Relevant Anatomy

There are several layers of different tissue types over the frontal or forehead bone, these include the skin, several different muscles and various strengthening layers that hold the tissues in place to the underlying bone. Nerves for both sensation and for muscle movement run between these layers in a relatively predictable pattern and position. The main nerves for forehead and scalp sensation emerge from the eye socket and run vertically upwards through the area that is operated on, whereas the nerves for forehead muscle movement enter from the temple region.

Like most procedures designed to change the shape and position of tissues, the key to a successful and durable brow lift is to move the various layers as an entire unit and reattach them firmly into their new position. This avoids the need to pull the skin tight which always looks artificial and also leads to rapid skin stretching and a short lived result.