Signs of facial imperfections such as drooping eyebrows combined with a high forehead can be present both in young people, as a hereditary-familial characteristic, and in adults as a sign of aging, i.e. drooping eyebrows due to dermatochalasis of the forehead.
The different pathogenesis implies a different treatment modality that ranges from para-surgical interventions to actual surgical interventions.
The goal of a brow lift is to make the upper third of the face more harmonious within the overall facial contours. I believe that any improvement we make to this region must respect the morphology and functionality of the organ itself.
Many techniques have been described in the past and still hold specific validity. My current approach to brow lifts begins with assessments made during the physical examination: dynamics and gravitational load, definition of the relationships with the supporting osteomuscular structure, hypoplasia, and the distance between the eyebrow and the hairline are some of the most important elements for correctly targeting our treatment.
My strategy essentially involves the technique adapted to the individual case:
– Direct endoscopic facelift
– Direct transcutaneous lifting
– Facelift according to Castanãres.
– Indirect trans-palpebral lift
An eyebrow lift is indicated to reduce the unsightly gap between the eyebrow and the hairline, improving the relative ptosis of the body and tail of the eyebrow itself, consequently re-establishing the correct proportions in the harmony of the entire face.
Every surgical procedure results in scarring. Scarring is a biologically complex process that occurs through several phases. Maturation is the last of these phases and lasts for many months, sometimes years.
It is therefore clear that the patient will need to wait for the scar to stabilize before seeing its final appearance. The surgeon will employ all techniques to achieve a good scar, thin and flush with the surrounding skin.
However, there are factors that can alter the normal healing process: vascularization and innervation abnormalities, protein deficiency, the use of antineoplastic drugs, diabetic microangiopathy, and cigarette smoking.
Furthermore, there are forms of pathological scarring, based on individual predisposition, which can lead to the formation of a hypertrophic scar or, in the most severe cases, a keloid scar. Should an unsightly scar develop, improvements can always be achieved through medical or surgical therapy.
It is also important to keep in mind that any surgical procedure—no matter how small and limited it may be, and no matter how performed on patients in good general condition—always carries the unpredictable possibility of general complications, the type and severity of which are also unpredictable.