eMedicine Specialties > Plastic Surgery > Brow Lift
Brow Lift, Mid Forehead: Follow-up
Updated: Sep 18, 2009
Outcome and Prognosis
Whereas the mid forehead brow lift was performed relatively frequently in men in the past, advances in endoscopic techniques have allowed minimal incision surgical correction of these patients while avoiding obvious mid forehead scars. When the patient is chosen carefully, the outcome can be very gratifying. As the lift is closer to the brow than with an endoscopic lift or a coronal lift, the degree of brow elevation and correction of asymmetry is more reliable. In addition, less chance of regression is present.
Mid forehead brow lift. Preoperative. A 68-year-old man with markedly overactive corrugator and procerus muscles. Note the particularly heavy sebaceous forehead skin and evidence of long standing overactivity of the orbital orbicularis oculi muscles, all conspiring to create a particularly menacing appearance. Such a patient would not do well with an endoscopic forehead lift.
Mid forehead brow lift. Postoperative. Note that even 5 months following the repair, some pinkness of the incision site is present. When a patient has a great degree of actinic keratosis and secondary telangiectatic vessels, such as in this man, such persistent pinkness in the incision site is not uncommon. However, a reasonable elevation of his brows and weakening of his uncommonly powerful corrugator and procerus muscles has been achieved.
Future and Controversies
Occasionally, when the brow needs to be supported, physicians have used an internal browpexy approach, which, in the authors' hands, has yielded less than ideal results that are often transient.
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References
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Further Reading
Keywords
brow lift, mid forehead lift, forehead lift, browlift, upper face lift, forehead rhytidectomy, rhytid, rhytide, brow ptosis, wrinkle, brow wrinkle, forehead wrinkle, rhytids, rhytides, eyebrow ptosis




Follow-up: Brow Lift, Mid Forehead