Eyebrow-lift With Frontal Muscle Plication.

The design of the upper third of the face is one of the most important aspects that the facial plastic surgeon must be concerned about to achieve good aesthetic results during rejuvenation procedures. Different approaches are described, from coronal foreheadlift to endoscopic eyebrow-lift.1,2 Before choosing the best technique, one must evaluate the position and quality of the hairline, eyebrow position, skin mobility, bone structure, symmetry, and shape of the periorbital area. The exact position of the eyebrow and its maintenance postoperatively are the main concerns. These should be in mind especially in women, whose eyebrows must be arched with a peak corresponding to the lateral aspect of the eye, whereas men’s eyebrows can present a more horizontal design.3 We describe an open surgical approach to elevate the eyebrows through small incisions, subcutaneous frontal detachment, and plication of the frontal muscle. The technique can be viewed in the Video.