Our eyes and forehead play a prominent role in communicating our emotions. A sagging, heavy eyebrow with deep horizontal lines across our forehead can cause us to look constantly tired, worried or sometimes even angry. Sadly, some of us are genetically inclined to heavier eyebrows with a short distance between the eyebrows and eyelashes. In most cases sagging brows are a consequence of ageing. The skin around our eyes, forehead and temples begin to loose elasticity in our late thirties. The constant effect of gravity results in drooping of the eyebrows.
Also known as forehead rejuvenation, a brow lift will not only open up the area around the eyes through raising your eyebrows – it will also soften your facial lines, creating a rejuvenated and welcoming appearance.
What is the goal of brow lift surgery?
A brow lift, also commonly called a forehead lift, rejuvenates the face above the eyes and restores a refreshed appearance. This is accomplished by raising sagging eyebrows that create hooding of the upper eyelids.
What are the benefits of brow lift surgery?
Brow lift surgery is a safe procedure that will restore a more youthful contour of the upper one-third of your face. You will be able to enjoy a more refreshed appearance that better reflects your natural vibrance. Your eyes will appear brighter and more alert, resulting in others finding you more approachable. Self-confidence may improve as others no longer mistakenly perceive you as worried, angry or concerned. There is also no visible scaring as the procedure is done endoscopically through small incisions on the scalp that are hidden in the hair
Before your procedure
Naturally eyebrows are rarely symmetrical. During your consultation we will review your medical history and asses your area of concern. A detail-oriented approach with careful analysis of your personal anatomy is key to surgical planning. Understanding your goals for your appearance also plays a key role in surgical planning. Based on the clinical findings, your expectations and Mr. Bran’s expertise as an experienced and skilled facial plastic surgeon, a surgical plan will be put in place and he will then be able to elaborate realistic goals.
During your consultation we will take photographs for your medical record. Depending on your age and health we might require additional tests.
Preparing for your brow lift surgery
Preoperative assessment is critical in order to select appropriate patients for browlift surgery. Apart from a physical examination, you will have a discussion about your current and past medical history and any medication you are currently taking or have recently taken. You will be asked about allergies, particularly drug allergies. If required an anaesthetist will see you before surgery, and depending on your medication, you may be asked to stop or change certain drugs for a duration of time.
You should refrain from taking Aspirin, or non-steroidal anti-inflammatory drugs such as Ibuprofen in the week before your surgery.
In order to optimise healing, we strongly advise all our patients to stop smoking at a minimum of 2 weeks prior to your surgery and refrain from cigarettes or any other nicotine containing products for 2 weeks after their procedure. Smoking significantly impairs your post-operative recovery and doubles the risk of complications such as delayed wound healing, poor scars or altered results.
What are alternative techniques for brow lift surgery?
Patients with a high forehead and a recessed or receding hairline are not ideal candidates for an endoscopic browlift. Instead, they benefit from alternative methods:
For patients with a high forehead the the Pretrichial Brow Lift is recommended. This method uses a similar approach that is used in HAIRLINE LOWERING The incision is placed across the forehead, just at the very front of your hairline. After releasing the forehead tissue and getting your eyebrows at the desired position, any excess skin is removed. The incision is then closed skilfully and delicately to achieve the best possible scar.
Patients with a receding hairline, or bald patients – mostly men – benefit from a Direct Brow Lift. Due to the low position of the eyebrows, the forehead muscle is continuously engaged to keep the brows elevated. This results in permanent horizontal wrinkles across their forehead. The incisions are placed above the eyebrows creating fine scars, that will be disguised within the horizontal creases across the forehead.
RISKS BROW LIFT SURGERY
In accordance with the Montgomery judgement, the following risks and side-effects are associated with brow lift surgery:
|PAIN||Moderate discomfort is expected; suitable pain medication will be provided.|
|BRUISING||Occasionally, may last for 1-2 weeks. Avoid Aspirin / Ibuprofen.|
|SWELLING||Swelling will occur. It can take 6-12 months to fully resolve.|
|BLEEDING||Major bleeding is rare. Haematoma formation (blood collection – risk is less than 0.1%) may require drainage or return to surgery.|
|INFECTION||Occasionally, mild infection. Rarely serious infection. If required, appropriate antibiotics will be prescribed.|
|SCARRING||With any incision there is a risk of delayed healing and poor scarring, which can lead to hypertophic scars or keloid formation.|
|Some diminished sensation is expected around the scar and the forehead. It can take 6-12 months to return to normal.|
|Uncommon, can typically affects the forehead, it is temporary lasting 6 weeks. Permanent weakness is rare.|
|ASYMMETRY||Uncommon, any pre-operative asymmetry will be pointed out and the operation will aim to improve this.|
|DEEP VEIN |
|This is a clot that forms in the deep veins of the lower limbs causing pain, inflammation, and swelling. This will require immediate medical attention.|
|This is a clot which has travelled to the lungs causing chest pain and shortness of breath. This will require immediate medical attention.|
How long is the recovery after brow lift surgery?
We advise our patients to plan enough time for their recovery. The minimum after an endoscopic brow lift are usually 7 days. In this week you should expect mild swelling around your forehead and eyes. Swelling will usually resolve over the first week. After 6-7 days the surgical clips used to close the incisions will be removed.
Patients can go back to their daily activities approximately 7 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
A good candidate for browlift surgery has one or more of the following:
- realistic goals and expectations
- sagging eyebrows that are hooding the upper eyelids
- tissue that is hooding the outer parts of your upper eyelids
- horizontal wrinkles on the forehead
- you are a non-smoker
- unrealistic expectations
Brow lift surgery is performed under general anaesthetic and can be offered as a day case.
Usually brow lift surgery takes less approximately 1.5 hours to perform, however if you have additional procedures, operating time will increase accordingly.
No, your hair will not be cut or shaved during brow lift surgery.
Brow lift surgery is offered using a minimally invasive approach. Minimal discomfort is expected. This includes swelling of the operated area. Patients report tightness in their brow and forehead rather than pain. You will be given adequate pain medication to keep your discomfort at a minimum. Bruising, if it occurs, is rare.
Asymmetric eyebrows are not uncommon. Mr. Bran will examine the shape and position of your eyebrows during your consultation. Brow lift surgery can help to improve the symmetry of your eyebrows. Patients should be aware that asymmetry may be caused by various anatomical factors, which include bone shape, facial muscle engagement and overall shape of the brows. Asymmetric brows can also be caused due to irregular shaping, plucking or eyebrow maintenance habits.
Incisions are either placed behind your hairline, at the very front of your hairline or within the horizontal creases across your forehead. As the scars continues to mature they will become barely noticeable. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
What can complement brow lift surgery?
In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.