Detailed Preoperative Evaluation – The Key To A Successful Brow Lift The eyes are focal points in the successful analysis of the signs of aging of upper and middle face structures. Brow lifts have a great impact on rejuvenating the whole face appearance. Accordingly, brow lifts are more complicated and challenging procedures than previously thought. A brow lift should not be regarded by the plastic surgeon as a routine procedure; in spite of being one of the most commonly performed surgical procedures. Detailed knowledge of the anatomical structure of the eye socket (orbit) and the changes accompanying aging largely determine the success of brow lifts. Brow lift can be formulated with correction of faulty brow positions and correction of decent of middle face structures. A successful procedure would guarantee the preservation of upper eye fullness with a defined upper lid crease. Moreover, positive results would include a smooth transition between the cheek and the lower lid which helps in restoring the youthful eye look. Skillful plastic surgeons are capable of repositioning the eyelid’s fat tissue and manipulating the anatomical structures of the eye lid and the cheek, if the need arises during a brow lift procedure. Preoperative detailed assessment of the candidate’s condition is of pivotal importance in determination of a favorable outcome of the brow lift procedure. The plastic surgeon should carefully assess the visual acuity, eye mobility in different planes and possible coexisting medical conditions. Visual acuity is tested with the patient wearing his/her glasses or contact lenses. This is an important step to determine the baseline vision before the procedure. Eye mobility is examined by asking the patient to follow an object through the six different directions. After carefully examining the visual acuity and eye mobility, the plastic surgeon takes photographs of the patient before undergoing the brow lifting procedure. This is an important step that helps in preoperative planning, as a reference in the operation room, and in reviewing the results of the procedure with the patient postoperatively Apart from the aforementioned evaluation tests, coexisting medical problems that can increase the risk of complications following brow lift should be carefully looked for. The first step in a perfect medical evaluation includes a detailed history directed toward recognition of specific entities, including eyelid inflammatory disorders, thyroid disorders, neurological diseases and eye disorders with impaired tear production. All of these medical disorders increase the risk of complications following brow lifts, and should be carefully screened by the plastic surgeon before surgery. The plastic surgeon should choose a brow lift technique that is conservative in order to minimize the risk of eye dryness or deformity of position of the eye lid. Dr. Jay Calvert is a professional Board Certified Plastic Surgeon who specializes in brow lifts, face lifts, mid- facial lifts and neck lifts. Dr. Calvert strongly believes that each case has unique circumstances, anatomical considerations and psychological aspects that should all be formulated into the perfect cosmetic procedure to be performed. His experience and detailed up-to-date knowledge will guarantee a brow lift that would aid in rejuvenation of the appearance of your whole face. Don’t hesitate and contact Dr. Calvert and you will sure get the best results you could ever think of.