Browpexy - the Mini Brow Lift
The gentle eyebrow lift
A browpexy is a minimally invasive procedure that is used to lift the brows, reduce drooping and overhanging eyelid skin, and give the eyes a more youthful appearance. There are two types of browpexy available – internal and external. An internal browpexy is usually performed as part of an upper eyelid blepharoplasty and uses the same incision, meaning no additional scars. An external browpexy involves making a small incision above the brows to lift the eyebrows higher. Both procedures involve the use of sutures to secure the brows in a higher, more pleasing position, resulting in a mini brow lift.
Am I a Good Candidate for Internal and External Browpexy?
A browpexy is a suitable procedure for those who have a small amount of drooping of the outer eyelid and brow and want a mini lift. Mr Ahmad Aziz at his clinic in Central London can assess your eyes and brows and advise you on which procedure would be most suitable. People who are having a blepharoplasty may consider an internal browpexy at the same time, as this can create a more youthful appearance to the upper third of the face without additional scars.
An external browpexy may be suitable for those with a slight excess of skin on the outer eyelid and a subtle droop of the brow, but who do not want the scars from a brow lift. Men with bushy brows may also be suitable for an external browpexy, as the scars can be hidden within the brow hairline.
Those who are not suitable for a browpexy are those with extensive drooping of the brows or those who wish to correct any laxity in the forehead.
How Is Internal and External Browpexy Performed?
Both internal and external browpexy can be performed at the same time as a blepharoplasty to the upper eyelids to prevent the brow from drooping after the procedure.
The internal technique involves making an incision along the natural eyelid skin crease in the same way as with a blepharoplasty, and then tunneling under the skin to the underlying bone, where sutures are used to secure the brow in a higher, more aesthetically pleasing position.
With the external browpexy, a small incision of less than 1 cm wide is made at the eyebrow hairs or just above, and the brow is then attached to the underlying bone in a higher position with sutures.
The surgeon will compare both brows to ensure they are symmetrical before completing the procedure.
What are the Costs of Internal and External Browpexy?
When an internal browpexy is performed at the same time as a blepharoplasty, no additional incisions are required, making the procedure more cost-effective. The cost for a browpexy for both eyes typically ranges between £2500 and £3500, and this should cover the surgeon fees, anaesthetic, and hospital fees. If the browpexy is being done to improve vision due to drooping eyelid skin, it may be covered by your healthcare insurance policy.
How long is the recovery following surgery?
Recovery following a browpexy is similar to the recovery period after a standard eyelid surgery. Swelling and bruising can be expected to last up to two weeks, although it may take longer for some people. Additionally, some numbness in the eyelid and brow area is common, but should dissipate as the area heals. A tight sensation is also common and can last for two months until the dissolvable sutures have dissolved. To ensure proper healing, it is advised to take a week off work and avoid strenuous exercise for two to four weeks.
When will I see the results of my mini brow lift?
The final outcome of an internal or external browpexy may not be immediately visible due to swelling and bruising. However, as the swelling subsides, the results become more apparent, providing a more aesthetically pleasing look to the eyelid and brow region.
An internal browpexy is advantageous as the incisions are made in the natural eyelid crease, making the scar largely unnoticeable.
The results of the surgery typically last for two to five years, though this can vary from person to person. Factors such as the frequency of facial expressions that contract the eyebrows and forehead, along with the natural ageing process and associated loss of volume in the face and brows, can influence the longevity of the results.
Some people may choose to use Botox or fillers to try and maintain the brow height as the effects of the surgery start to fade over time.
Are there any limitations of Internal and External Browpexy?
Browpexy has certain limitations to consider before undergoing the procedure. It provides a small lift and is not suitable for correcting severe brow droop. Additionally, it only affects the area between the upper eyelid and eyebrow and does not address any issues with the forehead.
Are there any risks?
Browpexy has certain limits to keep in mind before undergoing the procedure. It offers a limited degree of lift and is not suitable for addressing severe brow droop. Additionally, it only affects the area between the upper eyelid and eyebrow, and it cannot address any issues with the forehead.