Eyebrow shape is generally, but not always, considered more attractive if it takes a gentle arc, compared with a straight line. The shape of the brow is more important than the actual position of the brow and in part depends on the adjacent anatomy (balance) to look good. Additionally, brows that seem attractive on one face may not look good on another. Thus there is no one “perfect brow”.
How do brows age? Often the lateral brows descend, and with soft tissue thinning, this produces a more angular superior brow movement, the thicker brow skin moves the thinner glabellar skin, shifting it more medially and producing a crease, which over time changes from a dynamic crease to a passive crease. Upper lid ptosis, independent of eyelid and brow changes, can also occur.
Surgical procedures designed to improve brow aesthetics can be categorized as follows:
- Open brow and foreheadplasty
- Endoscopic assisted brow and foreheadplasty
- Direct brow lift
- Trans blepharoplasty approach
- Lateral brow lift
- Filler and Botox injection
- Thread brow lift don’t forget all brow lifts fall over time
Postoperative care following incisional
Postoperative care following incisional procedures will follow standard wound care instructions. Attention to cleanliness and topical antimicrobials help with healing. Avoidance of strenuous behavior for a week or two, depending on the extent of dissection, seems to help postoperative edema resolve more quickly. Perioperative broad-spectrum antibiotics, adequate analgesia, and anti-inflammatory medicines containing arnica and bromelain seem to have additive value. And, although “old-fashioned,” we suggest liberal use of topical ice compresses in any area that is healing, both for comfort and for swelling reduction. Postsurgical patients are given detailed instructions and are encouraged to call the surgeon for any signs of problems.
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