When a brow is low, the eye looks tired and excess skin can be present in the crow’s feet area. When the brow is in the ideal position, the entire upper eyelid looks better and any hanging skin at the sides of the corners of the eyelids will be reduced.
When the brows are low, the body automatically compensates by using the forehead muscles to raise the brows. The result is horizontal lines across the forehead. Once the forehead no longer has to raise the brow, these lines improve. Botox™ can weaken the forehead muscles and reduce the lines, but if the brow is weak then there is no way to elevate them and the eyes look droopy.
A brow lift must not be overdone. The brow does drop with time, but not nearly as much as plastic surgeons typically elevate them.
The facelift’s reputation for making someone look like they are staring is actually undeserved. The "deer in headlights" look is due to a brow that has been overly elevated. The goal of a brow lift is always to elevate the tail of the brow, but the tail must always be elevated more than the central brow. This undesirable appearance is created when the central brow is too elevated.
Like his approach to all plastic surgery of the face and body, Dr. Teitelbaum blends the configuration of the brow to be in harmony with the eyes and the face. When doing a facelift there is a temptation to pull it as much as possible, and when performing a brow lift to raise it as high as it will go. But the goal is never to just make a brow high; brow elevation is only important insofar as it makes the patient more attractive, and Dr. Teitelbaum excels at looking at the total picture in order to make his patients look superb.
Brow lifts have been an area of interest for Dr. Teitelbaum since the early 1990s and he has experience with all the major brow lifting methods. His many happy brow lift and facelift patients have continued their follow-ups with him over these years so he has had the opportunity to appreciate how different procedures fair over the years. This experience has shown Dr. Teitelbaum how to optimize long term issues such as maintaining the brow height and arch, the relationship between the brow and the face, and changes to the hairline.