Brow ptosis begins as early as the fourth decade of life, It is due to sagging of the upper eyelids and most often imparts an aged, sad and tired appearance to the face. The main causes of brow ptosis are old age and gravity. The ageing face undergoes a loss of tone from decrease in the amount of elastic fibres, glycosaminoglycans and collagen in the skin. Loss of fascial and muscle support occurs & opposition to the forces of gravity is decreased. Because the lateral brow has fewer attachments to the periosteum and has no underlying frontalis muscle, it usually descends more than the medial brow. Patients typically present with concern related to facial appearance that is aged, tired or sad. The Primary goal in Brow Rejuvenation surgery is to correct the signs of ageing in the brow, temple and periorbital areas. There many different techniques available and treatment has to be individualised according to the patient.
LIMITED INCISION BROWLIFT -- Also known as modified lateral browlift is a hybrid procedure done through a nerve sparing incision directly over the temporal crest line.There is full release of the supra orbital and lateral orbital rim, fixation by limited scalp excision and suturing of superficial temporal fasciae to deep temporal fasciae.
CORONAL BROW LIFT --The face lift incision is extended cephalad approximately 5 cm from the anterior hairline around to the contralateral ear. Dissection proceeds at subgaleal level until 5 cm above the supraorbital rim, where the dissection then traverses to subperiosteal plane. This allows preservation of the supraorbital and supratrochlear nerve bundles. Glabellar musculature and transverse frontalis lines can be dealt with direct excision. Dissection onto the glabella and release of lateral superior orbital ligaments facilitate upward rotation of flap. A segment of hair bearing skin is then removed, tailored to the needed degree of brow elevation desired.The coronal lift will alter the hairline, and this change should be projected and weighted against less invasive forehead treatment. The coronal lift achieves predictable, long lasting elevation of the brows and significant reduction in glabellar and transverse frontalis rhytids.
TRANSBLEPHAROPLASTY BROWLIFT -- The indications include patients with a thinning frontal/ temporal hairline, with brow asymmetry, with mild to moderate non central brow ptosis and as an adjunct to standard upper lid blepharoplasty. The advantages are the access through the upper blepharoplasty incision, technical ease, less bruising, and a shorter surgical time. The results demonstrate an improvement in lateral brow or crow’s feet and the face to brow transition in cases combined with facelifting.
POSTOPERATIVE COURSE & COMPLICATIONS – The head is kept elevated in the immediate post op period. Antibiotics to prevent infection are given. Analgesics are prescribed for post op pain. Ice to forehead and eyes helps to relieve discomfort and decrease bruising at the surgical sites. Complications differ, depending on the procedure used; Infection, haematoma, asymmetry, alopecia, transient anaesthesia, inadequate or excessive elevation of the Brow & recurrence may be rarely seen. **Brow Lift – Looking for Brow Lift Surgery in Gurgaon? Contact to Dr. Raja the best row Lift surgeon Gurgaon offers Brow Lift in Gurgaon Delhi NCR Mob. 7042355075**