On a regular basis, people come to us about, for example, eyelid corrective surgery, whose eyebrow position is actually the problem. The eyebrow is set very low which leads to surplus skin resting on the eyelashes. In milder cases, it is possible to limit yourself to upper eyelid corrective surgery. However, if the low eyebrow position is more extreme, it is often better to address the cause and change the position of the eyebrow altogether. This can be done in various ways.
The easiest way to lift the eyebrow is simply to remove a strip of skin just above the eyebrow. This procedure can be done under a local anaesthetic and ultimately results in a small scar just above the eyebrow. This is the method of choice for men over 50 with bushy eyebrows, since these will hide the scar. This surgery is also opted for younger people and women, if they would rather not undergo extensive surgery.
Open forehead lift
The incision can also be made higher: on the hairline or a little beyond the hairline. This choice depends upon the height of the forehead. A strip of skin is then removed just in front of or just beyond the hairline. In the latter case, the hairline may slightly move, which is not desirable for people who already have a high forehead. This will result in a decision to make the incision just in front of the hairline, which will leave a little scar. After a year or so, however, this scar will be barely visible, and this method is best for women with a low hairline. Men can go bald later on in life, which may make the scar more visible. This should be discussed thoroughly. If the incision is made beyond the hairline, the scar will be well hidden in the hair on the scalp.
Endoscopic forehead lift or “keyhole surgery”
Finally, there is also the option to perform a forehead lift using keyhole surgery. In order to achieve this, five incisions are made just beyond the hairline. A camera and other instruments can be inserted through these incisions to detach the forehead to be able to carry out the lift. Once it has been detached from the underlayer, the tissue is pulled upwards (and back) and fixed with small, soluble “bone anchors”.
An upper eyelid correction is simultaneously performed in almost all techniques for a better effect. The technique most suitable for you will be discussed at the consultation. Each method has its own advantages and disadvantages and is suitable for different patient types.