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More advanced surgical techniques for addressing a drooping brow have been developed as our understanding of facial anatomy has advanced. This is in line with an evolving preference for more natural, subtle results for a brow lift. People with concerns about drooping eyebrows often benefit from a lateral temporal brow lift. Women tend to have a more "peaked" eyebrow than men. However, as aesthetic preferences have changed this peak has become less dramatic, reflecting a more sophisticated desire for a natural look to their eyebrows. That is where the lateral temporal brow lift comes in. The lateral temporal brow lift is the most advanced surgical technique to provide a long-lasting, natural, improvement in drooping eyebrows while preventing the development of an unnaturally "surprised" appearance. It is the best approach for most patients, who are usually bothered by drooping of the sides of the eyebrows. Like the extended deep plane facelift, the lateral temporal lift involves the release of all the tension points around the eyebrow so that it can be lifted precisely and without tension, thereby improving results, healing, and longevity of the procedure. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Trust Your Face to a Facial Plastic Surgeon It is important to seek a double board-certified, fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us today to learn more! Contact Us

There are a range of approaches to lifting the eyebrows, the best of which depends on the specific anatomy of a patient as well as their aesthetic goals. While the list below is not comprehensive, it highlights two important approaches to the brow lift as well as the considerations that go into choosing which is the most appropriate approach. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. A Lateral Temporal Brow Lift Naturally Addresses the Most Common Age-Related Concern Patients Have About Drooping Brows The lateral temporal brow lift, also referred to as an endoscopic brow lift, can address the most common concerns about the eyebrows. Most individuals express concern about age-related drooping of the lateral eyebrows over their eyes. This can result in "hooding" or an overhang of skin and fat over the lateral eyes. As a result, the eyebrow can develop an exaggerated curve where the lateralmost portion of the eyebrow curves down around the eye rather can canting upward laterally. The lateral temporal brow lift lifts the lateral brow up and out in a tension-free manner, which is key to a natural, long-lasting result. Only two incisions placed behind the hairline are required. The lateral temporal lift can lift the medial brow up to approximately 3 mm as well. If more than approximately 3 mm of medial brow lift is required, the medial brows can be lifted more with only two additional small incisions hidden in the hair. The lateral temporal lift results in no removal of skin or hair follicles, an enormous benefit associated with the procedure. A Pretrichial or Trichophytic Brow Lift May Be a Good Option for Revision Procedures and Those with a High Hairline Seeking to Lower It Another approach to the brow lift involves a longer incision extending across the hairline. The incision can be placed slightly into the hairline (trichophytic) or along the hairline (pretrichial). A pretrichial or trichophytic brow lift may be the best approach for those individuals who are not only seeking a brow lift but who also have a very high hairline, such as men with receding hairlines or women with a high forehead. This technique can lower the hairline and improve the appearance of the forehead. This technique is also potentially a good option for revision procedures in which a previous lift was too aggressive, resulting in a "surprised" appearance to the eyes. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about drooping eyebrows. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us References Alghoul M, Codner MA. Retaining ligaments of the face: review of anatomy and clinical applications. Aesthet Surg J. 2013 Aug 1;33(6):769-82. Jacono A. Extended Deep Plane Facelift and Other Adjunctive Procedures for Rejuvenation of the Upper, Middle and Lower Face. Quality Medical Publishing Inc. Lee H, Quatela VC. Endoscopic Browplasty. Facial Plast Surg. 2018 Apr;34(2):139-144. Sykes JM, Riedler KL, Cotofana S, Palhazi P. Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy. Facial Plast Surg Clin North Am. 2020 Aug;28(3):243-251.

The "Fox Eye" procedure has become a trending topic on social media, including TikTok. The procedure stretches the side of the eyebrow and temple skin. It most likely involves the use of barbed stitches/sutures in a manner like threading in the face and neck. Everyone is entitled to their own conception of what is beautiful. However, the significant limits of the use of threading and the resultant significant distortion of the anatomy it causes make the procedure not worthwhile in the opinion of Dr. Harmon. This procedure is sometimes confused with the lateral temporal brow lift surgical procedure. In contrast with the "Fox Eye" procedure, this surgical procedure can provide a long-lasting and natural-appearing lift of drooping lateral eyebrows and smoothing of the temple tissue in the appropriate candidate. This blog post seeks to explain the problems with the "Fox Eye" procedure and to contrast it with the lateral temporal brow lift. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. The "Fox Eye" Procedure Significantly Distorts the Facial Anatomy in an Unnatural-Appearing Way The "Fox Eye" look appears exaggerated and pulled. The area stretched to the side and up includes the most lateral portion of the eyebrow and the temple skin. The procedure does not appear to result in facial anatomy that approximates the range of what humans normally demonstrate. A similar effect can occur with older, less effective facelift techniques that can result in a distorted mouth and "windswept" appearance. This effect runs counter to the philosophy of Dr. Harmon, who strongly feels that directly addressing as many of the underlying causes of age-related changes to the face is the best way for natural appearing results. The "Fox Eye" Procedure is Likely Performed Using Dissolvable Barbed Stitches Threading, which involves the use of dissolvable barbed stitches/sutures inserted into the skin in multiple locations, is likely the most common method used to achieve a "fox eye" look. Dr. Harmon does not endorse the use of threading anywhere in the face. First, the stitch/suture is simply a commonly used dissolvable suture but with barbs on it. The effect is temporary because the suture is dissolvable, typically lasting only a few months. Second, the sutures are placed blindly into tissue planes, making appropriate placement difficult. Third, there is no surgical separation of the volume that needs to be lifted from the deeper structures of the face or the release of this tissue from tension points in the face that would be necessary to prevent distortion of the facial anatomy. The Lateral Temporal Brow Lift is a Surgical Procedure that Can Provide a Natural Appearing Lift of the Lateral Brow and Temple The lateral temporal brow lift contrasts with the "Fox Eye" procedure because it is a surgical procedure that involves the dissection of volume off the deeper structures of the face, including the release of tension points along the eyebrow. The result is the lifting of the lateral brow and smoothing of the temple volume in a long-lasting manner without distorting the surrounding anatomy. And while dissolvable stitches/sutures are used to suspend the tissue, this is only temporary until the lifting tissue has had time to heal against the deeper tissue again. As with all procedures, however, a consultation with a qualified surgeon is essential to determine whether an individual is a candidate for the lateral temporal brow lift. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching "plastic surgery near me." Get in touch with us to learn more. Contact Us