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<h1>Browlifting - An Uplifting and Eye-Opening Experience</h1>

<p>As we age not only does extra skin and fat weight down our
eyelids, but the overlying brows can often contribute to the
problem. As the eyebrows fall below the bony rim of the forehead,
'extra' skin is created and the upper eyelids get heavier. Both the
eyelids and the brow areas narrow the size of the eye making it
look older and more tired. While many patients have eyelid surgery
for improvement, some may benefit by a combination of eyelid and
browlift surgery to create an overall better result.</p>
<p>In understanding browlift surgery, one has to appreciate not
only the position of the eyebrow but the existing length of
forehead skin (from hairline to brow) and the patient's hairline
pattern and density. These are key elements that help determine
which type of browlift may be best for each individual patient.
Fundamentally, there are really two main types of browlifts...open
and closed. Closed or endoscopic browlifts are done from back in
the scalp and uses two or four small incisions behind the hairline.
Cameras are used under the skin to release the brow from underneath
and entire scalp/forehead/brow unit is then shifted up and back. In
the endoscopic browlift, the forehead usually gets longer and the
frontal hairline moves back a bit. Also, if there is a lot of
muscle action between the eyebrows, the endoscopic approach is more
limited in how much can be removed. As a result, the endoscopic
browlift in my hands is very good for those patients that have a
short or average forehead length, do not have too much muscle
action and deep forehead wrinkles, and whose brow only needs to be
lifted a little. Open browlifts are done with an incision and
resultant scar either at the frontal hairline or several inches
behind it. When the open browlift is done with the scar back in the
scalp, the patient with a high forehead has the same problem as the
endoscopic browlift. When the incision is placed at the frontal
hairline, this is a better choice as the hairline stays put or can
even be moved forward or lower. Either scalp or hairline browlifts
are better at removing overactive muscle as more muscle can be
removed with wide open access under direct vision. (you can remove
more when you can see it better)</p>
<p>While some browlifts are done alone, this is unusual as extra
eyelid is often present if the brows are low in many patients.
Conversely, it is much more common to have eyelid surgery
(blepharoplasty) without browlifting. The combination of eyelid
tucks and browlifting can make a dramatic difference in how one's
eyes look and the overall facial appearance and impression that it
creates. The aesthetic key to browlifting is to not overdo it. No
patient wants to have a 'deer in the headlights' look. For these
reasons, it is important to carefully review beforehand with your
plastic surgeon in front of a mirror what amount of browlifting you
consider acceptable and whether it adds enough to the results to
justify the effort.</p>

<div><strong>Author Info</strong><br>
<p>Dr Barry Eppley is a board-certified plastic surgeon in private
practice in Indianapolis, Indiana at Clarian Health Systems. (
<a target="_new" href="http://www.eppleyplasticsurgery.com">http://www.eppleyplasticsurgery.com</a>)
He writes a daily blog on plastic surgery, spa therapies, and
medical skin care at 
<a target="_new" href="http://www.exploreplasticsurgery.com">http://www.exploreplasticsurgery.com</a></p>
</div>

<strong>Article Source:</strong> <a href="http://www.innoarticles.com" title="Your #1 Source For Quality Articles">InnoArticles.com</a>
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