Forehead Lift to Correct Eyebrow Asymmetry

When consulting about upper eyelid drooping, the scope of the consultation often expands to include the forehead and eyebrows.

The forehead, eyebrows, and upper eyelids often affect one another, which is why plastic surgeons regard these three as part of the same broad aesthetic unit.

'Upper Eyelid Drooping and Eyebrow Position'

Upper eyelid drooping is influenced more by drooping of the forehead and eyebrows beneath the scalp than by drooping of the eyelid itself.

That is why, rather than simply deciding on upper blepharoplasty because the upper eyelid has drooped, it is better to comprehensively consider skin sagging from the forehead and eyebrows when deciding on surgery.

Upper eyelid drooping and the difference in eyebrow position

Everyone has a slight degree of asymmetry, but differences in double eyelid size and differences in eyelid skin sagging tend to feel more noticeable.

Eyebrow asymmetry can arise from various causes, and in most cases it is often due to differences in double eyelid height or the presence of subtle ptosis, but it can also result from differences in eyebrow height.

Asymmetry caused by a difference in eyebrow height between the right and left sides.

This person previously underwent a brow lift under the eyebrow to improve some of the eyelid skin sagging, but the asymmetry remained.

A brow lift under the eyebrow is a surgical method that improves upper eyelid skin sagging by removing skin beneath the eyebrow. It can address upper eyelid drooping, but it is not a procedure that can improve differences in eyebrow height.

'Endoscopic Forehead Lift That Lifts the Forehead and Eyebrows'

The current forehead lift is performed endoscopically through small incisions inside the scalp, so compared with older forehead lift methods, it has the advantages of leaving no visible scar and enabling faster recovery.

Using an endoscope allows precise dissection through an enlarged view, and dissection can be performed without damaging key structures such as nerves and blood vessels.

Blood vessels seen in the endoscopic field of view. The sentinel vein in the temporal region

Dissection in the Pentafix forehead lift. Nerves and blood vessels. Muscle. Retaining ligaments

The most important thing is to dissect the forehead while preserving blood vessels and nerves well through the endoscopic view, and releasing the periosteum at the correct position and dissecting the necessary retaining ligaments are essential requirements for good surgical results.

In addition, it is good to appropriately release the corrugator muscle, procerus muscle, and depressor supercilii muscle located between the eyebrows, and also weaken part of the orbicularis oculi muscle on the outer side of the eyebrow.

Fixation method for the Pentafix forehead lift. The lifted tissue is fixed differently at each fixation point.

In a forehead lift, endoscopic dissection is important, but the fixation method is also important.

The Pentafix forehead lift is a surgical method that secures basic fixation force through two Endotine devices and then additionally secures three more fixation points through Bonetunneling and a fascial fixation method.

Because of this, the strength of lifting and fixation can be adjusted by area, making it possible to correct the shape of the eyebrows and even asymmetry.

Pentafix forehead lift. Trademark registered with the Korean Intellectual Property Office

'Eyebrow Asymmetry Corrected with the Pentafix Forehead Lift'

Change in the position of the left eyebrow

Change in the position of the right eyebrow

Correction of eyebrow asymmetry

On the left side, where there was not much skin sagging, the degree of lifting was adjusted to be milder, and on the right side, where there was more skin sagging, the lifting was made stronger. As a result, the eyebrows could be placed symmetrically when viewed from the front, and the skin sagging of the right eye, which had more upper eyelid coverage, was also well improved, enhancing the symmetry of the eyes.

A forehead lift is a procedure that can improve not only forehead wrinkles, but also skin sagging of the eyebrows and upper eyelids.

It can improve not only eyebrow asymmetry but also eyelid skin sagging, helping to make the eyes look more symmetrical to some extent.

10-day follow-up after the Pentafix forehead lift. A real model who consented to disclosure.