Temporal-Brow Lift Surgery

Definition

Temporal-brow lift, also known as lateral brow lift, is a surgical procedure designed to elevate the brows and correct sagging of the temporal and periorbital region. With aging, gravitational forces, soft tissue laxity, and weakening of the frontalis and surrounding musculature, the eyebrows descend, creating a tired, aged, and sometimes angry appearance.

This procedure repositions the brows, smooths forehead wrinkles, and restores a more youthful, refreshed, and harmonious facial expression. The surgery is often performed using minimally invasive or endoscopic techniques, resulting in subtle, natural outcomes with inconspicuous scars hidden in the hairline.

Indications

Temporal-brow lift surgery is indicated for patients presenting with:

Brow ptosis: Low-set or drooping eyebrows that contribute to a fatigued or aged look.
Forehead rhytides: Horizontal lines caused by compensatory frontalis muscle activation.
Periorbital aging: Sagging of the upper eyelids secondary to brow descent.
Aesthetic motivation: Patients desiring a more dynamic, youthful, and rested appearance.

Although commonly performed in patients aged 40 and above, younger patients with congenitally low-set brows may also benefit from the procedure. Suitable candidates are in good health, non-smokers, and have realistic expectations.

Surgical Technique

Temporal-brow lift is typically performed under local anesthesia with sedation or general anesthesia, with an average operative time of 1–2 hours.

Surgical Steps:

Incisions:Small incisions are made within the temporal hairline, allowing access to the underlying soft tissues.
Endoscopic dissection: A thin endoscope is used to visualize and release attachments in the brow and temple area.
Tissue repositioning: The brow complex and lateral forehead tissues are elevated, restoring youthful contour.
Fixation: The lifted tissues are secured in their new position, and excess skin may be trimmed if necessary.
Closure: Incisions are closed with fine sutures, concealed within the hair-bearing scalp.

This technique provides a natural elevation of the lateral brows, smooths forehead wrinkles, and rejuvenates the periocular region.

Preoperative Considerations

Medical evaluation: A thorough review of systemic health, medications, and prior surgical history is essential.
Smoking cessation: Smoking should be discontinued at least 2 weeks before surgery to avoid impaired wound healing.
Medication adjustment: Anticoagulants and blood thinners (e.g., aspirin) must be stopped under medical supervision.
Expectation alignment Preoperative consultation may include photographic analysis and discussion of achievable outcomes.

Postoperative Course

Recovery from temporal-brow lift is generally rapid. Patients can resume light daily activities within a few days, although full recovery may take several weeks.

Typical recovery course includes:

Swelling and bruising: Mild edema and ecchymosis in the temple and forehead region are common, resolving within 1–2 weeks.
Sutures: Removed within 7–10 days, depending on technique and wound healing.
Precautions: Patients should avoid excessive facial expressions, rubbing the forehead, or any trauma to the surgical area.

Final results: Stable brow position and rejuvenated periorbital contour are usually achieved within 4–6 weeks.

Risks and Complications

As with all surgical interventions, temporal-brow lift carries certain risks. When performed by an experienced surgeon, complications are uncommon. Potential risks include:

Infection
Hematoma or bleeding
Delayed wound healing
Asymmetry of brows
Temporary or, rarely, permanent sensory changes due to nerve involvement
Scarring (usually minimal and well-hidden in the hairline)

Close postoperative monitoring and adherence to medical advice minimize these risks.

Outcomes

Temporal-brow lift surgery provides a long-lasting rejuvenation of the upper face, restoring youthful brow position, softening forehead wrinkles, and improving periorbital aesthetics. Patients report a more refreshed, energetic, and harmonious facial expression, with natural-looking results that significantly enhance confidence and quality of life.

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