Brow Lift, Lip Lift & Bichectomy
Selected facial procedures used where individual anatomy, ageing pattern, and facial balance indicate — never as routine additions.
Correcting brow descent with precision
Brow ptosis — the gradual descent of the brow below its natural position — can contribute to upper facial heaviness, a tired appearance and, in selected cases, visual crowding around the upper eyelid. Technique selection is not based on a single standard lift: direct, lateral, internal and medial approaches address different patterns of brow descent.
Four approaches — one anatomical decision
The appropriate brow lift technique depends on the pattern and degree of descent, hairline position, upper eyelid excess, scar tolerance and whether brow support is being planned alone or together with blepharoplasty or facial surgery. Some patients need a defined brow lift; others benefit only from subtle support through the upper eyelid incision.
Who benefits from brow lift
Restoring the perioral frame
The upper lip elongates with age — the philtrum lengthens, upper tooth show reduces, and the lip corners descend. Lip lift and corner lift address these changes through small, precisely placed excisions that are performed together in most cases, as they address the same anatomical zone from complementary angles.
Lip lift and corner lift — combined in most cases
The two procedures target different parts of the perioral region but are anatomically and aesthetically related. Performing them in the same session allows the result to be planned as a coherent unit rather than treating each change independently.
Who benefits from perioral surgery
Midface refinement — selective reduction
Bichectomy — removal of the buccal fat pad — reduces lower cheek fullness and sharpens the midface contour. It is a short, intraoral procedure with no external incisions, performed under local anaesthesia alone or combined with other facial procedures under general or sedation anaesthesia.
What bichectomy does and does not do
The buccal fat pad sits in the midface, contributing to the rounded fullness of the lower cheeks. Through a small incision inside the mouth, the pad is accessed and partially removed — there are no external incisions and no visible scars. The result is a reduction in lower cheek volume with modest sharpening of cheekbone definition, most visible at 3–6 months once swelling resolves.
Patient selection is critical. The buccal fat pad reduces naturally with age, and in the early twenties the soft-tissue distribution of the midface and cheeks may still be changing. For that reason, bichectomy is rarely planned under the age of 24. Once facial soft-tissue maturity is more settled, naturally full faces with adequate volume may read better after treatment. In patients over 40 or those with thin facial structure, the same procedure may increase the risk of hollowing over time. This is addressed directly during consultation. Bichectomy is a focused, limited intervention — it refines existing structure, and the degree of change depends on the size of the pad and baseline facial structure.