This is a question that I answered for a patient that was wondering if there is a skin lift in the temporal areas that could lift the eyes and eyebrows for a more exotic look.  She was able to create this look by pulling her hairback like putting it into a ponytail type fashion:

There are temporal lifts (Philip Young MD, Bellevue near Seattle, Washington) that can elevate the lateral parts of your eyebrow and eye.  These lifts do entail excising, or cutting, skin.  But they also entail lifting the muscle or some form of plicating the muscle like a pleat to lift the muscle.  The elevation of the muscle gives the lift some longevity.  I understand the question that you are asking.  But from the answers of the doctors, I can see that they are interpretating your question literally and that might be limiting their answer.  Yes you can lift the skin, but with the lift in order to ensure that you can create some longevity, you should also work on the muscle.  These lifts can lift your lateral eyebrow and also lift the corner of your eye as well (although this can be more difficult and complicated.  Also there are special lifts that pull up on the muscles on the sides of your eyes that can help with the overall lift.  This procedure is not as well known to plastic surgeons.  This can improve crows feet.

Thanks for reading,

Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

An Endoscopic Browlift (Philip A Young MD, Seattle Washington) is a type of minimally invasive browlift that employs scopes to help with the dissection and lift.  The difference is that you have 5 smaller incisions with the endoscopic browlift as opposed to a very long incision all the way across your forehead from ear to ear in more traditional forehead lifts.  Very unique scopes are used with a camera and tv set up that allow the surgeon to look under your forehead.  This facilitates the visually approach to the area just under your eyebrow.  It helps the surgeon dissect this tricky area and avoid damaging nerves.  The benefits are that the incisions are smaller and recovery has been found to be slightly better.  Also, because you are not cutting through all layers of the skin from ear to ear, the sensation in the scalp can be preserved.  Some people feel that you don’t get as long of a lasting lift with the endoscopic browlift as you do with traditional browlifts.  This has prompted many surgeons to go back to the traditional browlift.  But if you only need a minimal to moderate amount of browlifting and would like to avoid really long incisions across your forehead the endoscopic browlift might be the best thing for you.  Nowadays,  endoscopes are not totally needed as many surgeons are adopting the “smart hand” technique where the surgeon is doing the dissection through feel and the knowledge of the anatomy.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Browlifts (Dr Philip Young Seattle Washington) are usually done through an incision behind the hairline in traditional methods.  This allows the eyebrows to be elevated and the muscles in between the eye to be resected or modified to keep the eyebrows from creating the “elevens” wrinkles or the wrinkles in between the eyes that create an angry look.  Resecting the muscle makes it so that making an angry look becomes much harder.  The incision behind the hairline can be used to elevate the eyebrows but this often can lead to an even higher forehead or more posterior hairline that is sometimes unwanted in someone who already has a high forehead.  This can be avoided by making the incision within the front of the hairline so the hairline is not pulled back.  The minor drawback is the incision within the front of the hairline.  But the incision can be adjusted so that the hair can grow through the incision to hide it better.  Limited incision browlifts can also be done to avoid a long incision across the scalp but these tend to also elevate the hairline.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington