The Male Browlift
Q: Dr. Eppley, I am a middle-aged male who is generally happy but the expression on my face gives a different impression. My eyebrows are very low and they slope downward in the middle to the nose. There is a very deep crease across the nose where my brows hangs down. I know I need a browlift of some type but I don’t know what my options are. I have attached some pictures of what I look like normally and what I would like the result to be.
A: Thank you for sending your pictures. They clearly show your low brow position concerns, much of which is in the the inner half of the brows more than the tails. As I indicated in my initial response, the challenge in men is where to place the incision to do the browlift. You need a superior type of browlift as inferior ones (transpalpebral brow xlifts) only produce a modest change in the tail of the brow position by pushing up from below. Given the three superior-based incisional choices (transcoronal scalp, pretrichial or frontal hairline mid-forehead wrinkle line) your best option is probably the mid-forehead incision placed in a horizontal wrinkle line. While this places the incision in the most visible location, it is the only one that uses a natural skin crease area to do so.
Dr. Barry Eppley