A brow lift can also be referred to as browplasty or a forehead lift. The brow lift is a cosmetic procedure usually performed in conjunction with another facial procedure like eyelid surgery. Commonly, browplasty is used to remove the deep wrinkles across the forehead leading to a more youthful look. The operation can last anywhere from one to two hours.
Depending on the approach used, a brow lift can also address drooping eyebrows, scowl lines, and eyelid hooding issues that make people look angry or tired. In some cases general anesthesia is required, but typically, local anesthesia is used.
Classic forehead lift approaches are now giving way to less invasive techniques like the endoscopic forehead lift method. The conventional procedure involved making one long incision along the hairline. The forehead skin is lifted while trimming excess skin and tissue. The forehead muscles are repositioned and in some cases removed. The incision is then stitched or sutured and bandaged up. The endoscopic method utilizes more advanced techniques to minimize scarring. Several tiny incisions are made within the scalp which the surgeon inserts an endoscope. The endoscope is a thin tubular optical instrument connected to a television monitor used for viewing inside the body. Another instrument is inserted and the forehead skin is lifted. The muscles and tissue are lifted, altered, and possibly removed to smooth the outside of the skin. The eyebrows may also be lifted and fixed into a new position. Finally, the incisions are stitched or sutured.
Regardless of whether the classic approach or the endoscopic method is used, plan for one to two days of bed rest. Following the initial recovery period, the bandage will be removed and you should be able to shower and shampoo your hair. A follow up visit with your surgeon approximately one week after the surgery is necessary to remove sutures.
Brow Lift FAQs
The Suprised Look
Q: If I have a brow lift, will I end up with a 'surprised' look?
A: A brow lift does not automatically mean the brow will be elevated. Depending on the patient's desired outcome, browplasty can be performed to lower the brow, raise the brow, or even maintain its current position. For up to three weeks following the surgery it is not uncommon for patients to see themselves with a 'surprised' look. This can result from temporary swelling of the forehead. If not desired, the 'surprised' look is easily avoided by clearly discussing goals with your surgeon.
Q: Where are the incisions made for a brow lift?
A: The location of brow lift incisions are dependent on the technique used. The lateral temporal method involves a single incision along the temple and scalp. Endoscopic browplasty involves incisions along the top of the scalp and a temple incision on each side. For the pretichial and trichial brow lifts, a continuous incision is made which follows the hairline contour and extends down along the temples. All methods of browplasty have minimal to no visible scarring.
Q: What is the recovery like following browplasty?
A: During the first seven to ten days, following the surgery, some swelling and bruising around the eyes is common. Keeping the head slightly elevated will help minimize swelling. Some patients will experience thinning of the surrounding hair. In nearly all cases, this is temporary, and hair growth will eventually return to normal density and appearance. Numbness above the scalp incisions near the top of the head is also common but usually brief. Patients should utilize the first seven days following the surgery for rest. Following the first week, normal (low impact) activities can be resumed. Sutures are removed within five days following the surgery. Strenuous activities should be minimized for two weeks after the procedure.
Q: Does a brow lift look better if my eyelids are done at the same time?
A: Depending on desired outcomes, many clients choose to supplement a brow lift with either eyelid surgery or a face lift. Combining facial procedures brings balance to your new look.
Browplasty And Frown Lines
Q: Will the frown lines on my forehead be addressed by browplasty?
A: As we age, our skin loses its elasticity. By lifting the skin on the brow and altering and conditioning the muscles underneath your surgeon creates a smoother forehead.
Q: How long can I expect the results to last?
A: Depending on your genetics and lifestyle, you can expect the results to last for many years. However, as the years pass and we continue to age, gravity will no doubt take effect once again. For those who do not abuse their skin, most can expect the benefits of browplasty to last up to fifteen years.
Brow Lift Results
Q: When will I be able to see the full results of a brow lift?
A: The results are immediate but you will be swollen and bruised, remember to be patient during the healing period and the full results should be visible in a few months. You may also think that your brows are too high; this is normal and will relax. Any numbness along the incisions should subside by six months but may remain indefinitely in some patients. As each day goes on you will be that much closer to your final result.