Before and After Gallery
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Surgery Of The Eyebrows
The eyebrows are frequently the most misunderstood portions of the face.
Proper evaluation for surgery involves evaluating the eyelids to
determine their proper position. If upper eyelid surgery is undertaken
and the brows are not addressed, it is likely that the eyebrows will
continue to droop and the patient will have recurrence of the extra
tissue of the upper eyelids. If one has surgery only on the upper
eyelids, it may look like surgery causes the eyebrows to droop more and
the eyelids to again have the extra skin, but actually it only is caused
by the unconscious change that occurs as the brows no longer need to work
as hard to help hold up the extra skin.
Proper positioning of the eyebrows is crucial. A man is different from a
woman. A woman's brows should rest 1 cm above the bony rim of the orbit
and a man's should rest on it. In what we perceive as classic beauty, a
woman should have a "C" shape to her eyebrows. We now have come
to accept different shapes of brows as normal, but this is the classic
shape that also allows restoration of the total field of vision. A man
should have a "T" shape to his eyebrows.
If it is found that one has drooping (ptosis) of the eyebrows, they may
be corrected by many different methods. In a man, a direct eyebrow lift
allows the best reconstruction, but does leave a scar on the face.
An additional procedure that may be used in both women and men who are
not balding is an endoscopic forehead lift. This is done by use of an
endoscope to completely free the tissues of the eyebrow. Small incisions
are made just inside the hairline along the scalp and on the side. This
results in the elevation of the eyebrows to the proper position with no
scars visible on the face. It is a very straightforward operation to
elevate the eyebrows, but it does result in elevation of the hairline.
An additional procedure to elevate the eyelids for women or men with high
foreheads is the anterior hairline forehead lift. In this case, the
incision is placed along the front part of the hairline and then curved
towards the ears. The dissection is then carried down to the eyebrows,
and the eyebrows are elevated to the proper position. However, in this
case, the excess tissue is removed from the forehead and the hairline
actually will tend to come down in this situation. This is much
preferable to the endoscopic forehead lift in a woman who has a high
forehead, as the endoscopic forehead lift would only tend to raise the
hairline even further.
Each of these procedures have been performed
many times by Dr. Bowden, and he will be glad to discuss them with you.