Brow Lift

Definition

As the forehead ages, the brow drops and forehead creases can deepen. This can make a person appear tired or angry even when you are not. The lowering of the eyebrow as we age arises from gravity and the downward pull of the frowning muscles between the eyebrows. These are the same muscles that transmit anger when contracted.

Something else to realize is the upper eyelid, the eyebrow and the forehead are all connected. What this means is when the brow or forehead drops, it can affect the upper eyelid and make it appear to have loose skin. Try this yourself in the mirror – lift your forehead and brow up or push it down and see how these actions affect the look of your upper eyelid. This relationship between the upper eyelid, the eyebrow and the forehead is why I look at all of these together when someone asks for removal of the excess upper eyelid skin. Sometimes the brow dropping is a major cause of the excess upper eyelid skin.

A brow lift improves eyebrow position, forehead wrinkles, scowl lines and "hooding" of the upper eyelid skin. Just take your hand and pull up your brow and feel how doing so makes your upper eyelids feel lighter.

Is it Right for Me?

A forehead lift is most commonly performed in the 40-65 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals who naturally have a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.

Forehead lift is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their goals.

Patients with thin hair or who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. Once the incisions heal, they are usually very hard to see.

I specialize in facial cosmetic surgery and I will help you choose what will be the best procedure for you to help you meet your specific goals of looking younger and more refreshed.

How the Procedure is Done

A forehead or browlift is performed with you under a general anesthetic so you will feel nothing of the procedure. Four or five small incisions are placed inside the hairline to do the surgery so once they heal, they will not show. The brow is elevated and held in place with sutures. The skin sutures I use all dissolve so you do not have to worry about taking them out.

The key to a good browlift is not too over-do it. The goal of browlifting is to look younger and more refreshed, not surgically altered. A refreshed look is the key, not a 'deer in the headlights' look.

After Surgery

Most patients are back to work or school in a week to 10 days. Vigorous physical activity should limited for several weeks, including jogging, bending, heavy housework, or any activity that increases your blood pressure. Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup.

Results

This is a common question and the answer is the same for any of the face cosmetic procedures you may choose to have. Any improvement will be with you your entire life – by that I mean that in 5, 10 or 15 years you will still look improved over never having the surgery. However, the aging process does continue so you may show some signs of relaxation of the brow, but you will always benefit from the improvement gained with plastic surgery.

Brow Lift vs. Botox

Botox is often used to treat problems with the aging forehead. Because Botox relaxes the muscle of the forehead which contributes to the lines, it is quite effective at reducing these lines. One can also achieve a modest lifting of the eyebrows with properly placed Botox. However, Botox can only do so much and for certain individuals, surgery with a browlift is a better and more effective treatment. The Doctors at Beautologie have expertise in both Botox and surgical treatment and will help you decide which is the best for you.