Brow Lifting

Upper lid blepharoplasty and browlift by Dr Hodgkinson
Upper lid blepharoplasty and browlift by Dr Hodgkinson
Upper and lower blepharoplasty and browlift by Dr Hodgkinson
Upper and lower blepharoplasty and browlift by Dr Hodgkinson

Sydney plastic surgeon Dr Darryl Hodgkinson says brow lifting is the essential component of upper face rejuvenation.

Most people are surprised to know that 80 percent of facial expression comes from the upper third of the face. Our emotions are imprinted on this area – around the eyes, between and underneath the eyes and on the brow.

Eyelid surgery and brow lifting are complementary procedures. It is important to identify the drooping component of a brow rather than attribute all sagging only to the skin in the upper eyelid.

A less experienced surgeon might try to correct the eyelids solely with excessive resection of the skin, which can then create ophthalmological problems and a startled look, when in fact it was the brow that had descended.

The usual appearance of the descended brow is that the patient has aged and appears stern or unhappy. The horizontal wrinkles that appear across the forehead can also be disconcerting, especially for women, and as the eye frame shrinks patients complain of their eyes looking too small.

Although anti-wrinkle injections are helpful in readjusting the positions of the eyebrows, this non-surgical procedure can only achieve millimetres in lift; patients can end up spending a lot of money and achieve sub-standard results if a brow lift is what is actually required. Similarly, fillers used to improve wrinkles are also temporary and do not elevate the tissues like a brow lift to open up the eyes and alleviate a tired or angry look.

I have been performing brow lifts for 30 years, and since 1994 have nearly exclusively performed the endoscopic brow lift, which is a ‘Band-Aid’ style of surgery. It involves making small incisions in the hairline, thereby avoiding any loss of hair formerly associated with long-scar brow lifting.

By dissecting and teasing out the heavy muscles on the forehead, we can lift the forehead and fix it to a much more appealing, attractive position. This restores the arch of the eyebrow, as well as reducing the heavy wrinkling in the forehead and reduces the intensity of the frowning muscles and Crow’s feet.

The surgery must be performed artistically, so that the patient has a pleasant, desirable, non-stressed, youthful look rather than ending up with a startled or ‘rabbit in a spotlight’ appearance.

Balance is the key. For this reason, I get patients to bring in photographs of how their eyelids and brows looked when they were in their early 30s. We try to adjust the eyebrows and eyelids to a more youthful, attractive appearance which they had decades before.

The operation involves some discomfort and takes about a week to 10 days for most of the swelling and all the bruising to disappear. The brow lift incisions in the hairline are hidden but the special sutures which are used to hold up the brow, known as ‘Endotines’, take up to six months to dissolve. The main purpose of these highly specialised sutures is to secure the fixation of the brow in its new, rejuvenated position.

Two examples of recent brow lifts and eyelid combination surgeries are shown.

If you’re considering cosmetic surgery in Sydney, here are five crucial questions to ask before making that life-changing decision to put your body in someone else’s hands.

Dr. Darryl Hodgkinson is an experienced cosmetic plastic surgeon and is the Surgical Dean of The Australasian College of Cosmetic Surgeons as well as serving on the editorial board of the international journal Aesthetic Plastic Surgery.  He is an invited guest lecturer and teacher to plastic surgeons internationally on the topics of facelifting, rhinoplasty, body contour surgery and general cosmetic surgery and has more than 30 years of experience in performing a range of surgical procedures. His Double Bay clinic is a fully licensed and accredited day surgery centre.

To learn more about cosmetic surgery book in a consultation email the clinic on [email protected] or call us to discuss procedures or make an appointment on 02 9362 7400

Dr Darryl Hodgkinson

About Dr Darryl Hodgkinson

Dr. Darryl J. Hodgkinson is recognized world-wide as an expert in cosmetic plastic surgery with more than thirty years of experience in both cosmetic and plastic/reconstructive surgery.

Dr. Hodgkinson did his plastic surgical training at the prestigious Mayo Clinic in the United States and is amongst an elite group of a very few surgeons to hold two degrees in plastic surgery from American Board of Plastic and Reconstructive Surgeons and the Royal College of Surgeons, Canada.

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