Learn about a Brow Lift: Is an open or closed technique best.
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Hello! My name is Adrian Richards. I'm a consultant, plastic and cosmetic surgeon and today I'm going to be talking a little bit about the brow, that's the forehead, eyebrows and a little bit about the upper eye lids. So what is the brow? Well, the brow is really the medical term for the eyebrow and the area above that, and what tends to happen is this tends to sort of come down slightly with time. And this is known as brow ptosis. So if your eyebrows are a little bit low, that is known as brow ptosis and the eyebrows can either be low in the middle bit or the outer bit. So the ideal shape of the eyebrow in a female should be naturally arched with the highest point of the eyebrow two-thirds of the way along. So you have two thirds of the eyebrow on the inner aspect, a third on the outer aspect, nice gentle curve, and the highest bit there. This is different for men; men tend to have much lower eyebrows, much flatter eyebrows. So I would concentrate more on female brows. So if your brow is slightly low, this can actually have a secondary implication to your upper eyelid. So if the brow is low, you can actually get an extra fold on the upper eyelid itself. It's very important to assess as a plastic surgeon, when you look in the mirror; is your brow low or is it that you've got excess skin on your upper eyelids and I'm going to talk about how to treat excess skin on the upper eyelids in a different video, called upper blepharoplasty. So the important thing is have a look at the position of your eyebrow in the mirror, and then you can do this at home, to have a little look at your eyebrow, just move it in different positions, and see how it affects your eyelid and how the brow looks. Does it look better in any particular position? So raise up the out a bit, in a bit and just have a look at that. The second thing to look at is how deep, do you have any deep crossways lines on your forehead? If you've got deep lines like this on your forehead, the reason for that is because the muscle is pulling up your brow. So you need to be very careful not to have too Botox treatment which weakens the muscle as this may relax the muscles which won't be able to lift up the brow and the eyebrow will go down. So you've already looked at the position of the brow, the amount of skin on your upper eyelid, the number of folds on your forehead. And the other thing to consider is, how long is your brow? Some people have a long distance between their eyebrow and hairline and other people have a much shorter distance. So it's important to look at that. Now what can be done if your brow is slightly low? Well, any technique used to elevate the brow is called a brow lift. So anything that elevates the eyebrows is known as a brow lift. And this can either be done non-surgically with Botox or via an operation. So non-surgical brow lifts are basically Botox weakening the muscles which pull the eyelids down and these are principally the muscles in the crow's feet area and the inner aspect of the brow around the eye. So if you weaken those muscles, the eyebrow will go up slightly. So this is called a chemical brow lift, and it's used quite often, but it will only raise your eyebrow a little bit. So if your eyebrows are a little bit down, a chemical brow lift with Botox is a possibility. But if it's really quite low, you need to consider some surgical options. Now the surgical options are really either between an open brow lift and an endoscopic brow lift. Open brow lift is a slightly older technique that used an incision, so that used a cut to actually access the eyebrow and the muscles in the middle of the frown areas. So an open brow lift, the scar will either be within the hairline here or in people with high foreheads, it can be a scar just at the junction of the skin and the hair in the eyebrow, which also gives you possibility of reducing the height of the brow. So actually, a small amount of skin can be removed, just a small strip to shorten the forehead he