Direct browplasty

To the facial plastic and reconstructive surgeon, direct browplasty is a useful adjunct to other facial rejuvenative procedures. Unlike other procedures designed to correct the ptotic brow, direct browplasty allows the surgeon to reposition the brow more accurately. In addition, use of a layered plastic closure results in an acceptable surgical scar that can further be camouflaged with appropriate cosmetic techniques in selected patients. The indications, surgical technique, and postoperative care are described.