American Academy of Facial Plastic and Reconstructive Surgery

what is a mechanical brow ptosis? how is it repaired with plastic surgery?

I am not too certain why the word “mechanical” has been added to the term brow ptosis. I assume that this refers to aging brow ptosis as opposed to brow ptosis arising from nerve damage or stroke, for example. With that assumption in mind, then brow ptosis, which for the layperson just means eyebrow sagging, can be treated through a variety of methods, some of which can be used in combination. For example, a browlift can help elevate the sagging brow, which is the most direct method of repair. There are several ways to do this: an endoscopic browlift is performed by small incisions and ports for endoscopic equipment to help lift the brow up. Some facial plastic surgeons believe that a more “open” approach like what is called a coronal or pretrichial browlift is preferred because they have more predictably in elevating the brow but unfortunately the downside is potentially longer recovery time, more prolonged numbness, and a longer incision. Sometimes a “blepharoplasty” or cosmetic eyelid surgery can be done as an alternative or in combination with a browlift for optimal results. Whether to do one, both or the other depends on what a surgeon sees and also what he believes would be best for you. Finally, many surgeons today also look at the brow as undergoing deflation more than sagging or gravitational descent and therefore prefer using fillers and/or fat grafting to help supplement or replace traditional lifting procedures. As you can see, there are many ways to address sagging brows. A consultation with a facial plastic surgeon (see the map on this Web site to help you find one) can help you with your aesthetic desires for facial enhancement.

Im interested in a forehead lift…

Question: How long does a forehead lift take to perform?

Answer: That really depends on the method for the procedure and the experience and speed of the surgeon.  There are two major methods for forehead lifting:  open (coronal, pretrichial) and closed (endoscopic, limited incision).  The open method obviously takes more time to perform than the endoscopic but in experienced hands oftentimes not that much more time.  I personally no longer perform browlifts due to my belief that fat transfer to the brow works well enough to rejuvenate the brow.  However, an endoscopic browlift can oftentimes be perfomed in an hour or two, and an open approach would probably take about double that time.