Subscribe to RSS
DOI: 10.1055/a-2709-6915
Male Browlift
Authors

Abstract
Aim and Background
This article reviews surgical techniques and considerations in the male browlift. Proper understanding of the subtle, gender specific details of browlifting procedures allows for optimal correction in men.
Techniques
Throughout the evolution of various browlifting techniques, certain ones have stood out for their ability to correct brow ptosis in various patients. Browlift techniques, including temporal, endoscopic, pretrichial, direct, and midforehead, are reviewed. Discussion of these techniques begins with a review of our brow rating scale, common considerations, and bilaminar browlift concepts. Additionally, adjunct procedures are discussed for optimization of browlift results.
Conclusion and Clinical Relevance
Mastery of male browlifting begins with an objective assessment of the brow, allowing proper technique selection for natural and masculine results.
Keywords
male browlift - brow ptosis - endoscopic browlift - bilaminar brow concepts - brow rating scalePublication History
Received: 22 September 2025
Accepted: 24 September 2025
Accepted Manuscript online:
29 September 2025
Article published online:
10 October 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Boonipat T, Hebel N, Lin J. et al. Endoscopic browlift in patients with receding hairlines. J Craniofac Surg 2022; 33 (02) 615-619
- 2 Austell PJ, Williams III EF. Male brow lift and blepharoplasty. Facial Plast Surg Clin North Am 2024; 32 (03) 383-390
- 3 Pitanguy I, Radwanski HN. Rejuvenation of the brow. Dermatol Clin 1997; 15 (04) 623-634
- 4 Scheuer III JF, Matarasso A, Rohrich RJ. Optimizing male periorbital rejuvenation. Dermatol Surg 2017; 43 (Suppl. 02) S196-S202
- 5 Meng Y, Feng L, Shan J, Yuan Z, Jin L. Application of high-frequency ultrasound to assess facial skin thickness in association with gender, age, and BMI in healthy adults. BMC Med Imaging 2022; 22 (01) 113
- 6 Koch RJ, Troell RJ, Goode RL. Contemporary management of the aging brow and forehead. Laryngoscope 1997; 107 (06) 710-715
- 7 Lee H, Quatela VC. Endoscopic browplasty. Facial Plast Surg 2018; 34 (02) 139-144
- 8 Hamilton JB. Patterned loss of hair in man; types and incidence. Ann N Y Acad Sci 1951; 53 (03) 708-728
- 9 Langsdon P, Petersen D. Management of the aging forehead and brow. Facial Plast Surg 2014; 30 (04) 422-430
- 10 Shaw LT, Phelps PO. The basics of brow ptosis. Dis Mon 2020; 66 (10) 101038
- 11 Pessa JE. SMAS fusion zones determine the subfascial and subcutaneous anatomy of the human face: fascial spaces, fat compartments, and models of facial aging. Aesthet Surg J 2016; 36 (05) 515-526
- 12 Freeman MS. Preoperative classification system used to determine release performed during endoscopic brow lift. Facial Plast Surg 2022; 38 (03) 260-273
- 13 Rihani J. Aesthetics and rejuvenation of the temple. Facial Plast Surg 2018; 34 (02) 159-163
- 14 Isse NG. Endoscopic facial rejuvenation: endoforehead, the functional lift. Case reports. Aesthetic Plast Surg 1994; 18 (01) 21-29
- 15 Shadfar S, Perkins SW. Surgical treatment of the brow and upper eyelid. Facial Plast Surg Clin North Am 2015; 23 (02) 167-183
- 16 Rafaty FM, Goode RL, Abramson NR. The brow-lift operation in a man. Arch Otolaryngol 1978; 104 (02) 69-71
- 17 Passot RL. Chirurgie Esthetique Pure: Techniques et Resultats. Paris: Gaston Doim & Cie; 1930
- 18 Butler DP, Nagendran S, Malhotra R. Revisiting the direct brow lift in patients with facial palsy: 4 key modifications. Ophthalmic Plast Reconstr Surg 2021; 37 (02) 179-182
- 19 Sokol AB, Sokol TP. Transblepharoplasty brow suspension. Plast Reconstr Surg 1982; 69 (06) 940-944
- 20 Massry GG. The external browpexy. Ophthalmic Plast Reconstr Surg 2012; 28 (02) 90-95
- 21 May Jr JW, Fearon J, Zingarelli P. Retro-orbicularis oculus fat (ROOF) resection in aesthetic blepharoplasty: a 6-year study in 63 patients. Plast Reconstr Surg 1990; 86 (04) 682-689
- 22 Viterbo F, Auersvald A, O'Daniel TG. Gliding brow lift (GBL): a new concept. Aesthetic Plast Surg 2019; 43 (06) 1536-1546
- 23 Tzikas TL. Fat grafting volume restoration to the brow and temporal regions. Facial Plast Surg 2018; 34 (02) 164-172
- 24 Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg 2007; 119 (07) 2219-2227
- 25 Rihani J. Microfat and nanofat: when and where these treatments work. Facial Plast Surg Clin North Am 2019; 27 (03) 321-330
