Brow Lift

Brow Lift

Also known as a forehead lift, a brow lift
minimizes the creases that develop across the forehead, or those that
occur high on the bridge of the nose; improves what are commonly
referred to as frown lines; and repositions a low or sagging brow.

Table of Contents


Why Brow Lift?

Enhancing your appearance with a brow lift

If you are bothered by expression lines or other signs of aging in
the brow region, a brow lift may be right for you. A brow lift:

  • Minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose, between the eyes
  • Improves what are commonly referred to as frown lines, vertical creases that develop between the eyebrows
  • Repositions a low or sagging brow that is hooding the upper eyelid
  • Raises the eyebrows to a more alert and youthful position

Rejuvenation procedures typically performed in conjunction with a brow lift include:

  • Eyelid surgery to rejuvenate aging eyes
  • Facelift to correct aging changes in the mid- to lower face and neck regions
  • Skin resurfacing techniques

Is it right for me?

A brow lift is a highly individualized procedure and you should do it
for yourself, not to fulfill someone else?,Ǩ,Ѣs desires or to try to
fit any sort of ideal image. Brow lift surgery is a good option for you
if:

  • You are physically healthy
  • You don?,Ǩ,Ѣt smoke
  • You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance

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Procedural Steps:

What happens during brow lift surgery?

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical
procedure. The choices include intravenous sedation and general
anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

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.

Brow Lift, outline Brow Lift, incision

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.

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.

Recovery time is often longer than the endoscopic brow lift due to the size of the incision.

The incision lines from a brow lift are well concealed within the
hair or natural contours of the face unless they are placed at the
hairline to shorten the forehead.

Results appear gradually as swelling and bruising subside to reveal
smoother forehead skin and a more youthful, restful appearance.

Step 3 – Closing the incisions

Brow lift incisions typically are closed with:

  • Removable or absorbable sutures
  • Skin adhesives
  • Surgical tape
  • Special clips

Step 4 – See the results

Brow elevation may be maintained by the use of:

  • Permanent sutures
  • Small surgical screws
  • Absorbable fixation device placed inconspicuously at the temples

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Important facts about the safety and risks of brow lift Surgery

The decision to have a brow lift is extremely personal and you?,Ǩ,Ѣll
have to decide if the benefits will achieve your goals and if the risks
and potential complications are acceptable.

Your plastic surgeon and/or staff 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:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor wound healing
  • Anesthesia risks
  • Blood clots
  • Correctable hair loss at the incisions
  • Elevated hairline
  • Facial nerve injury with weakness or paralysis
  • Facial asymmetry
  • Skin loss
  • Numbness or other changes in skin sensation or intense itching
  • Changes in skin sensation
  • Eye irritation or dryness
  • Eyelid disorders that involve abnormal position of the upper
    eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the
    lower eyelid (ectropion) can coexist with sagging forehead and eyebrow
    structures; brow lift surgery will not correct these disorders;
    additional surgery may be required
  • Fluid accumulation
  • Pain, which may persist
  • Skin contour irregularities
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Possibility of revisional surgery

Be sure to ask questions:

It?,Ǩ,Ѣs very important to ask your plastic surgeon questions about
your brow lift procedure. It?,Ǩ,Ѣs natural to feel some anxiety, whether
it?,Ǩ,Ѣs excitement for your anticipated new look or a bit of
preoperative stress. Don?,Ǩ,Ѣt be shy about discussing these feelings
with your plastic surgeon.

A special note about the use of fibrin sealants (tissue glue)

Fibrin sealants (made from heat-treated human blood components to
inactivate virus transmission) are used to hold tissue layers together
at surgery and to diminish post-operative bruising following surgery.

This product has been carefully produced from screened donor blood
plasma for hepatitis, syphilis, and human immunodeficiency virus (HIV).
These products have been used safely for many years as sealants in
cardiovascular and general surgery. This product is thought to be of
help in diminishing surgical bleeding and by adhering layers of tissue
together.

When you go home

If you experience shortness of breath, chest pains, or unusual heart
beats, seek medical attention immediately. Should any of these
complications occur, you may require hospitalization and additional
treatment.

The practice of medicine and surgery is not an exact science.
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. Another surgery may be necessary.

Be careful

Following your physician?,Ǩ,Ѣs instructions is key to the success of
your surgery. It is important that the surgical incisions are not
subjected to excessive force, swelling, abrasion, or motion during the
time of healing. Your doctor will give you specific instructions on how
to care for yourself.

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My recovery

When your procedure is completed, your forehead may be taped and your
head may be loosely wrapped to minimize swelling and bruising. A thin
tube may be present to drain any excess blood or fluid that may collect
under the skin.

You will be given specific instructions that may include:
How to care for the surgical site, medications to apply or take orally
to aid healing and reduce the potential for infection, specific concerns
to look for at the surgical site or in overall health, and when to
follow up with your plastic surgeon.

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The results will be long-lasting

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.

Healing will continue for several weeks as the swelling dissipates
and incision lines refine and fade and it may take several months for
your complete recovery.

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.

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How much will brow lift surgery cost?

Cost is always a consideration in elective surgery. Prices for brow
lift surgeries can vary widely. A surgeon?,Ǩ,Ѣs cost may vary based on
his or her experience as well as geographic office location.

Many plastic surgeons offer patient financing plans, so be sure to ask. Cost may include:

  • Surgeon?,Ǩ,Ѣs fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication
  • Post-surgery garments, and
  • Medical tests

Your satisfaction involves more than a fee

When choosing a plastic surgeon for brow lift surgery, remember that
the surgeon?,Ǩ,Ѣs experience and your comfort with him or her are just
as important as the final cost of the surgery.

Most health insurance does not cover cosmetic surgery or its complications.

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Words to know

  • Brow lift: A surgical procedure to correct a low-positioned or sagging brow. Smooths furrows across the forehead and between the brows.
  • Endoscope: A surgical video device sometimes used during brow lift procedures.
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
  • Hematoma: Blood pooling beneath the skin.
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
  • Skin resurfacing: Treatment to improve the texture, clarity and overall appearance of your skin.
  • Sutures: Stitches used by surgeons to hold skin and tissue together.

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