Brow Lift Overview
A brow lift, or forehead lift, is a surgery that repositions a low or sagging brow and tightens skin that may be wrinkled or creased across the forehead. A classic, or coronal, brow lift involves a surgery in which the surgeon makes a single incision along the hairline and ear area and then manipulates tissue, muscle, and skin to attain a smoother appearance. An endoscopic lift involves smaller incisions in which a scope is inserted and the work is completed using a camera and special instruments.
To prepare for a brow lift surgery, you should discontinue the use of blood-thinning vitamins, herbs, and medications for two weeks before the surgery. If you smoke cigarettes, you should quit for at least two weeks before and after surgery. If you are over the age of 45, medical clearance by an independent physician may be required before undergoing surgery.
Depending on the individual patient and circumstances, a sedative with a local anesthetic or general anesthesia may be used.
- Dr. Vallecillos may decide to perform either a coronal or endoscopic brow lift. He will discuss beforehand which options are best for you, given the specific diagnosis and circumstances. The procedures are as follows:
The endoscopic method involves a minimal-access “trans-blepharoplasty incision” brow lift. The access to the brow is gained through incisions in the upper eyelid (the same that would be used for a blepharoplasty). This new technology combines the benefits of a brow lift and an eyelift in one procedure.
Manufactured by Coapt Systems Inc., Endotine TransBleph procedures represent innovation brow lift technology. As depicted in the photograph, Endotine implants are small triangular, “tined” implants that secure soft tissue in place of traditional interior suturing. This minimizes trauma to the surrounding tissue, allows for fast healing, a shortened surgery time, and literally no additional scarring outside of the blepharoplasty scar. Additionally, the tines are bio-absorbable. Hence, as the tissue securely heals into its new re-positioned state, the implant itself gradually and safely reabsorbs into the body over the course of several months, leaving no external visible traces whatsoever.
Coronal Brow Lift
With the coronal brow lift technique, the surgeon will make an incision from ear to ear. The forehead is then lifted and any excess skin is removed. Due to the larger size of the incision, there is often a longer recovery time associated with this method.
Brow Lift FAQ
Who is a candidate for brow lift surgery?
You should consider a brow lift if you suffer from a low or sagging forehead and/or wrinkles and other signs of aging in the brow region.
What is the recovery time for brow lift surgery?
Recovery time will vary depending on the patient and the surgical technique used. Swelling, bruising, and discomfort will persist for several days, and patients should arrange to have a family member, friend, or other caregiver available to help during this time. Bandages generally will be removed within 1-2 days after the procedure, and healing should be complete anywhere from a few weeks to a few months after surgery.
Are there risks or side effects with brow lift surgery?
Complications are rare, but as with any surgery, they do exist. Risks with brow lift may include damage to the nerves in the forehead, which can lead to an inability to raise the eyebrows. Scar tissue may also form. Both of these would require additional procedures to remove. Other risks include bleeding, infection, facial asymmetry, among others.
How long do the results last?
Although a brow lift will yield long-term results, aging is a continual process. You can help to maintain results for as long as possible by practicing good sun protection and maintaining a healthy lifestyle.