Brow Lifts and Forehead Lifts Reston
Eyebrow position is very important in the evaluation of the eyelid. As people age, there is a possibility eyebrows may fall from their primary position. Normal eyebrow position for males is at the orbital rim and for females is slightly higher than the orbital rim.
Brow ptosis refers to sagging of the eyebrows and/or forehead skin. We may not even notice that this has happened, and blame the eyelids for all the excess skin issues. Patients who have previously had upper blepharoplasties done elsewhere to remove excess skin on their upper eyelids have come in for consultation by Dr. Rostami, puzzled why they still have sagging skin on their eyes. An upper blepharoplasty cannot remedy all the excess skin on the eyelids if the brow has dropped.
Dr. Rostami takes the time to evaluate not just the eyelids, but also the position of the eyebrows, as is indicated by her extensive training in the field of oculo-facial plastics. If the brows or a forehead has fallen, they can contribute to the amount of excess skin on the upper lids, and create folds of skin across the bridge of the nose, as well as heavy wrinkles on the brow.
There are many different techniques to repair brow or forehead ptosis:
- In the coronal approach, incisions are made in the scalp, behind the hairline, where the forehead is lifted and wrinkles are smoothed out. This procedure may be performed using an endoscope. This approach may not be the best technique for a patient with a receding hairline. In patients with a heavy brow, this technique may offer the best result. Several small incisions are created in the scalp behind the hairline. The endoscope is inserted through these incisions, so Dr. Rostami can modify or remove parts of the muscles that cause wrinkling and frown lines. The lateral brows will be suspended with internal sutures placed behind your hairline.
- In a direct brow lift, an incision is usually in an existing wrinkle on the forehead, so that when healed, it will be barely visible. The downside is that while it may lift the brows, it does not address the glabella rhytids (wrinkles between the eyes, the frown lines).
- In patients with good hairlines, Dr. Rostami prefers the trichophytic forehead lift, as this gives an excellent lift to the anatomy of the forehead, smoothing wrinkles, helping lift the excess skin on the eyelids, and generally making a more youthful face. The tiny incisions all around the hairline blend in nicely and are barely visible after healing. A trichopytic browlift can be done across the entire front hairline, or just in the center to pull up the center section of the forehead, or even on a single side.
- The endotine transbleph procedure uses a tiny implant to anchor the brow in position.
An internal eyebrow fixation is perfect when patients have an eyebrow that has dropped on the lateral (outside) corners. It’s very cost effective and our patients love the results.