Adjusting the Position and Shape of the Eyebrows in a Brow Lift

Endoscopic brow lifting is widely known for its short recovery period.

Even people who used to be afraid of brow lifts have recently been choosing to undergo them for various reasons.

There are many reasons for having a brow lift, but it is a procedure that can be especially helpful when the distance between the eyes and eyebrows is short or when the upper eyelids are thick.

In particular, when the upper eyelids sag after middle age, in many cases this happens because the forehead and eyebrows have descended downward due to gravity. By correcting the underlying cause of aging through a brow lift, a much more natural appearance can be achieved.

'Changes in the Glabellar Expression Muscles and Eyebrow Shape'

The face has many expression muscles, and wrinkles between the eyebrows are especially formed when frowning or feeling stressed. If you repeatedly make a frowning expression in the glabellar area over a long period of time, the shape of the eyebrows can also change.

Angry-looking eyebrow shape

When the center of the eyebrow droops and the outer part is relatively lifted, it creates a strong impression. In particular, if the distance between the eyes and eyebrows is short, it can give an angry appearance.

This is a very important factor in eyelid surgery after middle age and is something that must be considered carefully during eye surgery.

Muscles of the glabella (corrugator muscle, procerus muscle, depressor supercilii muscle)

There are three expression muscles in the glabellar area, and glabellar wrinkles are formed by the combined action of these muscles.

First is the corrugator muscle, which is also called the eyebrow-depressing muscle.

Second is the procerus muscle, which is also called the nasalis muscle.

Third is the depressor supercilii muscle, which used to be called the musculus procerus minor.

'PentaFix Brow Lift Surgical Method'

The PentaFix brow lift is an endoscopic brow lift, and instead of a long incision, the procedure is performed through small incisions inside the scalp.

PentaFix brow lift trademark registration with the Korean Intellectual Property Office

Because the surgery is performed while securing the field of view through an endoscope, there is no damage to nerves or blood vessels, and it has the advantage of allowing precise dissection of only the necessary areas.

Dissection of retaining ligaments and excision of the corrugator muscle, procerus muscle, and depressor supercilii muscle

Through the endoscope, the periosteum of the forehead must be carefully dissected without tearing, and the various retaining ligaments in the forehead and temple areas must be delicately released for the results to be excellent and for the position and shape of the eyebrows to be adjusted.

Various retaining ligaments of the forehead and temple. (Source: Aesthetic Surgery Journal 33(6) 769-782)

And in order to raise the central part of the eyebrows, it is important to properly excise the glabellar muscles mentioned above.

The corrugator muscle, procerus muscle, and depressor supercilii muscle are either removed with endoscopic surgical forceps or contracted using endoscopic electrocautery.

In addition to the three muscles above, some of the medial fibers of the orbicularis oculi muscle must also be released.

'Fixation Method for the PentaFix Brow Lift'

In a brow lift, dissection using an endoscope is the most important factor, but the fixation method is also very important.

Usually, two-point fixation using Endotine is the most commonly used method, but it may be disadvantageous when it comes to adjusting eyebrow shape.

Fixation method for the PentaFix brow lift

In cases like this one, where the inner part of the eyebrow droops and the eyebrow shape looks angry, central fixation is the most important aspect of a brow lift.

In addition to the usual two-point Endotine fixation, secure additional fixation of the center using bone tunneling must be performed to raise the central part of the eyebrows.

Also, if the outer part of the forehead flap is additionally fixed to the temporal fascia with suture fixation, the fixation strength of the brow lift can be made stronger and longer-lasting.

'Changes in Eyebrow Position and Shape Through the PentaFix Brow Lift'

1-month review after PentaFix brow lift

Before surgery, the lower part of the eyebrows had drooped, making them look angry, but after surgery the overall position of the eyebrows was lifted, and especially the inner part of the eyebrows was well lifted, creating a kinder impression.

A brow lift is known as a surgery that lifts the forehead, but because it can simultaneously lift the eyebrows and the skin around the eyes, it is also called a 'forehead-eyebrow lift.'

There may be various reasons why the face looks strong or severe, but when a change in eyebrow shape or position is needed, the PentaFix brow lift can be a good option.