Aesthetic Considerations in the Elevation of the Eyebrow

Abstract

In an increasingly diverse and multicultural society, it becomes increasing imperative to understand the aesthetics and proper analysis of the face, particularly as it applies to forehead lifting and elevation of the eyebrow. Most articles published to date have emphasized the surgical anatomy and/or surgical technique of forehead lifting and addressed the question of brow aesthetics in a uniform, generalized fashion. In addition, the emphasis on brow elevation as a means to brow/upper lid rejuvenation can further distract the surgeon from appreciating each person's unique brow aesthetics. This article examines current surgical concepts of brow/upper lid proportion and harmony and compares and contrasts them with cultural notions of the "pleasing brow" as represented by the makeup and fashion industries. There is great variation in what is considered to be a "beautiful brow," and the facial plastic surgeon must understand the nuanced elements of eyebrow configuration that contribute to the overall balance and harmony of the face.

Investigation of Anthropometric Measurements of Anatomic Structures of Orbital Soft Tissue in 102 Young Han Chinese Adults

“…21 Proper shaping of the eyebrow enhances not only the intrinsic beauty and power of the brow but also that of the eyes and face. 22 Westmore 23 established aesthetic criteria for the "ideal" brow, which was later modified by Ellenbogen 24 and Whitaker et al 25 Recently, people realized that eyebrow aesthetics are influenced by many factors, including age, sex, culture, ethnicity, and current fashion trends. 3,16,20,26 In addition, the surrounding periorbital features are important determinants of eyebrow appearance.…”

<p>One21: A Novel, Customizable Injection Protocol for Treatment of the Forehead with IncobotulinumtoxinA</p>

“…The glabella is wider in men, and the brows are more prominent and straight, and positioned lower than in women. 13 Additionally, the aging process affects each patient differently. Flattening of the forehead, atrophy of the subcutaneous forehead fat pads and loss of skin elasticity leads to accentuation of bone projections.…”

“…22 Each individual's brow aesthetics are unique and contribute significantly to the overall balance of the face. 13 Inappropriate injection of botulinum toxin in the forehead may lead to unpredictable and unattractive results, including a frozen appearance, eyebrow ptosis or brow asymmetry, especially in females with low and flat eyebrows. Consequently, there is a need for a customizable but predictable treatment approach for shaping and positioning the eyebrows.…”

High-Resolution Magnetic Resonance Imaging of the Upper Eyelid: Correlation with the Position of the Skin Crease in the Upper Eyelid

“…The restitution of the appearance and position of the upper eyelid crease are challenges in eyelid surgery. The intimate relationships between the position and the insertion of the septum, the anterior expansions of the levator aponeurosis, and the skin determine the upper eyelid crease (Alex, 2004;Sayoc, 1967).…”