I’m tired of looking sad and uninterested.
An eyebrow and forehead lift can enhance your appearance. This can provide a more rejuvenated, well rested, and relaxed appearance.
Facial aging can cause two changes to the eyebrows. One is a gravitational change, whereby the structures appear to droop, sag, or become “ptotic.” The second is a 3-dimensional change of deflation. To better understand this concept, think of your face as a balloon. When a balloon is fully inflated it is not only elevated and higher on a vertical axis, but also expanded or lengthened on its z-axis. There are no lines, wrinkles, crevices, or hollows. Now imagine some of the air being let out of the balloon. When a balloon deflates, which in this example would be analogous to the aging face, there is not only descent, or sagging, or “ptosis,” but also a deflation or hollowing that occurs. You can start to see lines, wrinkles, crevices, hollows, and even a gravitational change take effect.
Understanding these concepts in facial aging can shed light on treatment paradigms. A thorough understanding of the anatomy of the eyebrow fat pad and its relationship to the orbit and eyelid structures is crucial to customizing the appropriate treatment approach. There is a dynamic relationship between the forehead, eyebrow, and upper eyelid. Furthermore, the position of the eyebrow fat pad, its relationship to your orbital anatomy, the position of the upper eyelid, the excess tissues of the upper eyelid, the overall health of the eye, and the hairline are only some of the important points Dr. Isaacs will consider during your consultation.
During your consultation, Dr. Isaacs will discuss what technique would best address your specific case and goals.
The eyebrow can be divided into 3 segments: lateral, central, and medial. Dr. Isaacs can selectively elevate these segments depending on your needs and goals. He can also weaken specific muscles that help maintain the lift for a longer period of time, as well as the muscles that cause the wrinkles in the area between the eyebrows.
Through specialized and minimally invasive techniques, Dr. Isaacs can lift your eyebrow and rejuvenate the periocular area to give a more refreshed and vibrant look and feel.
This technique consists of anywhere from 1 to 5 small incisions in the scalp, usually behind the hairline. Dr. Isaacs has lectured on various endoscopic forehead and eyebrow lifting techniques, as well as on methods of fixation.
This technique is typically combined with an upper eyelid blepharoplasty. The eyebrow lift is performed through the same incision.
The temporal lift is usually performed to lift the lateral aspect of the brow, commonly referred to as the “tail” of the brow. Many females try to produce this look, very skillfully in fact, by removing the lower part of the eyebrow hair follicles (waxing or threading) in order to create an arch effect, or with make-up.
This is generally performed in patients with a high hairline because it can prevent further elevation of the hairline. A forehead reduction and lowering of the hairline can also be performed.
This technique involves placing the incision directly above the eyebrow hairline. Dr. Isaacs carefully considers which patients are most appropriate for this technique, as it can potentially produce visible scarring. However, this technique has the ability to produce a very effective lift and can result in minimal scarring in carefully selected patients.