Also known as a direct eyebrow lift, this is a new and optimized method for performing eyebrow lifts and addressing sagging eyebrows. Compared to similar eyebrow lift methods such as endoscopic and open lifts, it is less invasive, has a longer duration, and is less expensive.
As you know, with age, the body’s tissues sag and fall below their original location. In the eyebrow area, we also see these changes with age.
However, it is sometimes observed that sagging in different parts of the eyebrow is not uniform and is more noticeable in the outer and lateral parts of the eyebrow (tail of the eyebrow) compared to the inner parts of the eyebrow.
The reason for this should be sought in the strength, volume, and size of the muscles in the eyebrow area. Sometimes, the eyebrow-lowering muscles are stronger in the end part of the eyebrow, and it is also observed that in many people, the eyebrow-raising muscle either does not exist in the end part of the eyebrow or, if it exists, the lowering muscles are much stronger than the raising muscles.
How can an eyebrow lift help correct eyebrow asymmetry and unevenness? There are various methods for an eyebrow lift.
These methods are divided into two categories: invasive (surgical) and non-invasive (non-surgical). One of the common non-invasive methods for an eyebrow lift is Botox injection. By injecting Botox, especially in the end part of the eyebrow, it is possible to temporarily lift the eyebrow.
Other non-invasive methods include thread lift, laser, RF, HIFU, and plasma treatments. With these methods, we see minor changes in the eyebrow.
However, there are three main surgical methods for an eyebrow lift:
1. Open Brow Lift Surgery
2. Endoscopic Brow Lift
3. Direct Brow Lift Surgery
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In a direct brow lift, a surgical incision is made along the hairline and above the eyebrow.
While the direct brow lift is not a new surgical procedure and has been performed in a similar manner for years, recent optimizations have significantly improved the appearance of scars and stitches, reducing patients’ concerns about visible scarring.
Another advantage of direct brow lift surgery is the ability to better shape the eyebrows. This relatively simple procedure gives the surgeon more freedom to alter the eyebrow shape.
Therefore, by revising older techniques and addressing their shortcomings, we are now seeing more satisfying results from direct brow lift surgery, leading to increased patient demand. This is because sometimes individuals may not require a forehead lift and can achieve a younger, more vibrant appearance simply by correcting eyebrow sagging.
When both eyebrow and forehead lifts are performed simultaneously, the surgeon’s focus is not solely on the eyebrow lift, and all the tissues and muscles involved in these areas are lifted. However, in a direct brow lift, the surgeon’s focus is exclusively on the eyebrow. Therefore, this method allows for more precise shaping of the eyebrow compared to a simultaneous brow and forehead lift. Additionally, by conducting careful pre-operative calculations, the amount of eyebrow elevation can be accurately measured.
It is important to note that a direct brow lift (Direct Brow Lift Surgery) cannot eliminate forehead lines, wrinkles around the eyes, or asymmetries. One should not expect these issues to be resolved with a direct brow lift. It is essential to understand that no procedure can completely eliminate asymmetries. Surgery can only improve existing asymmetries to a certain extent but cannot completely erase them
It is entirely normal for all individuals to have some degree of asymmetry in their facial features. Direct brow lift surgery can only partially reduce severe asymmetries. Among the various brow lift techniques, the direct brow lift method is considered more effective in addressing asymmetries.
In a direct brow lift, the surgeon can specifically determine which part of the eyebrow should be elevated, allowing for greater flexibility in reducing asymmetries.
As mentioned earlier, the signs of aging and sagging typically appear in all areas of the face as we age. However, this is not always the case, and sometimes, the signs of aging and muscle sagging are more noticeable in one area. For example, a person may not have sagging muscles or wrinkles in the forehead despite being older, but they may have sagging in the brow area. These individuals are the best candidates for direct brow lift surgery. Therefore, it is not always necessary to perform a forehead lift and an eyebrow lift simultaneously. It is only recommended to perform both forehead and eyebrow lifts together in individuals who have sagging in both areas, in order to achieve better results.
The best age for direct brow lift surgery is after 45 years old. In general, direct brow lift is not recommended for people under 40 years old. For individuals between 40 and 45 years old, surgery may be possible after a thorough examination and evaluation by the physician and with their approval.
