Before (slight downgaze)
After (Note Brow Positions Higher Over Pupil Centers But Still Masculine) Despite Thicker Brow Hairs
John R. Burroughs, M.D.
Cosmetic Oculofacial Plastic Surgeon
Medical Director, Springs Aesthetics
Colorado Springs, CO
Men should have flatter and lower eyebrows than women, who have more arched and higher positioned brows. Forehead lifting will raise the brows and smooth forehead lines, but they can also cause unwanted effeminizing of the brows in men. Advanced cosmetic surgeons understand that surgery cannot be done in a cookie-cutter manner. With this mind, forehead surgeons should think of not only lifting of the brows but contouring them or not depending upon the end goal result. This means when lifting a woman’s brow that contouring is important as well to maintain or improve a feminine-shaped brow. For men, it means its important to lift the brows evenly and not too high to avoid causing them to appear feminine or surprised appearing. Dr. Burroughs does the majority of his forehead lifts in the office under oral sedation and local. General anesthesia isn’t needed. This allows patients to recover quicker and avoids the costs and side-effects of general anesthesia.
Shown is a gentleman with very severe brow ptosis (drooping). He underwent an in-office subperiosteal approach browlift. He had nice elevation of his brow tissues and maintained a handsome masculine appearance.