Facial plast Surg 2004; 20(3): 193-198
DOI: 10.1055/s-2004-861774
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Aesthetic Considerations in the Elevation of the Eyebrow

James C. Alex1
  • 1Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, The Lahey Clinic Medical Center, Burlington, Massachusetts
Further Information

Publication History

Publication Date:
11 January 2005 (online)


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.