Brow Lift /

Forehead Lift

Candidates for Brow Lift

A brow lift can help restore a more youthful, refreshed appearance by elevating drooping eyebrows. Ideal candidates are individuals bothered by a heavy or sagging brow, deep frown lines, or a tired or angry appearance that doesn’t reflect how they feel.

This procedure is often considered by patients in their 40s to 60s, though age is less important than anatomy and overall health. You may be a good candidate if you are in good physical health, do not smoke, and have realistic expectations about the outcomes.

A brow lift can be performed alone or in combination with other facial procedures, such as eyelid surgery or facelift, for a more comprehensive rejuvenation. During your consultation, Dr. Ramachandra will assess your facial structure, skin elasticity, and goals to determine if a brow lift is right for you.

Results oF A Brow Lift

Depending on the patient‘s presurgical appearance and goals, a brow lift‘s results, which can be seen immediately, can be either subtle or dramatic. Eyes will appear more “open,” and creases across the forehead, bridge of the nose, and between the eyes will be much less prominent.

The Brow Lift Procedure

Brow lift surgery usually takes about one to two hours to perform, and takes place at a hospital, an office-based surgical suite, or an ambulatory center. Either general anesthesia or intravenous sedation is used. Depending on the surgical technique used, one long incision or a series of small incisions is made. Tissue and muscle underneath the skin are moved or repositioned as necessary. At the end of the procedure, the incision(s) is closed with sutures, screws, adhesives or surgical tape; a drain may be put in to collect excess blood and fluid. Postsurgery, the patient is moved to a recovery area for observation.

Common Brow Lift Techniques

There are two techniques used for performing brow lifts. The classic lift requires a long incision that runs across the top of the head, at the hair line, and down to the ears. However, for a woman who has a high forehead, a coronal incision, which is made behind the hairline, may be used. The endoscopic lift requires three to five small incisions that are made across the forehead, at the hairline. These shorter incisions mean a shorter recovery time and less scarring than those from a traditional brow lift.

Which technique is chosen depends on the thickness, texture and elasticity of the skin, the bone structure of the face, the overall appearance of eyebrows and eyelids, and the position of the eyebrows.

Recovery from A Brow Lift

A patient typically returns home on the day of the brow lift surgery, although an overnight stay may be necessary for some. Swelling may be pronounced for the first day or two after surgery, although most swelling goes away within 2 weeks. To prevent post-operative bleeding, bending and heavy lifting should be avoided for a few days. It can take up to 6 months for swelling to fully subside and scars to fade.

Risks of A Brow Lift

Prior to scheduling surgery, the patient and surgeon should fully discuss the risks associated with a brow lift. In addition to those associated with any type of surgery, a brow lift‘s risks include the following:

  • Hair loss around the incision site(s)

  • Facial asymmetry

  • Higher hairline

  • Injury to facial nerves

  • Eye dryness/irritation

The chance of complications is minimized by choosing a board-certified plastic surgeon who has experience in performing brow lifts.