Brow position descends with ageing and this can manifest itself in a number of ways. One effect of brow descent (ptosis) is lateral hooding of the upper eyelid skin. Patients often request surgery for their upper eyelids when a brow lift is what they really need.
Frown lines (particularly between the eyebrows) are very effectively treated by Botulinum toxin. Deep forehead wrinkles which are always present and hooding of the upper eyelids, can only be addressed surgically with a brow lift.
Brow lifts are commonly combined with other surgical procedures such as upper blepharoplasty (see eyelid section) and facelifts.
There are many different types of surgical brow lift. We have pioneered our own minimal access brow lift (using buried sutures) which focuses on elevating the outer brow to restore a youthful look to the upper face and eyes. This technique leaves very small scars which are hidden in the eyebrow itself and a scar high up in the forehead hidden in the hairline. Older patients and some men with severe brow ptosis are most effectively treated with what is known as a direct brow lift. This involves removing a crescent of skin above the eyebrow leaving a scar which is usually well hidden at the junction of the upper eyebrow and skin.