Two are the less invasive methods used, due to the patient anathomy and his necessities.
The most recommended in the side uplift of the eyebrows is a a lift realized through a short horizontal incision in the temporal area in the scalp. The scar is not detectable if localized in this position, thanks to the hair. This operation is named “temporal lift” from the temporal bone. The three major advantages of this type of procedure are: 1.- uplifts the side portion of the eyebrow which lacks of lifting muscles and normally loosen with the years 2.- Tights the wrikles aside the eye (chicken foot). 3.- The whole effect results in natural changes aimed to lift and rejuvenate the eye look.
This procedure is realized in an hospital environment under local anaesthesia and sedation.
Frequently is realized with the minimally invasive facial lifting of the MACS type.
Is a simpler uplifting method done with thread of sutures. Lifts the desired portions of the eyebrow. Is a quite effective method in order to correct anaestethic asimmetries of the eyebrows.
Its principal limitation is the durability of the result, less predictabile than the other described methods.
The procedure only can be realized with local anaesthesia.
In some patients an open brow approach may be indicated . These are patients in whom there is an excess of skin, and the patient has a low anterior (front) hairline. The incision is made in the hairline across the top of the scalp. The procedure is then performed open, and the scalp is tightened. This will raise the edge of the hairline, and should not be used in patients who have a high forehead line.
FForehead lifts are used for correction of the eyebrow when it has descended too low. It also can be used to fix a permanent furrow between the eyebrows, and forehead lines. Dr. Cerqueiro uses the latest techniques such as the endoscope, a device that has been popularized in knee surgery. Three small incisions are made in the hairline. Then the endoscope, actually a small camera, is inserted and used for correction. Brow elevation is accomplished as well as the correction of the glabellar furrows (the muscle between the eyelids). This plastic surgery procedure minimizes scarring and discomfort.