Dr. Gal Aharonov Facial Plastic Surgery Blog

Facial Plastic Surgery Blog by Dr. Gal Aharonov

Posts Tagged ‘brow lift’

I want my brows to be higher. How do you decide what treatment is best for me?

Friday, May 13th, 2011

Assessing the best treatment to elevate a patient's brows is one of the main questions I get asked. Who needs surgery and who will benefit more from non surgical treatments?

My first question is whether or not a patient likes his or her brows when they were younger. If you had nice full brows that were at a good position and now they've deflated and are lower, in my opinion a surgical brow lift will not make you look better.

If you have always had a low brow, even when you were a teenager then surgery might be the best option for you, unless you have had a deficient volume to your brows even at a young age.

I believe that brow lifting surgery has been overperformed by many surgeons. Plastic surgeons get trained to surgically elevate the brows and when they encounter a patient with a "brow problem" they automatically assume a brow lift is needed. When I first got out of my training I was the same way.

Now the first thing I do is evaluate the volume of the brow and decide if the brow will be raised by added volume. If someone is hollow with a deflated brow a surgical browlift will make them look like a deer in the headlights and will make their eyes rounder! I have made this mistake in the past and regularly now see patients who have had endoscopic browlifts with the same issue. Over the last several years I have performed fewer and fewer endoscopic browlifts because of this.

If you are a good candidate for a surgical browlift, there are a few different procedures that can be performed. The most popular and common is the endoscopic browlift. I reserve this for patients with a relatively low hairline. If your hairline is already too high this procedure can make your hairline higher!

For patients with a high hairline, a hairline browlift can be performed. You can read more about this in the browlift section of the website.

By Dr. Gal Aharonov

Does having an endoscopic brow lift raise the hairline? I already have a high hairline and am scared to have it be exacerbated, but my eyebrows are very low.

Thursday, May 7th, 2009

Yes, having an endoscopic brow lift will raise your hairline. In some people it will only be raised by a few millimeters, but in others it might be raised by a centimeter or two. For people with a low hairline it is not usually a big deal, but if your hairline is already high, it could be disastrous to raise it any more.

If I feel a brow lift is warranted in a patient with a high hairline the brow lifting technique I would use is a trichaphitic hairline incision, which will actually LOWER your hairline while raising your brows. The incision tends to heal very well and should not be seen or be obvious once healed.

Sometimes people assume they need a brow lift, when in reality they need volume restoration to their brows and forehead. Those people would benefit most from fat injections, which are less traumatic and produce a very natural result.

You can learn more about brow lifts by visiting the Brow lift Information Page

I had eyelid surgery last year and although I no longer have any loose skin, my eyes seem more hollow, and my eyebrows seem lower than before surgery. Is this just my imagination? or was this a result of the surgery?

Wednesday, May 6th, 2009

Typical upper eyelid surgery, also known as upper eyelid blepharoplasty, or a lid lift, consists of cutting away loose skin and underlying muscle and fat. This is a classic teaching that most plastic surgeons still, unfortunately, subscribe to.

The aging process in the eyelid area mostly consists of loss of volume of fat around our eye, as well as some loss in elasticity of the skin. We do not form "extra" skin. Cutting away the seemingly extra skin is the equivalent of cutting away the wrinkled skin of a raison and expecting to have it look like a grape again.

Restoration of the upper and lower eyelids is more complicated than most surgeons realize. to make your eyes look like they used to you need to understand the aging process.

The way I usually restore the upper eyelids is to cut away a little bit of skin, but to also inject either fat or fillers into the upper eyelid and brow to restore the lost volume.

This gives you a more natural result. It also leads to less hollowness and a HIGHER eyebrow, NOT lower. The fullness of your youth will be restored.

learn more about eyelid surgery by visiting: the eyelid surgery page at