Brow Lift via Scarless Serdev Suture
Why is a scarless brow lift important? When communicating, we look each other in the eyes. A beautiful, youthful expression is one, where the angles of the face are pointing up. They express a joyful, fresh radiation - "mask of comedy". When the angles are pointing down the face looks tired and sad - "mask of tragedy".
With age, brows drop below the eye line and wrinkles appear on the forehead. These make a person look angry, sad and constantly tired. Brow lift is most popular among ages of 40-60, and you can combine it with a facelift or an eyelid surgery. The science of aesthetics remains eternal. It is fashionable eyebrows to rise upward and sideways to reach a height of at least 1 cm above the upper edge of the orbit. Many young people also seem serious and tired. This is due to the low lateral position of their eyebrows. Such position may be congenital or acquired.
Serdev Suture® Scarless Brow Lift
In order to create the aesthetic proportions, described above, we use the Serdev Suture® method for eyebrow lift, which lifts the brow and also raises the angle of the eyes (the effect is doubled).
The higher fixation is made with only 2 skin punctures, allowing for the specially designed instruments to enter and exit the skin. There are no incisions and threfore no scars. The skin puncture points disappear within 1-3 days. There is no downtime, return to social life is immediate or within 2-3 days, depending on the person.
The stable fixation of the brow tissue to the periosteum assures the longevity of the result. The ageing process continues, but from the new, higher, more youthful position.
Information on classic and endoscopic brow lift.
These methods are not practiced in our clinic.
Using the classic technique, the surgeon cuts ear-to-ear through the scalp behind the hairline. This allows access to the forehead while releasing the muscles, to remove extra skin and lift the eyebrows to a higher position. The method is modified for patients with high forehead and retreat in their hairline. Then, a cut is made in the front of the hairline, so that brow lift does not cause additional retreat.
Under the endoscopic approach, 3-5 small incisions are made on the scalp, from ear to ear behind the hairline. Then, using special tools, the excessive skin and tissue are removed from the forehead and sometimes attached to the scalp from the inside. With time the wrinkles disappear. In some case the surgeon inserts a special hook through the endoscop, to attach the tissue onto the desired location. The hooks melt over time and the forehead reshapes. With another technique, a smaller cut is made through the temple areas, and the excessive skin is removed as described. This approach is used when the outer portion of the brows needs to be lifted. The operation can be performed using local anesthetics with deep sedation.
Complications and results
Every operation has its complications. Excision techniques may include:
Damage to the forehead nerves, which results in inability to move the forehead or brows; loss of sensation, usually temporarily, around the scar; hair loss in the scar margins and wider scar; infection and bleeding. Endoscopic complications may force the surgeon to perform an open surgery, which has longer recovery duration.
After the surgery (of the classic approach) has been performed, there might be an uncomfortable feeling of ant crawling and pain around the scar. These usually disappear over time, while the pain can be managed with painkillers. It may be difficult to open the eyes due to eyelid swelling. The endoscopic approach has less pain and alter sensation.
You can return to work 10-14 days after surgery, however, the final results can be seen only after a few weeks. For several weeks you must avoid vigorous activities that can elevate your blood pressure. Also avoid prolonged heat or sun exposure. Most marks of the surgery resolve after 3 weeks, minimal swelling and small hemorrhages can be covered with make up.