The brow lift is a procedure designed to elevate the brow to a more youthful position relative to the eyelids. It will also improve lateral hoods (which are the droopy flaps of skin that hang over the outside corner of the eyes)
If you think you have excess skin in the upper eyelid, put the index finger above the mid portion of the eyebrow, and the thumb at the lateral (outside) part of the eyebrow. Lift to position the brow where you would like it to be. You will notice there is really very little excess skin. If you only remove “extra” eyelid skin, the brow will still be in a low position that makes the eye area look small and crowded rather than open and fresh.
A brow lift, on the other hand, will make the eye complex appear more open and “fresh”. A person with very severe “hooding” of the upper eyelid will benefit from both brow lift and eyelid skin resection, or blepharoplasty
Brow lift may be performed in several ways. There are three commonly used techniques.
The options are : Coronal lift, Endoscopic lift, and Subcutaneous lift.
A coronal forehead lift involves an incision across the top of your head, from ear to ear. Through this incision, the surgeon can alter the muscles (frontalis, procerus, and corrugators) that cause horizontal forehead wrinkles and scowling.
After doing this, the surgeon will actually remove about a 1-2 cm strip of the scalp and sew the remaining scalps together.
The main disadvantage is that you will be numb on the top of your head for about six months, after which time the sensation usually returns. This technique also raises your hairline, which can be a problem for those with a high forehead who also wear their hair back.
The advantages of this technique are that it is lasting.
Also the scars are concealed behind the hairline and are not seen after they heal.
Endoscopic forehead lift involves four to six short incisions behind the hairline. Through these small incisions, the plastic surgeon inserts an endoscope which has a tiny camera on the end. This allows her or him to see under the skin without making a long incision across the top of the head. Through this technique, the plastic surgeon will be able to do most of the things that can be accomplished through a coronal lift with a few notable exceptions. The plastic surgeon will be able to weaken the scowl-causing muscles but will not be able to directly alter the muscle that causes horizontal wrinkles. Also, the plastic surgeon can lift the forehead, but does not remove the excess scalp. She (or he) merely shifts it upward and backward on the skull. To secure the scalp into its new position, the plastic surgeon may drill small hole into the skull and place tiny screws. Even with these screws, because excess scalp is not removed, there exists greater potential for the forehead and brows to droop after an endoscopic lift.
Subcutaneous forehead lifts are the least commonly performed of all brow lifts. In this technique, the plastic surgeon makes an incision across the top of the forehead where the hairline begins. All of the muscle alterations that are performed through a coronal lift are possible through this operation. Also, the excess skin is removed. Because the incision is in front of the hairline, your hairline will not be moved higher. Also, you will not have numbness on top of the scalp. The major disadvantage of this technique is that it leaves a scar across the top of the forehead, which can be highly visible. To conceal the scar, you will need to wear the hair forward
Anesthesia: sedation or general.
Time of surgery: 30-90 minutes.
Discomfort: Mild; anticipate 0-4 days of prescription pain medication.
Swelling and bruising: Improve in 10 days.
You can reduce swelling through constant head elevation and frequent application of ice. You may develop black eyes temporarily.
Stitches: Removed in 7-10 days.
Contact lenses: May be worn in one week.
Make-up: May be worn in 7 days.
• Forehead paralysis
• Brow asymmetry
• Permanent loss of hair
• Numbness of the forehead
• Early relapse
• The surprised look
• High hairline
The best brow lift patient is in good health, a non-smoker, and is able to avoid blood thinning medications for two weeks before surgery. He or she has low and heavy eyebrows, and may be aware of looking tired, angry, or worried much of the time.
There is no lower age limit. Some patients have low brows at an early age which is often hereditary.
Botox can be used to paralyze the muscles that keep the brows low, allowing them to rise. This effect is mild, though – a surgical brow lift is much more effective at raising the brows. Also, the effects of Botox last only a few months, whereas the effects of brow lift surgery are generally permanent.
The day before surgery, you should eat normally but avoid excessively heavy meals, or foods that can lead to acid reflux . Most importantly, do not eat or drink anything after midnight before your procedure. See the
Procedures are done at the Clinic or the hospital under local anesthesia .
Brow lifts take about two hours to complete.
Brow lift procedures do not lead to severe pain, but you will have mild soreness and tightness of your forehead. These symptoms are easily controlled with medications that we will prescribe for you. Approximately 10% of patients have headaches for the 24 hours after surgery.
You should plan to take one week off of work, so swelling and bruising can resolve. Exercise should be avoided for about three weeks after surgery.