A brow lift, or less commonly known as a forehead lift, is designed to create a more youthful and aesthetic appearance of the lower forehead and eyebrow regions. A brow lift corrects drooping brows and can improve some of the lines in the forehead and between the eyebrows.
If you are bothered by the appearance of your forehead, eyebrows, and upper eyelid regions, then a brow lift may be an excellent choice for you. Candidates for a brow lift usually have eyebrows that lay below the level of the upper frame of the eye socket. In many cases, patients present with concerns of upper lid eyelid excess. But, they actually have droopy eyebrows. Once the eyebrows are lifted, the upper lids open up, and there may be minimal skin eyelid excess.
Brow Lift Surgery
Many patients undergoing brow lift surgery also have other areas of facial aging which require treatment. Therefore, brow lift surgery is often combined with eyelid tucks (blepharoplasty), face lift and neck lift procedures.
The biggest decision in the technical planning of your brow lift is whether it is performed using the limited incision endoscopic technique or if a traditional approach is needed. Most patients are candidates for the endoscopic brow lift technique. However, some patients may have conditions where the traditional open brow lift procedure is preferable.
For example, in patients with elevated hairlines, a traditional technique is often chosen to keep the hairline in position. This is the case because the endoscopic brow lift elevates the forehead upward and backward. In doing so, the frontal hairline shifts backward. Most patients with average hairlines still look normal after the endoscopic brow lift even with the upward and backward repositioning of the hairline. However, in patients with high hairlines, an additional elevation of the hairline can look unnatural. In such patients, the traditional brow lift procedure can be used with the scar placed along the front of the hairline so that the hairline itself would not shift backward as the forehead tissues are lifted.
Endoscopic Brow Lift
After you are comfortably asleep under general anesthesia, the face and head are sterilely prepared for surgery. Numbing medicine with adrenaline is then injected into the forehead and scalp regions. With the endoscopic brow lift technique four or five small incisions are made in the scalp and the forehead tissues are then separated from the skull. The tissues along the lower part of the forehead, above the eye sockets, are loosened to allow the eyebrows to be lifted. Also, the muscles between the eyebrows that cause frown lines are partially removed. By removing these muscles, the frown lines are improved.
The forehead and brows are then lifted as a unit to elevate the eyebrows into a natural position. Great care is taken to not over elevate the eyebrows, as over elevated eyebrows can look very unnatural. After the tissues are lifted, they are secured to small biodegradable tacks, which are attached to the skull. These tacks are called Endotines. After about three to four months, the Endotine material will dissolve completely.
Open Brow Lift
The preparation of the surgical area is identical to that as an endoscopic brow lift. In this case, an incision is made from the temporal area above each ear and along the hairline at the upper part of the forehead. The tissues are then directly elevated. They are released along the upper parts of the eye sockets and the frown muscles are removed. The tissues are then lifted and re-draped and the excess skin is removed. The incision is then closed with deep dissolvable sutures and with fine external sutures. In some areas, metallic skin clips will be used to close the tissue of the scalp.
Recovery from Brow Lift Surgery
With both the endoscopic and open brow lift techniques, the hair is washed. Simple gauze pads are placed over then incisions and a neck and head band garment is placed to hold the dressings in position. You will awake immediately after surgery. You will recover at the Meridian Center for Surgical Excellence for about one hour. Before leaving, you will be able to drink fluids and eat light snacks. Often, a brow lift surgery is combined with other facial rejuvenation procedures, especially a face and neck lift.
It is best to take about five to seven days off from most home and work activities after brow lift surgery. After four to five days, you will feel well and start to resume many activities. However, there will be some swelling and bruising after surgery. If you want to avoid the appearance of having undergone brow lift surgery, two to three weeks after surgery will be needed out of the public eye.
After brow lift surgery, your eyelids will open up and the appearance of the forehead, brows, and eyes will be improved. Also, the frown lines between the eyebrows should decrease and your ability to frown should be nearly eliminated.
Brow lift offers Portland patients an opportunity to rejuvenate their appearance. Learn more by scheduling a consultation at (503) 783-0544.