If you are bothered by expression lines or other signs of aging in the brow region, a brow lift (or also known as a forehead lift) may be right for you.
Other Surgical procedures typically performed in conjunction with a brow lift include:
Dr Vrtik performs brow lift under a general anaesthetic for your comfort during the surgical procedure.
There are a various methods of brow lift, thus a variety of incisions used.
Correction of a low-positioned or sagging brow may be made with or without the use of an endoscope through incisions at the temples and in the scalp.
A brow lift may sometimes be performed using an endoscope (surgical video device) and special instruments placed through small incisions made within the hairline. This allows the tissue and muscle beneath the skin to be repositioned, altered or removed, correcting the source of visible creases and furrows in the forehead.
This technique may be done in conjunction with incisions hidden within the natural crease of the upper eyelids to eliminate frown lines between the brows, on or above the bridge of the nose.
An alternative brow lift technique is the coronal brow lift. The coronal brow lift can pinpoint specific regions of the brow to correct. This technique involves an incision from ear to ear, lifting the forehead and removing excess skin from the scalp. This gives a more dramatic result than endoscopic lift, however, recovery time is often longer than the endoscopic brow lift due to the size of the incision.
Long incisions can be made in the hairline at the temples. This targets lift of the lateral brows, and allow excision of excess skin near the temples. This approach can be effective in shaping the brow to give more arch and lateral brow height; however, it does not address the frown lines in the midline between the eyebrows.
There are several ways to lift the brows. Permanent sutures are used to anchor the soft tissues behind the eyebrow upwards towards the hairline. This can be secured either with a screw into the bone, anchored with a dissolvable plate or sutured into a small hole in the bone. Some of these devices, although hidden in the hair can be palpable through the skin.
Closing the incisions
Brow lift incisions typically are closed with:
To watch an animated demonstration of a brow lift, click here
The decision to have a brow lift is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
Dr Vrtik and her team will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.
The risks include:
Most of the above-mentioned risks are very uncommon, and some people (with particular health problems or skin types), may be at higher risk for specific complications. Dr Vrtik will discuss this with you during your consultation if any of these risks are specifically pertinent to you.
Although brow lift is an effective procedure where the benefits significantly outweigh the risks, the degree of surgical success can be altered by how each individual’s body responds to surgery and healing. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure; revision surgery may be necessary.
Be sure to ask questions: It’s very important to ask questions about your brow lift procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings or concerns with Dr Vrtik or any of our staff members.
When your procedure is completed, your forehead may be taped and your head may be loosely wrapped to minimize swelling and bruising. Brow Lift is a Day-Surgery procedure. Once you have recovered from your general anaesthetic, you can go home. The bandages will need to be kept dry. Your bandages will be removed at your first postoperative appointment with our nurse, your wounds will be cleaned and a facial garment will be placed around your face and forehead. You will need to wear your facial garment for 6 weeks after surgery. Initial wound healing may take 5 to 10 days, at which time any sutures or clips will be removed. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising that remains.
More information on postoperative instructions.
The visible improvements of a brow lift appear when the swelling and bruising subside to reveal smoother forehead skin and a more youthful, restful appearance. The bruising may extend down around the eyes as it follows gravity. The bruising often dissipates within 2-3 weeks, but it may take 2-3 months for swelling to fully subside and up to 6 months for incision lines to mature.
Healing will continue for several weeks as the swelling dissipates and incision lines refine and fade. It may take several months before the final appearance and complete recovery.
Good Skin Care and life-long sun protection will help to maintain your rejuvenated appearance by minimizing photo-aging or sun damage. In addition, a healthy lifestyle will also help extend the results of your rejuvenated, more youthful appearance.
A variety of other procedures can further enhance the outcome of a brow lift. They include:
Please check with Dr Vrtik or our Practice Nurse if you would like to consider these options, as adequate time for recovery from your surgery is essential before any non-surgical treatment. Check out our non-surgical services at Creare Clinic for more information.
(Some Information & Illustrations are courtesy of the American Society of Plastic Surgeons).