Including Endoscopic Brow / Temporal Lift, Pretrichial Brow Lift, Forehead Reduction, and Hairline Lowering Surgery.
Brow, Temporal & Hairline Surgery encompasses surgical procedures designed to reposition the eyebrows and tissues of the forehead and temples, as well as adjust forehead proportions and the hairline. The appropriate technique is selected according to each individual's anatomy, concerns, and facial proportions.
At Dr. Gorn Aesthetique, treatment options range from Endoscopic Brow & Temporal Lift to Pretrichial Brow Lift and Forehead Reduction / Hairline Lowering Surgery for individuals seeking adjustments to eyebrow position and forehead proportions.
What Concerns Can Brow and Temporal Lift Surgery Address?
With aging, tissues around the forehead, eyebrows, and temples may change position, causing the eyebrows to appear lower, the upper eyelids to look heavier, or the outer eyebrows and temples to appear saggy.
Surgery may be planned to:
- Elevate drooping or sagging eyebrows
- Adjust the position of the outer eyebrows
- Lift and reposition tissues around the temples
- Reduce heaviness around the eyebrows and upper eyelids in selected cases
- Improve eyebrow height symmetry
- Improve the proportions between the eyebrows, forehead, and eyes
The goal is not to lift the eyebrows as high as possible, but to establish eyebrow positions and shapes that complement the eyes and overall facial appearance.
What Is an Endoscopic Brow & Temporal Lift?
An Endoscopic Brow & Temporal Lift is a technique that uses an endoscope to help the surgeon visualize internal anatomical structures through incisions in the scalp.
The surgeon can access and reposition tissues around the forehead and eyebrows according to the treatment plan. The number and placement of incisions depend on the technique used.
This technique may be considered for individuals with:
- Drooping or low-positioned eyebrows
- Drooping outer eyebrows
- Temporal tissue laxity
- Upper eyelid heaviness associated with eyebrow position
- Differences in eyebrow height between the two sides
How Is an Endoscopic Brow Lift Different from a Temporal Lift?
A Brow Lift focuses on repositioning the eyebrows and forehead tissues, while a Temporal Lift places greater emphasis on the outer facial region and lateral eyebrows.
Some individuals may only need adjustment of the outer eyebrows, while others have changes along the entire eyebrow. The eyebrow position, forehead, and temples should therefore be assessed together before selecting a technique.
What Is a Pretrichial Brow Lift?
A Pretrichial Brow Lift is a procedure that lifts the eyebrows and forehead using an incision placed close to the hairline.
This approach differs from an Endoscopic Brow Lift, which typically uses incisions within the scalp. It may be considered when careful management of the relationship between eyebrow position, forehead, and hairline is required.
The surgeon evaluates forehead height, hairline position, hair density, and eyebrow position before selecting the appropriate approach.
What Is Forehead Reduction & Hairline Lowering Surgery?
Forehead Reduction or Hairline Lowering Surgery is a surgical procedure designed to adjust forehead proportions by advancing the hairline downward to an extent appropriate for the individual's anatomy and scalp laxity.
It may be considered by individuals who feel that their forehead is relatively high or long compared with their facial proportions and wish to adjust the position of their hairline.
Treatment planning considers:
- Forehead height and width
- Hairline shape
- Hair density
- Scalp laxity
- Eyebrow position
- Upper, middle, and lower facial proportions
Can Brow Lift and Forehead Reduction Be Performed Together?
Combining these procedures may be considered for individuals with both drooping eyebrows and a high forehead. The surgeon may select an approach that adjusts eyebrow position and the hairline according to the individual's anatomy.
However, brow lifting and forehead height reduction involve different anatomical directions and objectives. Careful planning is therefore required to maintain an appropriate relationship between eyebrow position and hairline after surgery.
Who May Be Suitable for Brow, Temporal & Hairline Surgery?
Individuals with the following concerns may consider a surgical assessment:
- Drooping or low-positioned eyebrows
- Drooping outer eyebrows
- Temporal tissue laxity
- Heavy-looking upper eyelids associated with eyebrow position
- Uneven eyebrow height
- A forehead that appears high or long relative to the face
- A desire to adjust the hairline
- A desire to improve the overall relationship between the eyebrows, forehead, and hairline
Where Are the Surgical Incisions Located?
Incision locations vary depending on the technique.
Endoscopic Brow / Temporal Lift – Incisions are typically placed within the scalp at locations selected to access the relevant anatomical structures.
Pretrichial Brow Lift / Forehead Reduction – Incisions are placed close to the hairline to allow adjustments to the forehead and hairline position.
The appearance of surgical scars depends on the technique, skin quality, hair characteristics, and individual wound healing.
