Elevation of drooped eyebrows
Direct Brow Lift
If the upper eyelid folds are redundant due to drooping eyebrows, the doctor can elevate the brows and lids by removing excess skin above the brow or on the scalp, thus creating an appearance of greater alertness and vivacity.
Direct Brow Lift Surgical Technique
Internal Brow Lift
If the eyebrow is only minimally drooped, it can now be elevated through an internal approach via the upper eyelid incision. This new technique prevents scars in the forehead or hairline.
Internal Brow Lift Surgical Technique
Endoscopic Brow Lift
For moderately drooped eyebrows, Dr. Putterman employs a new technique. Small incisions slightly behind the hairline are made, and an endoscope is used to release the tissues that adhere to the bone of the forehead and the top of the head. Frown muscles are removed; then the entire forehead and scalp are shifted backward and held in place with screws and staples that are removed after a few weeks.
This procedure not only lifts the eyebrows, it also lifts and smooths the entire forehead. Best of all, it’s a less invasive surgical technique than the traditional method, which requires an incision from ear to ear.
Endoscopic Forehead Lift Surgical Technique
Before and After Photos
Illustrations are from Dr. Putterman’s textbook “Cosmetic Oculoplastic Surgery”.