Brow Lift

Brow Lift

What is Brow Lift?

A Brow Lift is a procedure that improves the eye by reshaping and elevating the eyebrow. It also reduces the wrinkles present in the eyebrow and forehead area.

The eyebrow has a vital role in your appearance. Emotions such as concern, surprise, sadness, curiosity, anger and happiness are all played out across the forehead. The sagging of the eyebrows as we age produces a tired appearance that may cause hooding of the upper eyelid. A lot of cases point to the eyelids as the problem area but the sagging of the brow causes the eyelid skin to appear excessive. By moving the brow in its proper location, a Brow Lift may reduce the need for removal of the upper eyelid skin (Blepharoplasty). Proper re-positioning of the brow through Brow Lift exposes the sulcus (hollow) of the upper eyelid thus giving the individual a more attractive, youthful appearance. Additional procedures that may enhance the effect of a forehead or Brow Lift include Face Lift, Upper and/or Lower Eyelid Blepharoplasty or Facial Resurfacing.

Effects of Brow Lift

As you age, wrinkles and frown lines are usually the first to appear. A Forehead Lift or Brow Lift can provide a younger and fresher appearance because it can smooth out wrinkles and fix sagging brows and heavy lids. Brow Lifts can be performed on its own or combined with other procedures such as facelifts, eyelid surgeries or laser skin resurfacings.

Candidates for Brow Lift

Proper patient selection is critical to the choice of a particular procedure. You may be a good candidate for Brow Lift if you have at least one of the following conditions:

  • A sagging or low position of the eyebrows that creates a sad or tired appearance.
  • Appearance of deep horizontal creases across the forehead.
  • Deep frown lines between the eyebrows and/or across the top of the nose.

An appearance of excess skin in the upper eyelid area (hooding) that may obstruct the peripheral vision.

Your Consultation

During the initial consultation, BHMGs Board Certified Surgeon will take your complete history with emphasis on any previous cosmetic facial and eyelid surgery and any medical conditions that may affect your recovery. The doctor will then perform a thorough evaluation of your face, forehead and eyelids, discussing with you your goals for the surgery and areas of improvement you would like to achieve. After this, a recommendation of the appropriate procedure or combination of procedures will be designed specifically for your needs to help achieve your goals. Procedures in addition to the Brow Lift may include Blepharoplasty, Face Lift, Injectable Fillers and Botox Treatments.

The Brow Lift Procedure

A Brow Lift can be performed two ways: First, as an outpatient procedure under a local anesthetic with deep sedation. And second, with general anesthesia that may take 1 to 2 hours. The classic method hides the incision just inside or by the hairline across the scalp and between the ears. This minimizes the appearance of wrinkles because it removes selected muscles and releasing tissue. Eyebrows are usually elevated and excess skin at the incision will be removed to allow a gentle reshaping of your forehead skin.

Depending on your needs, a variety of technical approaches can be used to achieve the goals of a Brow Lift. Traditional techniques involve making an incision in the scalp, hidden behind the hairline. For those patients with receding forehead hair line, the incision is often located precisely at the frontal hair line, so that the hair line will not be further elevated. There are other less invasive techniques that allow us to perform Forehead Lifting through small incisions placed behind the hairline. The procedure is performed using an endoscope (a surgical telescope probe connected to a specialized light source and video camera) and specialized instruments while monitoring the patients progress on a television screen. The results of Endoscopic Forehead Lifting and Traditional techniques are generally equal. Through the chosen incision, the forehead muscles which are causing the wrinkling and frown lines are addressed and modified, and any excess skin is corrected, allowing elevation of the eyebrows to a more youthful appearance.

There are two methods to lift your forehead and eyebrow areas:

The Classic Lift

The Classic Lift involves one continuous incision, beginning at the level of your ears and going up around your hair line. Depending on where your hair line is, the surgeon will move the incision line to avoid a visible scar. For instance, for a man who is balding, the surgeon can make the incision mid-scalp, so the scar can be hidden in the remaining hair.

