BROW LIFT
Brow ptosis is the medical term for a sagging or drooping of the eyebrow. It occurs when the eyebrow and the underlying brow fat pad descend below their normal anatomical position.
Eyebrow droop, medically known as brow ptosis, occurs when the position of the eyebrows and brow fat pad is lower than their normal anatomical position. This gives the patient a tired appearance and in advanced cases can obscure the visual field.
In most cases, brow ptosis occurs due to age and the relaxation of the tissues that hold the eyebrow in the correct anatomical position. However, it can also be the result of injury, facial nerve palsy or another underlying condition such as myasthenia gravis, myotonic dystrophy and blepharospasm.
There are various eyebrow lifting techniques, each with its own advantages and disadvantages. The table below summarizes the differences of the available techniques, as well as their indications and contraindications. It is important to consult an Oculoplastic surgeon, to recommend the most suitable method for you.
| METHOD | EFFECTIVENESS | DURATION | SCAR | INDICATIONS | CONTRAINDICATIONS |
|---|---|---|---|---|---|
| Botox | Moderate | 4-6 months | None | Younger patients with mild ptosis (droop). | Patients with severe ptosis who desire a permanent result. |
| Direct brow lift | Maximum | Up to 10 years | Initially visible scar (above the brow line), which fades over time. | Older patients with severe ptosis (priority given to functionality). | Younger patients with high aesthetic demands. |
| Pretrichial brow lift (incision at the hairline) | High | Up to 10 years | Discreet incision at the hairline (helps reduce forehead height). | Patients with severe ptosis and a high forehead. | Patients with significant hair loss or a receding hairline |
| Endoscopic browlift | High | 5 -10 years | Microscopic scars within the hair (not visible). | Young or middle-aged patients with mild to moderate ptosis. | Patients with a very high forehead or advanced hair loss. |
Brow ptosis often coexists with excess eyelid skin and/or eyelid droop. The role of the Oculoplastic surgeon is to examine all these individual factors, as well as the health of the eyes, and to recognize to what extent each one affects the patient and therefore to propose the most appropriate personalized treatment plan.
For more information about brow lift, Oculoplastic surgeon Dr. Ioannis Chalkias is available to assist you.
