There are basically two approaches to surgical brow lifts. The first procedure entails the lifting and fixing of the stiff membrane structure which is found in the deepest layer of the skin on the forehead. The other procedure involves the use of special threads coupled with very small screws through small surgical incisions to lift the brow.
The first method described where the hard membrane structure deep in the forehead is lifted and fixed is usually performed coupled with an upper eyelid lift. Since the incision required for the upper eyelid lift needs to be made in this area there is no need for an additional incision for the brow lift procedure.
Botulinum Toxin treatment provides a more effective and permanent result when compared to the other procedures. Even if the brow slacks a little over time, it will not return to its original state following the treatment.
Based on the fact that the shape and size of the ideal eyebrow changes continuously over time and according to global trends, we do not prefer to use brow procedures which are permanent and irreversible.
In the second method described, which uses threads and very small screws, small incisions are made in order to fix the thread to the edge of the brow. The small screws are attached to the bone in the forehead. Following this, the brow is lifted by attaching the threads to the screws. Within 1 to 2 years, the thread used may lose its tension, and begin to droop. This may require surgery to be conducted again, where the surgeon will re-enter through the same incision and tighten the thread.