Browlifting with thread: the technique without undermining using minimum incisions

The position of the eyebrows exerts great influence over the upper eyelids, both in terms of skin excess as well as in the overall aesthetics of the lid/orbit region. Based on the need to associate the treatment of the eyelids with that of the eyebrows, the author developed an essentially simple surgical technique for browlifting. Through minimal incisions in the scalp and in the superior margin of the eyebrow, an anchor is made and traction is exerted with 00 cotton thread, without undermining in the frontal region, exception made by the thread line which is subgaleal. The main difference between this and other techniques is its use of the glide of the eyebrow over deep soft tissues, without the necessity of undermining. The follow-up ranged from 6 to 16 months, during which the lift remained at acceptable levels in most patients, while in a few cases it dropped down a little. This procedure was well accepted by the patients, making it a good alternative for the treatment of brow ptosis.