs. Come in for your complimentary consultation.


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.