Lifting of the eyebrows by the excision of skin at its upper border ("direct excision").
The lateral half of the eyebrows sags down more than the medial half over the years in most people. In some, the entire brow is sagging.
Under local anaesthesia, skin can be removed at the upper border of the eyebrow.
This operation is usually combined with an upper eyelid correction (blepharoplasty).
Especially in the male face, the scars are usually sufficiently acceptable. Because of the risk of later hair loss in males, an eyebrow lift with suspension sutures, leaving scars on the temples, is generally not the best choice.
Direct excision can also provide more lifting than suture suspension.