What is the Customary, Standard, or Traditional Brow Lift or Browpexy?

Because every surgeon has a preference for a particular procedure, every surgeon will have a different idea as to what constitutes the traditional brow lift. The most common interpretation of the “standard” brow lift is the open approach involving a coronal incision, whereby the cut is made either behind or along the forehead hairline. The forehead is undermined to the level of the eyebrows, either on top of the bone (subperiosteal), or on top of the bone covering (subgaleal). Frown muscles (corrugators, procerus, and depressors) are resected (removed). In some cases, sections of the frontalis (the eyebrow raising muscle, and the same one that causes the cross-forehead creases) are also removed. The brows are fixed in a symmetric configuration that is aesthetically pleasing, taking into account patient sex, and preoperative preference. A sliver of skin is removed at the edge of the incision, which serves to tighten skin laxity.