Do eyebrows immediately regain their natural shape after direct brow lift surgery?
Like any other surgery, there is swelling and bruising after surgery, which means that patience and time are needed to see the results of the surgery.
Before the surgery, through precise calculations, the surgeon determines which part of the eyebrows needs to be lifted. Therefore, immediately after the surgery, the individual may think that the eyebrows are more prominent and much higher than what was shown to them during the pre-surgery consultation.
However, it’s good to know that this is a temporary condition, and usually, after 3 to 4 weeks, the swelling and bruising subside, and the eyebrows return to their natural state. The final result of the surgery becomes apparent after 6 months to a year.
The average duration of this surgery is one and a half hours, and it can be performed with both local anesthesia and deep sleep or general anesthesia. However, in general, if there are no special problems, it is performed with local anesthesia.
After the surgery, there is no restriction on attending work or performing office work, but due to swelling and bruising, you may want to wear sunglasses in public places. Using a mobile phone, tablet, computer, and reading after surgery is permissible.
It is recommended to avoid strenuous physical activities and heavy exercise for up to 8 weeks, but light walking is possible after one week.
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Direct brow lift surgery offers several key benefits compared to other methods:
1. No General Anesthesia Required: This procedure can be performed using only local anesthesia, allowing patients to return to their daily activities immediately. This is ideal for those who fear general anesthesia or have underlying health conditions that prevent them from undergoing general anesthesia.
2. Lower Cost: Direct brow lift surgery is generally more cost-effective compared to endoscopic brow lifts and open brow lifts.
3. Quicker Recovery: Due to the minimally invasive nature and smaller incisions, the recovery period is significantly shorter, reducing the risk of complications.
4. Additional Benefits: In addition to lifting the eyebrows, this procedure can also be used to remove previous scars and unsightly tattoos in the brow area.
5. Long-Lasting Results: When performed correctly, direct brow lifts offer the most durable results. Unlike other methods where the brow is lifted and anchored to a distant point, in a direct brow lift, the brow itself is directly anchored to the underlying tissues, ensuring long-lasting results.
6. Corrects Severe Asymmetry: Direct brow lifts are particularly effective in correcting severe eyebrow asymmetry. While most people have some degree of eyebrow asymmetry, severe cases can be significantly improved with this procedure.
7. Allows for Some Customization: This method offers a degree of customization in terms of eyebrow shape, allowing for more arched or angled eyebrows, unlike endoscopic or open brow lifts which primarily elevate the brow.
While we’ve discussed the many advantages of direct eyebrow lifts, it’s important to understand the limitations and potential drawbacks of this procedure. If you’re considering this surgery, it’s essential to be fully informed. Let’s explore some of the disadvantages of direct eyebrow lifts
Not suitable for individuals under 40: Younger individuals are more likely to have visible scars after surgery.
Alternative methods recommended for younger individuals: For younger people, endoscopic eyebrow lifts or other non-surgical options may be more suitable.
Hair density: While those with thick, bushy eyebrows can more easily conceal the incision within their brow hair, individuals with thinner brows can still undergo this procedure. Techniques like microblading or microshading can be used to camouflage the incision.
Note: Phibrows is a relatively new term in the beauty industry, referring to eyebrow microblading techniques that aim to achieve a golden ratio in the brow shape.
A common question is: If I need to get a tattoo to cover the incision, why bother with the surgery?
To answer this question, let’s compare the effects of a tattoo to a direct eyebrow lift. In a direct eyebrow lift, the sagging brow tissues and muscles are repositioned to their original place. Since the skin of the eyebrow is thicker and has more fat than the skin around the eyelid, a sagging brow often leads to a drooping eyelid. Even if you have eyelid surgery, the results won’t be optimal if the underlying brow issue isn’t addressed.
Therefore, even if there is no hair in the eyebrow area, when the tissues and muscles of the eyebrow area are sagging, it’s best to lift the sagging tissues and thick skin in this area to achieve a more aesthetically pleasing appearance in the eyelid and eyebrow area. While a tattoo can somewhat improve the appearance of a sagging brow through an optical illusion.
