Brow Lift Little Rock
The brow lift is one of the most useful oculoplastic and facial cosmetic procedures available. Many surgeons may treat a patient only with a blepharoplasty, because it is less time consuming and technically easier, when in fact the patient would benefit functionally and cosmetically from a brow lift as well. The patient and surgeon are then surprised to be disappointed in the improvement of the blepharoplasty alone, when a brow lift was indicated. Additionally, many surgeons limit their brow lifts to one or two approaches only. Dr. Brock knows that every patient is unique. That is why he is well-versed and experienced in all approaches to the brow. These different approaches include a coronal approach, trichophytic approach, endoscopic approach, temporal approach only, or a direct approach to name the most common.
The patients who are the best candidates for a brow lift, have a well-defined hair line and normally thick hair. Some patients with thin hair will also be good candidates depending on their density and color of hair as well as other features. And there still remain some effective options for those with absence of hair.
An endoscopic approach is typically performed with five incisions behind the hairline—one is placed in the sagittal plane, two are placed to either side in the parasagittal plane and two are placed temporally. Dr. Brock routinely uses this approach for patients with a low to average forehead height. Because this procedure can raise the hair line, he is less inclined to recommend it to someone with a high forehead. Although a coronal approach can be considered in a select number of patients, it is rarely selected because the endoscopic lift can lift the brow as effectively with a lower risk of numbness of the posterior scalp.
A trichophytic approach is a good choice for patients with a high forehead. This approach actually can lower a high forehead for many patients and does not risk raising the forehead further. The more common risks with this approach are irreversible numbness or a visible incision.
A temporal approach is a good choice for patients who have temporal brow ptosis (ie drooping of the tail of the brow) and do not have the hair density necessary to hide the incisions of an endoscopic or trichophytic approach. This involves making excisions over both temples behind the hairline and suspending the lateral brow higher.
A direct approach is a very powerful technique to raise the brow. This approach is performed by making an excision of skin directly above and adjacent to the brow. Because the scar is visible, Dr. Brock usually reserves this approach only for male patients who have moderate to severe brow ptosis obstructing their vision, very deep brow and forehead rhytides, and very little concern of a noticeable incision.
Dr. Brock performs the endoscopic, trichophytic and temporal approaches under general anesthesia. The direct approach is usually performed under sedation and/or local anesthetic.