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2025.12.04
Anterior Forehead Lift vs. Underbrow Incision ⸻Explaining the Difference in Indications and Effectiveness
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
Hello!
Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
"My eyelids feel heavy." "I look more tired than my age."
Many people struggle with these upper eyelid concerns, but the appropriate surgery varies significantly even when symptoms appear similar.
What matters is not the degree of change in preferences or tastes, but the cause: where the surplus lies.
This article explains the appropriate surgical options based on the underlying cause.
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■ Subbrow incision is suitable for "excess skin on the eyelid alone"
Brow lift surgery is,Excess skin on the upper eyelid itselfIt is effective.
✔︎ The natural double eyelid line has become obscured by excess skin.
✔︎ Thickness in the eyelids (the thickness of fat called the ROOF) makes them appear heavy.
✔︎ There is no significant excess skin on the forehead.
In this case, treating the eyelid itself is the shortest route.
To remove excess skin immediately below the eyebrows,Reveal the natural double eyelid line once againcan do.
"Rather than creating new double eyelids,"Restore your hidden double eyelidsTreatmentThis is its positioning.
For cases with significant thickness, combining the procedure with fat removal can help achieve a more refined and streamlined appearance.
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■ A forehead lift is suitable for "cases where excess forehead skin is causing a drooping appearance."
On the other hand, a forehead lift is,The type where the forehead and upper eyelids are loosening togetheris suitable for.
✔︎ Deep wrinkles have etched themselves into his forehead.
✔︎ Widespread sagging from the forehead to the eyelids
✔︎ Raising their eyebrows to secure their field of vision
✔︎ Always looks tired
When excess skin on the forehead sags downward, the eyelids appear heavy.
However, simply removing the eyelids leaves the root cause (the forehead) unchanged,Recurrence occurs soonerThere are risks.
A forehead lift is a surgical procedure that repositions excess skin on the forehead upward,Forehead and upper eyelids improved simultaneouslyand her entire expression brightens.
This method is particularly suitable for those seeking long-term stability.
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■ The most critical point is the "source of skin excess."
The turning point that determines the success or failure of treatment is very simple.
・Only the eyelids are sagging → Brow lift
・Excess forehead skin extending to the eyelids → Forehead lift
Performing the opposite surgery,Insufficient effect Unnecessary changes Early recurrence,This creates a mismatch.
That is precisely why the choice of surgical procedure depends on the cause.You must make a decision.
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■ Summary
Both forehead lifts and brow lifts are excellent procedures,The scope of effect and purpose are different.
What matters is,
✔Where exactly is there space available, and how much?
✔Where should we approach?
Accurately diagnose.
To achieve maximum results with minimal effort,First, carefully evaluate the cause,We will propose the optimal treatment plan with your future in mind.
Feel free to contact us anytime.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
Read other blog posts ▼
https://biancaclinic.jp/author_cat/fujihashi/
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
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