II. ADJUNCTIVE PROCEDURES

II.D. Browlift

The eyes and eyebrows are among the most expres­sive parts of the face. An individual can express anger, worry, surprise, and other emotions by the position of his or her brows alone. The effects of time cause fur-rows in the brow and drooping of the eyebrows, which can cause an individual to appear tired or worried. A browlift is a procedure that repositions the brows to a more favorable position (Fig. 5).5

There are many ways to perform a browlift; the best approach varies with each patient. Each approach generally carries relative advantages and disadvantages that will be explained by the facial plastic surgeon. In general, browlifts are done through incisions that are hidden either in or behind the hairline. Sometimes, especially in male patients, the incision is hidden in aprominent forehead crease. A precise amount of skin is removed and the incision or incisions are stitched closed, thereby elevating the brows as desired.

By matching the advantages and disadvantages of each type of browlift with a patient's anatomy, it usually becomes clear to patients that one particu­lar browlift is the right one for them. Browlifting is commonly performed under sedation or general anesthesia. After the operation, a dressing and elastic bandage are typically applied, which remain in place for a few days.

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