Selection of a proper technique depends on clearly on good clinical evaluation and understanding patient goals. Needless to say, each patient is unique and one needs to customise treatments:

Types of brow-lift:

• Coronal brow-lift- This is the surgical method of brow-lift where-in the brow and the soft tissues of the forehead are repositioned and excess skin is excised through an incision/ cut in the hair through the top of the head going from one ear to the other. The scar in this procedure is completely hidden. However this procedure is not preferred for those who have a high hairline.
• Frontal Hairline brow-lift- This is the method of brow-lift where the cut/incision is made along the hairline so scar is along the hairline. This is preferred in those who have a high hairline as this procedure doesn’t change the position of the hairline. The resulting scar is usually well concealed and not overtly visible.
• Endoscopic brow-lift- This procedure involves making 4-5 small cuts/ incisions in the scalp through which the endoscope ( about 3-4mm in diameter) is passed and dissection completed. The overlying forehead skin is elevated and fixed in position with anchors or sutures or screws to a tougher tissue or bone . This procedure involves less scarring, faster recovery. However results may be slightly less dramatic as compared to Coronal or Hairline  brow-lift as the amount of skin excision is limited
• Non Surgical brow-lift/Procedure .  Brow-lift can also  be done through non surgical methods  either alone or in combination. Neurotoxins, thread lift, to name a few are the most popular ones.

Thread-like ( anchored) involves the use of absorbable/ non absorbable threads to lift the brow and suspend  it in appropriate position. The results are more subtle  compared to a surgical lift and the procedure may need to be repeated .

Neurotoxin injection  involve strategically relaxing certain muscles around the eye( brow depressors) so that muscles( unaffected), that lift the brow( forehead elevator) will compensate and allow the  brow to be lifted. Best results can be obtained  when the neurotoxin is injected a week before and threads are inserted later to complement the needed effect. These procedures are gaining popularity as they can be performed in the clinic, there is no surgical down time and minimal side effects.

However results seen are a subtle elevation in 2 weeks and restricted to patients with signs of early aging. Older patients, with gross drooping of the brow will not have satisfactory results.

Post the procedure there will be swelling which gradually settles over a month. There may be drains which are removed in 3-5 days. Sutures will have to be removed in 7-10 days. Washing of the face and hair will be as recommended by the Consultant.