Blepharoplasty will not elevate a drooping brow or remove wrinkles in the crow’s feet area. A procedure to elevate the brows may be appropriate, instead of, or in addition to upper lid blepharoplasty.
Correction of mild to moderate brow ptosis can be accomplished through incision directly above the brows, in the forehead creases, or at the hairline. These techniques are most effective if the brow ptosis involves predominately the central area of the forehead.
For more significant amounts of brow ptosis, or to address deep frown lines or lateral hooding of the upper lids, it may be necessary to raise the brows and forehead through incisions behind the hairline. The endoscopic brow lift is performed through small incisions hidden behind the hairline, using an endoscope and special instruments. The muscles that pull the brow down and crease the forehead skin are relaxed, allowing the brow to be raised into a more youthful position. A coronal brow lift can achieve the same results through a larger incision well behind the hairline.