Aesthetic Brow-lifts: Review of Contemporary Nonsurgical and Surgical Approaches

Eyebrow position plays a considerable role in facial expression and perception; therefore, patients often present to the cosmetic practitioner for treatment of brow ptosis. The underlying pathophysiology of brow ptosis has undergone great advances in recent years, and there are numerous nonsurgical and surgical options available to lift the brow. Nonsurgical techniques include chemodenervation, fillers, laser resurfacing, radiofrequency, and ultrasound therapy. Surgical approaches include coronal, endoscopic, pretrichial or trichophytic, mid forehead, direct incision, and transblepharoplasty brow-lifts. To effectively communicate with patients and maximize patient satisfaction, the practitioner must be aware of both the goals and complications of the various nonsurgical and surgical methods used in the treatment of brow ptosis.