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