The infrabrow lift, also known as a sub-brow lift, is a plastic surgery procedure to address the drooping or hooding of the outer part of the upper eyelid skin frequently associated with an aged and tired look. In individuals who have a concealed double eyelid crease, infrabrow lift can also be performed to lift the upper eyelid sufficiently to expose the double eyelid crease. Hence, infrabrow lift is often compared to other double eyelid surgeries like DST and incisional upper blepharoplasty, even though it is strictly speaking not considered a double eyelid surgery. Infrabrow lift can also be combined with other procedures to reposition the eyebrows
Who is suitable for infrabrow lift?
Infrabrow lift is the most suitable for individuals with sagging and hooding of the outer upper eyelids. As we age, the human skin loses its natural support structures like collagen and elastin. This causes the skin, including the upper eyelids, to sag from gravity. This may cause the eyelids to droop down and appear tired and listless, making one appear older. Infrabrow lift, in combination with upper blepharoplasty can remove excessive skin and hooding of the upper eyelids, giving one a more refreshed and younger look.
Infrabrow lift is typically performed under local anaesthesia.
The surgeon will make an incision along the lower brow line at the outer part or tail of the eyebrows. From this incision, excess fat, skin and some muscle are excised. At this stage, additional sutures can be placed to reposition the outer part of the eyebrows. The incision is then closed with sutures. This will tighten and lift the skin between the brows and the eyes, improving the lateral hooding and uncovering any ‘hidden’ double eyelid crease.
The whole procedure will take about 45 to 60 minutes, depending on individual conditions and the complexity of the case
Fundamentally, the infrabrow lift is not considered a double eyelid surgery as this procedure is unable to create new double eyelid creases in individuals without them. It is however, suitable for those who are looking to expose concealed double eyelid creases.
Below is a quick comparison of infrabrow lift and the 2 double eyelid procedures
|Procedure||Infrabrow lift||Incisional upper blepharoplasty||DST double eyelid surgery|
|Suitable for||Corrects lateral hooding (Excessive droopy skin on the outer part of the upper eyelids)||Creating double eyelids in most patients||Creating double eyelids in patients without much fatty tissue around the eyes|
|Length of surgery|
|45 to 60 min||45 to 60 min||15 to 40 min|
|Downtime||2 to 4 weeks||2 to 4 weeks|
|1 to 2 weeks|
|Swelling and bruising|
|Mild||Mild to moderate||Mild|
|Best effects seen after|
|4 to 6 weeks or less||2 to 3 months||4 to 6 weeks|
|Usually unnoticeable||May be noticeable, but usually concealed||Usually unnoticeable|
|Longevity||Long-lasting/permanent, usually non-reversible||Long-lasting/permanent, usually non-reversible||Sutures may degrade over time, and creases can deform or fade away|
The incision sites under the brow may bruise and swell for several days after the surgery. Other than this, most patients are able to resume daily activities immediately after the surgery.
You should avoid putting cosmetic products around the eyes (eyeliner, eyeshadow etc) around your eyes for up to 2 weeks post procedure to facilitate the healing process.
Also, avoid using contact lenses for several days after the procedure if possible. This will prevent distortions from occurring during the healing process.
Refrain from exerting excessive force around the eye area (rubbing of eyes etc) until the wounds are completely healed.