eMedicine Specialties > Plastic Surgery > Brow Lift

Brow Lift, Mid Forehead: Multimedia

Author: Matthew J Trovato, MD, Fellow, Division of Plastic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Coauthor(s): Frank S Ciminello, MD, Director of Craniofacial Surgery, University Hospital, New Jersey Medical School
Contributor Information and Disclosures

Updated: Sep 18, 2009

Multimedia

Mid forehead brow lift. Transverse forehead incis...Media file 1: Mid forehead brow lift. Transverse forehead incisions may be broken as shown to improve the appearance of the final result.
Mid forehead brow lift. Transverse forehead incis...

Mid forehead brow lift. Transverse forehead incisions may be broken as shown to improve the appearance of the final result.

Mid forehead brow lift. Dissection is performed i...Media file 2: Mid forehead brow lift. Dissection is performed in the subcutaneous plane.
Mid forehead brow lift. Dissection is performed i...

Mid forehead brow lift. Dissection is performed in the subcutaneous plane.

Mid forehead brow lift. Transverse incisions are ...Media file 3: Mid forehead brow lift. Transverse incisions are made in the galea to access the corrugator and procerus muscles. These incisions are kept in the middle to prevent injury to the supraorbital nerve branches.
Mid forehead brow lift. Transverse incisions are ...

Mid forehead brow lift. Transverse incisions are made in the galea to access the corrugator and procerus muscles. These incisions are kept in the middle to prevent injury to the supraorbital nerve branches.

Mid forehead brow lift. Once exposed, the corruga...Media file 4: Mid forehead brow lift. Once exposed, the corrugator and procerus muscles are attenuated.
Mid forehead brow lift. Once exposed, the corruga...

Mid forehead brow lift. Once exposed, the corrugator and procerus muscles are attenuated.

Mid forehead brow lift. The galea is shortened as...Media file 5: Mid forehead brow lift. The galea is shortened as desired and sutures are placed.
Mid forehead brow lift. The galea is shortened as...

Mid forehead brow lift. The galea is shortened as desired and sutures are placed.

Mid forehead brow lift. Elevation of the cutaneou...Media file 6: Mid forehead brow lift. Elevation of the cutaneous structures is obtained and appropriate trimming is performed.
Mid forehead brow lift. Elevation of the cutaneou...

Mid forehead brow lift. Elevation of the cutaneous structures is obtained and appropriate trimming is performed.

Mid forehead brow lift. Meticulous subcuticular c...Media file 7: Mid forehead brow lift. Meticulous subcuticular closure is achieved with no tension on the skin edges.
Mid forehead brow lift. Meticulous subcuticular c...

Mid forehead brow lift. Meticulous subcuticular closure is achieved with no tension on the skin edges.

Several different incisions for mid forehead lift...Media file 8: Several different incisions for mid forehead lifts have been proposed. Here, incisions are placed at different heights to prevent a long horizontal scar.
Several different incisions for mid forehead lift...

Several different incisions for mid forehead lifts have been proposed. Here, incisions are placed at different heights to prevent a long horizontal scar.

Mid forehead brow lift. Preoperative. A 68-year-o...Media file 9: 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. Preoperative. A 68-year-o...

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 ...Media file 10: 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.
Mid forehead brow lift. Postoperative. Note that ...

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.

More on Brow Lift, Mid Forehead

Overview: Brow Lift, Mid Forehead
Workup: Brow Lift, Mid Forehead
Treatment: Brow Lift, Mid Forehead
Follow-up: Brow Lift, Mid Forehead
Multimedia: Brow Lift, Mid Forehead
References

References

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  2. Warren RJ. The modified lateral brow lift. Aesthet Surg J. Mar-Apr 2009;29(2):158-66. [Medline].

  3. Koch RJ, Pope K. Quantitative assessment of brow position: a new measurement system. Plast Reconstr Surg. Apr 1 2004;113(4):1290-1. [Medline].

  4. Frankel AS, Kamer FM. The effect of blepharoplasty on eyebrow position. Arch Otolaryngol Head Neck Surg. Apr 1997;123(4):393-6. [Medline].

  5. McKinney P, Mossie RD, Zukowski ML. Criteria for the forehead lift. Aesthetic Plast Surg. Spring 1991;15(2):141-7. [Medline].

  6. Knize DM. A study of the supraorbital nerve. Plast Reconstr Surg. Sep 1995;96(3):564-9. [Medline].

  7. Troilius C. A comparison between subgaleal and subperiosteal brow lifts. Plast Reconstr Surg. Sep 1999;104(4):1079-90; discussion 1091-2. [Medline].

  8. Honig JF, Frank MH, Knutti D, de La Fuente A. Video endoscopic-assisted brow lift: comparison of the eyebrow position after Endotine tissue fixation versus suture fixation. J Craniofac Surg. Jul 2008;19(4):1140-7. [Medline].

  9. Brennan HG, Rafaty FM. Midforehead incisions in treatment of the aging face. Arch Otolaryngol. Nov 1982;108(11):732-4. [Medline].

  10. Lemke BN, Stasior OG. The anatomy of eyebrow ptosis. Arch Ophthalmol. Jun 1982;100(6):981-6. [Medline].

  11. Patel BC. Surgical eyelid and periorbital anatomy. Semin Ophthalmol. 1996;11(2):118-137.

  12. Rafaty FM, Goode RL, Abramson NR. The brow-lift operation in a man. Arch Otolaryngol. Feb 1978;104(2):69-71. [Medline].

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

Contributor Information and Disclosures

Author

Matthew J Trovato, MD, Fellow, Division of Plastic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School
Disclosure: Nothing to disclose.

Coauthor(s)

Frank S Ciminello, MD, Director of Craniofacial Surgery, University Hospital, New Jersey Medical School
Frank S Ciminello, MD is a member of the following medical societies: American College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

R C A Weatherley-White, MD, Associate Clinical Professor of Surgery (Plastic), University of Colorado; Medical Director, Department of Plastic Surgery, Columbia Rose Medical Center
R C A Weatherley-White, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, Colorado Medical Society, and Royal Society of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Lars M Vistnes, MD, FRCSC, FACS, Professor of Surgery, Emeritus, Stanford University Medical Center
Lars M Vistnes, MD, FRCSC, FACS is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

 
 
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