Direct Brow Lift

Excerpt

The periorbital region, including the eyebrows and upper and lower eyelids, undergoes predictable changes during aging. With advancing age, the brow descends relative to the supraorbital rim, often resulting in dermatochalasis. Commonly, this presents as hooding of the lateral eyelids but, in severe cases, may result in upper visual field obstruction. Other less common causes of brow ptosis include facial paralysis and post-traumatic deformity. Various surgical options to reposition the brow exist, ranging from traditional open techniques to newer endoscopic approaches. Each technique has strengths and weaknesses, but no procedure has been proven superior in all clinical scenarios.

In recent years, the focus of aesthetic surgery has shifted towards minimally invasive techniques, like endoscopic browlifting. However, performing traditional open approaches is still essential for facial surgeons as these techniques offer the highest precision when repositioning the brow. This article discusses the details of one such open approach, the direct brow lift, and its significance in rejuvenating the upper third of the face.