Sometimes Dr. Freeman developed and teaches an approach to endoscopic browlift surgery he calls a “segmental approach to endoscopic browlift”. Aging brows tend to come in one of three categories as illustrated by the three patients below:
Lateral brow lift patient
¾ brow lift patient
Full brow lift patient
The type of release that Dr. Freeman performs under the skin of the forehead and brow will depend on the preoperative position of the medial head of the brow and the lateral tail of the brow as depicted above. In some patients the brow position on one side of the face is so different than the other side that he elects to perform a different release on one brow than he does on the other in an attempt to make them more symmetrical after surgery. Perfect symmetry after surgery is improbable with surgery but there is nothing wrong with improvement! See his photos for the many examples of Dr. Freeman’s asymmetric brow lifts.