Browlift or “foreheadplasty” is not a single procedure, but a collection of techniques designed to establish or restore an apprearance of vitality to the upper face. Occasionally, when eyebrow descent has dropped skin over the upper eyelids that impairs vision, forehead lift my be indicated to improve sight. Suspension of forehead soft tissue on the skull is by a complex of muscle and connective tissue structures. This support diminishes with age. Skin stretches, degenerates, and sags. Ligaments become loose. Some are genetically predisposed, with inherited “low brows.” Other reasons for browlift are deep horizontal forehead creases, deep vertical creases between the brows, and/or a brow shape that produces an undesirable facial expression, or impression to others of fatigue, anger, or indifference. As brows descend, upper eyelid skin also drops and folds over eyelashes at their sides to become redundant. Portions of the eyes are concealed by sagging upper eyelid skin. For women, mascara and eyelid cosmetics are no longer effective.
Browlift is customized by Dr. Donald Ng to achieve desired aesthetic and functional goals with minimal surgery, complications, and scarring. First, characteristics of the “ideal” brow and forehead aesthetics are considered. There are inherent differences between men and women. Plans to approach these characteristics are discussed with each patient, and a procedure designed to accomplish the desired result is agreed upon.
Surgical methods for lifting the forehead may be closed (through small incisions) or open (through longer incisions that are concealed by natural anatomy). Sometimes, an entire browlift is not needed, just removal of squint muscles through the upper eyelid or small suspension at the sides of the brows, also accomplished through the upper eyelids. Dr. Laverson often adds a “temporal” browlift when facelift is performed. The goal of this procedure is to smooth redundant skin bunched over the temples after lifting lower facial and cheek skin. Browlift is generally a safe procedure with quick recovery, inconspicuous scars, and good results. Most common problems associated with browlift are numbness of the scalp, localized (often temporary) hair loss, changed hair line, visible scar, recurrent brow descent or muscle activity. asymmetry between right and left sides, diminished forehead and/or scalp sensation, weakness (temporary or permanent) of brow elevation from nerve stretching or injury, and others.