Dr. Kenneth Hughes, MD
Harvard Trained, Board Certified Plastic Surgeon in Los Angeles and Beverly Hills
9700 Venice Boulevard, Los Angeles, CA (310)-204-5822
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Brow Lift in Los Angeles and Beverly Hills at Hughes Plastic Surgery
What is a brow lift and who needs one?
A brow lift or forehead lift is simply a surgical maneuver to bring the position of the brows up to a more youthful level. Anyone who has brow droop may benefit from a brow lift. A brow lift also tends to improve the youthfulness of the eyelids, particularly the lateral hooding that is difficult to correct with upper and lower eyelid surgery alone.
Dr. Hughes performs the full spectrum of brow lift techniques available. The coronal browlift, the endoscopic brow lift, the temporal brow lift, the direct brow lift, and the internal brow pexy all have unique benefits for the right patient.
Dr. Hughes will help you choose the one that is right for you during your consultation.
The coronal browlift perhaps provides the greatest longevity for maintaining brow position. However, it does create a greater scar burden. However, the scar is hidden within the hairline. Although alopecia (hair loss) can occur at the the scar, this hair loss is technique and surgeon dependent, and Dr. Hughes has not noticed this in his patients.
The endoscopic brow lift provides for three small scars usually within the hairline, but no skin is removed. The brows are anchored at their new position to the underlying bone.
The temporal brow lift works well for lateral hooding of the brow, but it does not raise the entire brow and the glabella musculature and forehead wrinkles cannot be addressed through this maneuver. The incision is hidden within the hairline as well and is only a few centimeters.
The direct brow lift can be used in a patient with very deep forehead wrinkles.
An internal brow pexy can be performed at the same time as an upper eyelid surgery without a visible scar, but can only elevate the brow by about 2 mm and probably has least longevity of the methods mentioned above. However, 2 mm may be the right amount of lift in alot of patients, and the internal brow pexy can be used to correct brow asymmetry as well.
The brow lift can be combined with upper and lower blepharoplasties (eyelid surgery) and/or face and neck lift to improve overall facial aesthetics as well as reduce the signs of facial aging.
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Dr. Hughes performed this brow lift through an incision hidden in the hairline.  The brow lift both improves brow position and ptosis and helps with forehead and glabellar wrinkles.   
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The brow lift both improves brow position and ptosis and helps with forehead and glabellar wrinkles.   
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          This brow lift was performed through an upper eyelid approach so that there are no additional scars.  This type of brow lift just repositions and reshapes the lateral brow as you can see in the pictures.  This is termed an internal brow pexy.
Please feel free to browse some of Dr. Hughes's before and after galleries below.

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