The Endoscopic Lift

The Endoscopic Lift is different because instead of making one continuous incision, your surgeon will make a few shorter incisions in the scalp. A scope (small camera on the end of a thin tube) will be placed into one of the incisions in order to view the tissues and muscles through a screen. At the same time, another device will be inserted in a different incision to make the necessary alterations.

For this procedure, small titanium anchors will be used to secure the offending tissue once it is altered appropriately. Those anchors are tiny but mighty. They will keep your tissue under control for years. Because of the smaller incisions, this procedure is less invasive. You will experience minimal scarring and recovery time will be shortened.

Recovery

Following surgery, antibiotics will be prescribed by your surgeon. Swelling and some bruising may occur in the forehead or upper eyelid areas, which will subside within a few weeks. Depending on your doctors recommendation, BHMG patients are normally allowed to shower and wash their hair 24 to 48 hours after the surgery. Sutures and staples are removed a week to 10 days after surgery. Women may use eye cosmetics 10 days after surgery. Normal daily activities may be done within 1 to 2 weeks after surgery.

All of our patients are greatly pleased with the improvement after their Forehead Lift. Depending on a patients lifestyle and his or her genes, results can be expected to last for years. Most patients request for additional improvements to maintain their rejuvenated appearance after their Brow Lift.

Risks

Fortunately, there are very infrequent complications from the Brow Lift. However, complications include hematoma (an accumulation of blood under the skin that may require removal), infection and pain. Other minor complications, such as hair loss at the location of the incisions, numbness or itching of the scalp in the vicinity of the incisions, or poor healing of incisions may occur, but these are usually temporary and easily treatable.

FAQs

Will my hair have to be shaved in order to do the Brow Lift?

Hair shaving is not necessary in order to do the Brow Lift. During the Endoscopic Brow Lift, small incisions will be placed within the hair and no scalp or forehead skin will be removed. With the Coronal or frontal hairline incisions, the hair is parted then after the lift has been completed the scalp will be re-approximated without any gaps.

Can Blepharoplasty be done at the same time as Brow Lift?

These two procedures can be done simultaneously, especially if the Brow Lift and the Blepharoplasty are required in order to achieve the best results. Basically the Brow Lift is the first procedure to be done and the more conservative upper Blapharoplasty is done last, because there will be less excess upper eyelid skin after the Brow Lift.

How can I tell if I need a Brow Lift as opposed to Blepharoplasty (Eyelid Tuck)?

There are a lot of cases where the position of the brow contributes to the appearance of the excess skin in the upper eyelids. A heavy brow would tend to sag low on the forehead which will make the upper eyelids look more creased. Bringing the brow higher to its proper position would improve the appearance of the upper eyelids without any surgery.

What factors can prevent me from being a good candidate for an Endoscopic Forehead lift?

Patients with very high foreheads or receding hairlines (baldness) are not considered candidates for the Endoscopic Forehead Lift because the necessary incisions may not be placed inconspicuously thus resulting for the hairline to recede even further. In cases like these placing the incision at the frontal hairline (or in the mid-forehead crease) will allow the brow to be lifted properly without moving the hairline.

Will a Brow Lift give me a surprised look?

With careful planning and execution of BHMGs certified surgeons, the Brow Lift is sure to improve the appearance of the forehead and the eyebrows thus not resulting in a surprised look.

When can I shampoo or have my hair colored after Brow Lift?

Surgeons usually allow patients to shampoo and condition their hair 24 to 48 hours after the procedure. Hair coloring and trimming is allowed 2 to 3 weeks after the surgery or when the incisions are completely healed.

Will insurance cover my Brow Lift procedure?

Every insurance company has different policies so we recommend that you check with your own insurance company to determine the level of coverage. Although a Brow or Forehead Lift is a strictly cosmetic procedure, there are rare situations that the procedure is deemed medically necessary because of visual impairment. Securing a medical certificate from your ophthalmologist will also help in obtaining a reimbursement from your insurance company.