Browplasty Surgery addresses the forehead and upper face.

As we age, the eyebrows tend to drop down. The skin loses elasticity and becomes lax. The constant pull of gravity will make your eyebrows become lower, usually after 40 years of age.

This can obscure your eyes and make them narrower. Forehead lines, eye wrinkles, and frown lines can be a concern for many people.

It is vital to match the correct procedure to the patient and for this reason, Dr Hunt performs a number of different Forehead Lifts for differing effects and results. The procedures are performed in a hospital, leading to fewer side effects, better results, less scarring, and faster recovery, compared to procedures done “in-office.”

Traditional Browplasty

The Traditional Browplasty, also called “Open” or “Coronal” Browplasty, is the oldest surgical technique for lifting the eyebrows and forehead.

Although it delivers results, newer alternatives (like Endoscopic Browplasty) are now preferred.

An Open Browplasty involves a large incision done along the frontal hairline, extending from one ear to the other. Through this incision, your surgeon pulls the deep forehead muscles and tissue up and fixes them in place using sutures. He or she will then pull the forehead skin tight to flatten any wrinkles and lines.

After that, the excess skin is cut, and the wound will be sutured along the hairline.

Some disadvantages that have led plastic surgeons to replace the Traditional Browplasty include:

• Nerve injury and numbness in small areas of the scalp
• Can pull the hairline back
• Destroys hair follicles along the incision

This is why plastic surgeons now preferentially perform Endoscopic Browplasty instead of Open Browplasty. Nevertheless, an Open Browplasty is still a common surgery and an option for some patients with advanced signs of ageing.

Your surgeon will insert the endoscope through one incision and surgical instruments through the others. The endoscope looks like a metallic rod, has a camera and light source on its tip, and is connected to a screen.

To perform the Browplasty, your surgeon will move the endoscope in the wound to see the deeper tissue. He or she will then release the skin from the eyebrow and forehead muscles. These will then be lifted and fixed in a higher position using sutures. All of this will be done without actually opening up the forehead – through a thin camera and endoscopic instruments.

After lifting the eyebrows, the instruments are taken out, and the 4 small wounds will be closed with sutures.

The advantages of an Endoscopic Browplasty when compared to a Traditional Browplasty include:

• Less invasive surgery
• Less risk of nerve injury
• Smaller incisions
• Less damage to hair follicles and hairline
• Quicker recovery

An Endoscopic Browplasty can be done under general anaesthesia or local anaesthesia with intravenous sedation.

The Transpalpebral Browplasty is also called a Mini Browplasty. It is less invasive compared to the Endoscopic and Traditional Forehead Lifts. It specifically targets the outer third of your eyebrows. This is why it’s sometimes also called a “Temporal” Browplasty.

The Blepharoplasty wound is a horizontal wound along your upper eyelid. To perform the Mini Browplasty, your surgeon will detach the eyelid skin from the deep eyelid muscles (called palpebral muscles).

He or she will then continue dissecting and going upward until reaching the deep eyebrow tissue. The brow muscles and forehead tissue will be lifted and attached in a higher position using strong sutures.

Once the Temporal Browplasty is done, the excess eyelid skin is cut and removed. The Blepharoplasty wounds are then closed.