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Dr. Barry Eppley

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Surgeon Dr. Barry Eppley

Technical Strategies – The Pretrichial Temporal Browlift


The position of the eyebrows on the brow bones over the eyes plays a major role in facial expression. Low eyebrows can convey an impression of anger or tiredness. Conversely, high eyebrows can make one look surprised  or very wide-eyed/alert.

But beyond facial expression there are some basic gender differences in their shape as well. It is commonly believed that a woman’s eyebrows are significantly higher than that of men. While this is a commonly held belief, it is not really true as the top edge of the eyebrows (middle of the eyebrow arch) is actually fairly similar. A woman’s eyebrow’s may appear higher because they are usually thinner and do come as close together in the middle. (all due to plucking)

Details of beauty. French manicured nails and eye with ceremonial makeup

Details of beauty. French manicured nails and eye with ceremonial makeup

But the shape of the eyebrow arch is also more exaggerated in women with an often higher arch position at the tail of the brow. Conversely, a male eyebrow besides being thicker is more flat. This change in the eyebrow shape and that of a thinner female eyebrow is probably why a browlift has a feminizing effect.

The temporal browlift is largely a female procedure because it provides a tail of the eyebrow upward tilt. It lifts the tail of the eyebrow up and off the lateral brow bone. The traditional temporal browlift places the incision behind the temporal hairline. It achieves its lifting effect by excising temporal scalp tissue. While effective this pulls back the edge of the temporal hairline and leaves a scar back in the hairline which has the potential to become wide.

Right Pretrichial Browlift intraop result Dr Barry Eppley IndianapolisLeft Pretrichial Temporal Browlift result intraop Dr Barry Eppley IndianapolisAn alternative incision location for the temporal browlift is right at the hairline. This is a more direct approach that is usually more effective as the location of the pull of the lift is closer to the eyebrow. It also allows the direction of the lift to be well controlled by where along the temporal hairline the incision is placed.

Bilateral Pretrichial Temporal Browllift result intraop Dr Barry Eppley IndianapolisWhile the pretrichial temporal browlift has the potential to create a noticeable scar as it is not back in the hairline, its effectiveness outweighs these risks in some patients. This is particularly useful in the women who desires a strong an exaggerated temporal browlift effect.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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