One thing that has been amazing to see over my career is the vast decrease in the number of browlifts that are performed. When I was a medical student, I saw many open coronal browlifts. These didn’t seem like “cosmetic” operations to me, with the scalp flipped down and the skull exposed. As a young resident, the endoscopic approach started to become popular, and we did an endoscopic browlift on virtually every facelift patient. Although less browlifts are performed now, I see a lot of value in browlifts, particularly because of the harmony they offer a rejuvenated face.
Why the Browlift is Less Popular Today
I believe that there are two main reasons for the decrease in the interest in browlifts:
- Overzealous brow elevation scaring patients from getting the operation
- Botox use. Because botox affords some control over brow shape without the need for surgery, many patients are electing to try it and forego the browlift. Additionally, the aging process is slowed down, so brows aren’t nearly as heavy and aged.
Dr. Hatef and Browlifts
If you come to me for a facelift consult, you can expect to discuss your brows and forehead. Every patient is different, and not all patients need their brows addressed. When I think that doing a facelift and blepharoplasty only will lead to disharmony, I typically offer the following:
- Endoscopic browlifts: The elevation of the medial, central, and lateral brow in the upward direction using tiny incisions and small absorbable plates.
- Short scar temporal lifts: Laterally elevating the brow, as I think that controlling the brow shape from multiple vectors is important.
- Fat grafting: Additionally, fat grafting has given even more options for softening the brows, and filling the temples. When carefully done with small amounts, a very youthful appearance can really be achieved.