With age, the brow descends and weighs down the upper eyelid: part of the "drooping eyelid" is in fact brow ptosis. The consultation distinguishes between excess eyelid skin and brow descent — the two are often combined.
Analysing the eye area
The surgeon studies the brow position, the excess skin and the function of the frontalis muscle (which often compensates for the descent by raising the forehead, creating horizontal lines). This analysis determines the technique — the same reasoning used to distinguish ptosis from dermatochalasis.
The techniques
Transpalpebral browpexy fixes the brow in the correct position through the blepharoplasty incision, with no additional scar: it is the most common procedure, complementing an upper blepharoplasty. The temporal lift raises the tail of the brow through a short incision hidden in the scalp. The direct lift, at the brow edge, is reserved for particular cases (notably facial palsy).
Recovery
Swelling and sometimes bruising for a few days, moderate discomfort. Social life resumes in 7 to 10 days. The result, assessed at 3 months, is long-lasting and natural: the aim is to open up the eyes without freezing the expression or surprising those around you.
Frequently asked questions
Botulinum toxin or surgery?
Botulinum toxin can raise the brow by a few millimetres ("chemical brow lift"), temporarily. Surgery addresses more marked descent and offers a lasting result.
Can it be combined with a blepharoplasty?
Yes, it is in fact the most common combination: treating excess skin without correcting a low brow would risk an incomplete result.
Is it covered by health insurance?
No in the vast majority of cases (cosmetic procedure). A personal quote is provided at the consultation; fees are detailed on the site.
Book an appointment
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