Sub Brow Lift
Sub Brow Lift
Sub Brow Lift
An Innovative Method for Correcting Severe Puffiness Under the Eyebrows
With aging or due to genetic factors, some people experience a condition known as severe puffiness under the eyebrows, caused by the accumulation of excess fat and skin in the upper eyelid area. This issue can create a tired, heavy appearance, or even make someone look older than their actual age.
One of the techniques specifically designed to address under-brow puffiness is Sub Brow Lift surgery. In this article, we will thoroughly introduce this technique, explain how it differs from upper eyelid blepharoplasty, and review its benefits, suitable candidates, post-operative care, and key considerations.
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What Is an Under-Brow Lift and How Is It Done?
An under-brow lift is an outpatient surgical procedure designed to reduce excess fatty tissue and skin in the area beneath the eyebrow and above the eyelid. As the name suggests, this technique involves making very fine incisions just below the brow line. The placement of these incisions ensures that the stitches remain well hidden along the natural border of the eyebrow.
Key features of this procedure:
1.Performed under local anesthesia (no need for general anesthesia)
2.Short surgery time, around 60 minutes
3.Outpatient procedure – you can return home immediately afterward
4.Suitable for individuals over 35 years old who have puffiness under the eyebrow or mild upper eyelid drooping
This method tends to produce better results in certain ethnic groups, such as those of Asian descent, and in people with thicker skin.
Difference Between an Under-Brow Lift and Upper
Many people, when considering options for eye rejuvenation, hesitate between an under-brow lift and upper eyelid blepharoplasty. While both aim to improve the appearance of the eyes, their function, technique, and target areas differ slightly. The table below compares the two methods.
| Features | Upper Blepharoplasty | Under Brow Lift (Sub brow Lift) |
Target Area | Removal of excess upper eyelid skin and orbital fat that causes eyelid heaviness | Reduction of pre tarsal and pre septal fullness created by thick tissue or fat directly beneath the eyebrow |
Incision Location | Incision placed within the natural upper eyelid crease for minimal visibility | Incision made just under the eyebrow margin, allowing access to the sub brow soft tissue |
Ability to Change Brow Shape/Position | Doesn’t have the ability to alter eyebrow position or contour | Does have the ability to slightly elevate or refine eyebrow contour by removing sub brow heaviness |
Best Candidates | Individuals with skin laxity or redundant upper eyelid skin causing hooding | Individuals with full or heavy brow tissue, especially those with thick sub brow fat pads or who do not need a full brow lift |
Why is upper blepharoplasty sometimes not enough?
If the main issue is fat accumulation beneath the eyebrow rather than eyelid drooping, blepharoplasty may not be able to correct this volume. In such cases, performing blepharoplasty might even make a future sub-brow lift more difficult. That’s why accurately identifying the cause of upper eyelid puffiness (sub-brow puffiness) before surgery is crucial.
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Unique Advantages of Sub-Brow Lift
✅ Minimally invasive surgery with short recovery period:
●Performed under local anesthesia
●No need for hospitalization
●Ability to return to daily activities within a few days
✅ Significant reduction of puffiness under the eyebrow:
Unlike blepharoplasty, which mainly focuses on excess skin, the sub-brow lift directly addresses the bulky tissue beneath the brow.
✅ Natural and predictable results:
●Since it does not cause unwanted changes in the shape or position of the eyebrows, the outcome of this surgery looks very natural and harmonizes with facial anatomy.
✅ Can be combined with other procedures:
●Forehead or temple lift
●Eyebrow lift or correction of transplanted eyebrow shape
Who Is a Good Candidate for Sub-Brow Lift?
- Individuals with visible puffiness under the brows
- Those who still experience heaviness or puffiness after blepharoplasty
- People with fuller faces or thick tissues around the eyes
- Patients with an unnatural eyebrow shape after previous transplantation or lift (e.g., eyebrows
- positioned too high)
Specific Applications of Sub-Brow Lift
✔️Correction of overly elevated eyebrows:
If, after an eyebrow lift, tattoo, or transplantation, the brows are positioned too high and create an unnatural look, a sub-brow lift can effectively restore them to a more natural position.
✔️ Combination with blepharoplasty for enhanced results:
In rare cases of severe eyelid drooping, especially in individuals with both puffiness and excess skin, combining the two procedures can provide the best outcome.
DR.akbarbayat
Bord certified facial plastic surgeon
Frequently Asked Questions aboutSub Brow Lift
1. How long after eyebrow transplantation can a sub-brow lift be performed?
If the eyebrow transplant is placed correctly in the natural eyebrow area, a sub-brow lift can usually be performed once the transplanted hairs grow, which is typically three months after the transplant.
2. Can a sub-brow lift be performed simultaneously with eyelid surgery?
No. The sub-brow lift is intended to remove puffiness under the brow, and it is recommended to wait 2 to 6 months after eyelid surgery before performing it.
3. Does a sub-brow lift also remove forehead wrinkles?
No. A sub-brow lift is only for removing puffiness under the eyebrows. To address wrinkles around the eyes, Botox is recommended.
4. Why can people under 40 not usually have a sub-brow lift?
The doctor should evaluate each case. If suitable, the procedure may be performed at the doctor’s discretion.
5. How long does a sub-brow lift last?
A sub-brow lift is intended to remove puffiness under the eyebrows, and its results are permanent.
6. Can a sub-brow lift remove eyebrow tattoos?
If the tattoo is very wide and thick, it may be possible to remove it.
7. Can a sub-brow lift be performed at the same time as otoplasty (ear surgery)?
Yes, it is possible to combine a sub-brow lift with otoplasty.
8. Is there a lot of bruising and swelling after a sub-brow lift?
Some bruising and swelling are common after any surgery, but in this procedure, it is less than in other surgeries.
9. Should aspirin be stopped before a sub-brow lift?
People who take aspirin are usually advised to stop it two weeks before any surgery to reduce the risk of bleeding.
10. Can a sub-brow lift correct asymmetry?
A sub-brow lift is highly precise and effective for correcting significant eyebrow asymmetry, but it may not completely eliminate all asymmetry.
11. Where is the incision made in a sub-brow lift?
The incision is made along the hairline and just under the eyebrow.
12. What can be done if the suture marks remain?
If suture marks remain, they can be improved using medications or non-surgical methods such as peeling creams, laser treatment, or dermabrasion.
13. Does smoking or tobacco use affect sub-brow lift results?
Yes. In smokers, tissue healing is slower, and there is a higher risk of tissue damage and visible scarring. It is recommended to stop smoking before surgery.
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