A brow lift is a cosmetic procedure that involves partially or completely removing the eyebrows and surrounding skin. Its advantages include simplicity, safety, quick recovery, and minimal discomfort. It thoroughly removes undesirable eyebrows while lifting sagging eyelid skin, improving fine wrinkles around the eyes, reshaping the brow line, enhancing the eyes' expression, and making you appear younger.
I. Pre-Lift Design: Thorough pre-operative planning is crucial for a successful brow lift. Begin by discussing the patient's expectations and identifying specific concerns about their current brow shape.Based on the patient's specific condition, mark the area to be excised. Also inquire whether the scar will be covered by future eyebrow tattooing. If tattooing is desired, leave a narrower eyebrow area. During design, strive to preserve as much of the original eyebrow as possible. Ensure the eyebrow line is symmetrical on both sides, and fix the color after drawing the line.
II. Classification: Based on the extent of eyebrow excision, procedures can be categorized as:
1. Total or Major Eyebrow Excision: Indicated for individuals with significant scarring, overly deep/dark eyebrows, or extremely unattractive shapes unsuitable for partial excision. Also applicable after multiple eyebrow tattoos or color cover-ups. If combined with forehead/brow wrinkle removal, additional skin above the eyebrows may be excised.
2. Partial Brow Resection
(1) Brow Head Resection: When the overall brow shape is acceptable but the brow head appears unnaturally thick or scarred, a diamond-shaped resection can be performed at the brow head.
(3) Mid-Brow Resection: Partial resection of the mid-brow area is performed when the curvature is irregular or excessively wide in certain sections.
(4) Tail Resection: Resection of the eyebrow tail is indicated for overly long or wide eyebrows. Additionally, for individuals with triangular eyes caused by upper eyelid skin laxity, a triangular skin resection can be designed in the mid-outer eyebrow region, which simultaneously reduces some crow's feet wrinkles.
III. Surgical Procedure: After local anesthesia, incise the skin along marked lines with a scalpel. Remove undesirable eyebrow tissue and skin, ensuring thorough hemostasis. Subcutaneous suturing is mandatory regardless of tension levels. Intradermal closure uses absorbable sutures (0-6 to 0-7 gauge), with knots buried deep. Skin closure employs fine needles and nylon sutures in continuous or interrupted technique. Meticulously align skin edges to absolutely avoid "cat ears."Ensure even skin thickness alignment on both sides of the incision. Postoperatively, administer antibiotics and hemostatic agents. Remove dressings the following day, clean the wound daily, and remove sutures after 7–10 days.
IV. Postoperative Retouching: Wounds may appear red for up to 3 weeks postoperatively. Apply silicone sheets at night during this period to prevent hypertrophic scarring. Eyebrow tattooing can resume after 3 weeks.For retouching, wait at least 3 months—ideally 6 months—until scar tissue stabilizes for optimal pigment retention. Premature retouching on scars may result in poor color uptake and increased bleeding risk. Always seek experienced, strictly sterilized medical facilities to avoid complications.