Do you always look cranky, despite being in a good mood? Do your upper eyelids feel heavy? A brow lift may seem like a drastic measure, but it may be the answer for you. Browlift, also known as forehead lift, even endoscopic brow lift, is designed to elevate the sagging soft tissue of the brow and forehead area. Brow sagging can create a hooding resulting in an angry or sad appearance and even compromise visual fields. This procedure has the effect of softening your brow features and yielding a more approachable facial expression. A brow lift can also be combined with eyelid surgery to refresh the entire upper face.
Brow lift operations can also lower a rising hairline. Brow lifts are usually performed in conjunction with upper eyelid surgery to give the best results.
In the last few decades, the different techniques of brow lift procedures have expanded dramatically. The goal of these emerging techniques has been to minimise the incision (scar) length. However, at the core of all these techniques are still a few basic principles. These principles include elevating the brow from an incision to promote desired healing, manipulate the brow structures into a position that is more typical of younger patients, redrape the skin so that there will be no tension on the wound, and closing the wound under as little tension as possible to hide the scars.
Men and women who visit Precision Medical clinics seeking a brow lift often have low, heavy eyebrows and deep forehead wrinkles that make them appear older than they would like. Good candidates for any surgery should be healthy and have realistic goals about their results.
Patients that benefit the most from their brow lift are in their 40s or older and have specific concerns about the appearance of their upper face and upper eyelids. Patients wishing to lower their hairline, or have the longer incision approach for another reason, will heal better if they are non-smokers.
A brow lift or forehead lift is a quick procedure, with the endoscopic version performed under partial or full anaesthesia. After placing a protective gel on your eyes, the Precision surgeon makes four to five tiny incisions above your hairline. He utilizes these small incisions, along with a small, pen-shaped camera called an endoscope, to remove any wrinkle-causing tissue under your skin. Through this method, muscle and tissue can be removed, repositioned, or altered with the use of special devices placed into the incisions to reduce the creases in the forehead.
Incisions in the scalp, temples, and upper eyelids may also be created to correct a sagging brow, frown lines between the eyes, and wrinkles on the nasal bridge. Scars will be minimal with this procedure. Alternatively, a coronal brow is considered the traditional, somewhat old-fashioned forehead lift procedure. It uses an incision across the entire scalp (crown). It allows a surgeon to lift a severely drooping brow, adjust muscles, remove skin, and redrape the scalp to a higher position. It is more invasive than an endoscopic brow lift, but it provides a dramatic, long-lasting result. However, it can cause permanent numbness on the top of the head and may not be a good option if you already have a receding hairline.
After the brow is sculpted, incisions will be closed with removable or dissolvable sutures, special clips, and/or surgical tape.
To uphold the results, the surgeon may also suggest small surgical screws, permanent sutures, or an absorbable fixation device placed unnoticeably by each temple.
Recovery after a brow lift will depend on the surgical technique used and whether your surgery included other procedures. Recovery after an endoscopic brow lift is typically quicker than with a traditional brow lift approach.
There should be no heavy lifting, strenuous activity or “straining” for one week. For the next two weeks, “if it hurts,” avoid it, if not, just be cautious for two more weeks.
It is expected that patients will feel ready to go out in public and return to work after the primary swelling subsides. This typically takes one to two weeks. A small amount of swelling and temporary numbness is normal and can take several months to completely resolve.