BROW LIFT

A forehead lift or brow lift is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines of the forehead and the vertical furrows between the eyebrows that can make a person appear angry, sad or tired.

The brow lift is often performed in conjunction with a face lift to provide a smoother overall look to the face. Eyelid surgery may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals. Some patients have already had eyelid surgery but have hooding of the upper eyelids again, due to sagging of the eyebrows. The forehead lift or brow lift can rejuvenate the eyelids and eyes again.

Before The Procedure

During your consultation, your surgeon will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure. Be sure to tell your surgeon if you have had previous facial surgery. If your hair is very short, you may wish to let it grow out before surgery, so that it’s long enough to hide the scars while they heal.

During The Procedure

Procedure: Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. It takes one to two hours and may be done under sedation with a local anaesthetic, or under general anaesthetic.

THE CLASSIC FOREHEAD LIFT: Before the operation begins, your hair will be tied with rubber bands on either side of the incision line. Your head will not be shaved, but hair that is growing directly in front of the incision line may need to be trimmed. For most patients, a coronal incision will be used. It follows a headphone-like pattern, starting at about ear level and running across the top of the forehead and down the other side of the head. The incision is usually made well behind the hairline so that the scar won’t be visible. If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding even more height to the forehead. In patients who are balding, a mid-scalp incision that follows the natural pattern of the skull bones is sometimes recommended.

By wearing your hair down on your forehead, such scars become relatively inconspicuous. Special planning is sometimes necessary for concealing the scar in male patients, whose hairstyles often don’t lend themselves as well to incision coverage. Working through the incision, the skin of the forehead is carefully lifted so that the underlying tissue can be removed and the muscles of the forehead can be altered or released. The eyebrows may also be elevated, and excess skin at the incision point will be trimmed away to help create a smoother, more youthful appearance. The incision is then closed with stitches or clips.

Your face and hair will be washed to prevent irritation and the rubber bands will be removed from your hair. Although some plastic surgeons do not use any dressings, your surgeon may choose to cover the incision with gauze padding and wrap the head in an elastic bandage. Often a small drain is used to decrease bruising around the eyebrows or eyelids.  The drain is usually removed the next day in the office.

THE ENDOSCOPIC FOREHEAD LIFT: Typically, an endoscopic forehead lift requires the same preparation steps as the traditional procedure. However, rather than making one long coronal incision, your surgeon will make three, four or five short scalp incisions, each about an inch in length.

An endoscope (a pencil-like camera device connected to a television monitor) is inserted through one of the incisions, allowing your surgeon to have a clear view of the muscles and tissues beneath the skin.
Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance.

The eyebrows may also be lifted and secured into their higher position by sutures beneath the skin’s surface or by temporary fixation screws placed behind the hairline. When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will be washed. Gauze and an elastic bandage may also be used, depending on your surgeon’s preference.

After The Procedure

browlift

The immediate post-operative experience for a patient who has had a classic forehead lift may differ from a patient who had the procedure performed endoscopically.

  • Forehead lift patients may experience some numbness and temporary discomfort around the incision, which can be controlled with prescription medication. Patients who are prone to headaches may be treated with an additional longer-acting local anesthesia during surgery as a preventive measure.
  • Two to three days: you may be told to keep your head elevated to keep the swelling down. If bandages were used, they will be removed around now. After that you should be able to shower and shampoo your hair normally
  • About one week: swelling that may have affected the cheeks and eyes should start to disappear
  • One week to ten days: most patients return to work. Endoscopic patients may feel ready to return sooner
  • Within two weeks: most stitches or clips will be removed sometimes in two stages
  • Some of your hair around the incision may fall out and may temporarily be a bit thinner. Normal growth will usually resume within a few weeks or months.
  • Within three weeks: most of the visible signs of surgery should fade completely
  • For several weeks: vigorous physical activity (including jogging, bending, heavy housework, intercourse, or any activity that increases your blood pressure) should be limited
  • For several months: Prolonged exposure to heat or sun should be limited
  • Up to six months: as the nerves heal, numbness on the top of your scalp may be replaced by itching. These sensations may take as long as six months or more to fully disappear..

What you should know
Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look; infection; broad or excessive scarring.

Duration of Results: Usually five to ten years.

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