Another limitation of this method is that in individuals with forehead wrinkles, especially those who have a genetically predisposed sagging brow and have habitually raised their eyebrows since youth, resulting in forehead wrinkles, these wrinkles cannot be eliminated with this procedure. Other methods must be used to correct the forehead. Although a sagging brow can cause forehead wrinkles in some individuals, correcting the sagging brow alone will not eliminate the forehead wrinkles. Additional procedures may be necessary.
For example, to address forehead wrinkles in addition to a direct eyebrow lift, a mid-forehead lift can also be performed.
Alternative Methods to Surgical Eyebrow Lift
Let’s delve into non-invasive or alternative methods to surgical eyebrow lifts:
1. Botox: This method offers temporary results and many individuals are satisfied with the outcome.
2.Thread Lift: This technique is particularly suitable for lifting specific parts of the brow, such as the tail.
3.Tattoo: Using a tattoo can create an optical illusion that somewhat improves the appearance of a sagging brow.
4.Browpexy: In some eyelid surgeries, browpexy can be performed to elevate certain portions of the brow, providing another alternative.
For optimal results, direct eyebrow lifts can be combined with other surgeries.
For instance, combining this surgery with blepharoplasty (eyelid surgery) can correct both eyelid puffiness and brow sagging. Additionally, combining it with a temporal lift can yield satisfying results.
Dr. Akbar Biat recommends the following to individuals considering eyebrow lift surgery:
“Prospective patients should review examples of completed surgeries to make a more informed decision with a comprehensive understanding of all aspects of the procedure.”
1. Individuals over 45 with sagging eyebrows: This surgery is suitable for most people over 45 who have sagging eyebrows.
2.Individuals with unsatisfactory eyebrow tattoos: Women who have previously had eyebrow tattoos and are unhappy with the results, even after laser removal or other tattoo removal methods, can benefit from this procedure.
3.Individuals with fear of general anesthesia: Those who need an eyebrow lift but are afraid of general anesthesia can opt for this procedure.
4. Individuals with facial paralysis: People with severe eyebrow asymmetry due to facial paralysis can also benefit from this surgery.
Although direct eyebrow lift surgery is considered safe, like any other surgery, it can have complications. However, these complications can be prevented or treated with specific measures. These complications may include bruising, itching or numbness of the skin, swelling, or the presence of surgical scars.
Given the nature of the surgery and the post-operative conditions, it is essential to be aware of the specific post-operative care instructions. This will help you return to your normal life as quickly as possible and avoid complications. Therefore, immediate post-operative support will be provided through the delivery of care instructions and follow-up phone calls.
In essence, the text outlines the ideal candidates for direct eyebrow lift surgery, potential complications, and the importance of post-operative care.
If the eyebrow transplant is done in the correct position of the natural eyebrow, you can have a direct eyebrow lift as soon as the transplanted hair grows, which is usually after three months.
Yes, if the evaluation shows that in addition to eyelid drooping, there is also eyebrow drooping, eyelid surgery can be performed simultaneously with direct eyebrow lift.
No. To correct forehead wrinkles, a forehead lift or mid-forehead lift can be performed, as determined by the doctor.
Because there is a higher chance of scarring in younger individuals.
For younger individuals who want an eyebrow lift, other methods such as endoscopic eyebrow lift and open forehead and eyebrow lift are recommended.
The longevity of a direct lift is significantly longer than an open lift.
Yes, one of the benefits of an eyebrow lift is the removal of unwanted eyebrow tattoos.
Yes, it is possible to perform direct eyebrow lift surgery with otoplasty.
Bruising and swelling are common after any surgery, but they are less common in this procedure compared to other surgeries.
People who take aspirin should usually stop taking it two weeks before any surgery due to the risk of bleeding.
Direct eyebrow lift, due to its high sensitivity and precision, is the most effective lift method for correcting severe eyebrow asymmetries, but it does not completely eliminate asymmetries.
The incision for a direct eyebrow lift is located exactly above the hairline of the eyebrow.
If there are remaining scar marks, they can be effectively faded using medications and non-surgical methods such as exfoliating creams, lasers, and dermabrasion.
In general, tissue repair is slower in smokers compared to non-smokers, and the tissue may be damaged. Therefore, it is best to stop smoking before surgery. It is important to know that the risk of scarring is higher in smokers.
