R Brow Lift (Browpexy)
Overview
‘R’ Brow Lift cosmetic surgery procedure, also known as a Browpexy. This signature procedure is designed to elevate and stabilize the upper and lower brow/lid. The procedure is commonly performed in combination with upper lid blepharoplasty.
Age related changes of upper face include brow ptosis or dropping of the eyebrow which reduces the distance between the eyebrow and upper eyelashes and gives a tired look.
This also adds to the skin fold visible on the upper eyelid. If the distance between the eyebrows and upper eyelashes is acceptable then no surgery is required for the eyebrows but when there is brow ptosis then position of the eyebrow needs to be addressed.
INTRODUCTION
Traditionally eyebrow position was addressed through a forehead lift or endo brow lift which are quite invasive and extensive procedures. It is well known that these procedures used to leave a surprised look on the face with eyebrows positioned too high on the forehead. In the recent years less extensive eyebrow lift has been performed through temple lift and browpexy.
The temple lift addresses the outer half of the eyebrow through a scar at the temple just inside the hairline and browpexy is performed through the scar of upper blepharoplasty which is in the crease of upper eyelid. Mr Riaz has modified the technique of browpexy by performing the dissection deep to periosteum which is more extensive than the usual browpexy technique.
There is less risk of bleeding and injury to the muscle or nerves. Dissection is also quick in this plane. An ellipse of periosteum is removed and then deep sutures are used to approximate the two edges of periosteum which obtains eyebrow lift of outer half of the eyebrow to achieve a pleasing appearance. As the sutures are quite deep there is no surface indentation left below the eyebrow. This technique obtains quite stable results. Further details are given in the section of facial surgery.
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