Forehead Lift (Browlift)

Brow lifts can revitalize drooping or lined foreheads, helping you look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, brow lifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.

Who is a good candidate for a brow lift?

Browlifts are typically performed on patients aged 40-60 to counteract the effects of aging. However anyone with lined or inelastic skin on the forehead โ€“ whether itโ€™s caused by muscle activity or inherited conditions โ€“ is potentially eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation.

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What should I expect during a endoscopic brow lift?

The endoscopic brow lift is by far the more commonly used technique. The surgeon will make two (less than an inch long) behind the hairline. The endoscope is placed in one so the surgeon can see beneath the skin without having to make a large incision, while he or she lifts the skin and adjusts muscles through the other incisions. Once the desired eyebrow lift is achieved, the tissues are fixated in position to help maintain the brow lift. The incisions are then closed and the surgeon will protect the stitches with gauze or bandages.

What should I expect during a traditional brow lift?

The surgeon will make a coronal (headphone-shaped) incision behind the hairline stretching between the ears and across the top of the forehead. The incision may be placed further back or made along the skull bone joints to minimize its appearance in patients with thinning hair or who are bald. Then the forehead skin is lifted, tissue removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. The site is closed with sutures and the surgeon will protect the stitches with gauze or bandages.

What should I expect with my brow lift recovery?

With both procedures, you will be on your feet and able to wash your hair in a day or two, and many patients return to work or school in 7-10 days. Swelling and bruising should fade by the 2nd week. Complications are rare and usually minor but may include temporary numbness, nerve injury, a small amount of hair loss along scar edges, formation of a broad scar requiring surgical correction, and infection and bleeding.

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