The Mitek Tac-it® Brow or Forehead Lift Procedure is essentially an endoscopic browpexy that uses the Mitek Tac-it® fixation device to achieve stable fixation of the forehead tissues. Three incisions are made behind the hairline, one in the center, the other two behind the highest portion of the non-hair bearing scalp in the front. Dissection is carried out under endoscopic guidance to achieve release of the forehead skin and underlying soft tissues. Furrow-causing muscles are removed, and cross crease muscles are weakened. Adequate release is assured by elevating the skin and witnessing re-positioning of the eyebrows in a symmetric fashion. Two symmetric drill holes are made in the outer portion of the skull. This is done with a drill bit that is protected from entering too deep into the bone. The fixation devices are deployed. They are screws designed to accommodate a suture that runs from the soft tissues of the brows and forehead and is anchored to the device to achieve stable suspension. Extra skin is removed from the two outside incisions, and the incisions are closed.
Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon
