A brow lift, also known as a forehead lift or forehead rejuvenation, is a cosmetic procedure to raise the brows. A brow lift improves the appearance of the forehead, the brow and the area around the eyes by raising the soft tissue and skin of the forehead and brow.
You might choose to have a brow lift if you have a low, sagging brow or brow asymmetry. A brow lift might also boost your self-confidence.
A brow lift can be done alone or with other facial procedures, such as eyelid surgery (blepharoplasty) or a face-lift.
Aging typically causes the brows to move down. As skin and soft tissues lose elasticity, the distance between the eyebrows and eyelashes also shortens.
The lower position of the eyebrows can make you look tired, angry or sad. A brow lift can raise the eyebrows and restore a refreshed, more pleasing appearance.
You might consider a brow lift if you have a low or sagging brow that's contributing to sagging upper eyelids.
A brow lift poses various risks, including:
Like any other type of major surgery, a brow lift poses a risk of bleeding, infection and an adverse reaction to anesthesia.
Initially, you'll talk to a facial plastic surgeon or plastic surgeon about a brow lift. During your first visit, your surgeon will likely:
Before a brow lift you might also need to:
A brow lift is done in a hospital or an outpatient surgical facility. During a brow lift, you'll typically be comfortable with the aid of a general anesthetic — which renders you unconscious.
Brow lift techniques vary depending on your desired results. The specific technique your surgeon chooses will determine the location of the incisions and the resulting scars.
Your doctor might use one of the following techniques:
Endoscopic brow lift. Your surgeon will make several small incisions behind your hairline. He or she will then insert a long thin tube with a light and a tiny camera mounted on its end (endoscope) through one of the incisions to view your underlying muscles and tissues.
Using an instrument inserted through another incision, your surgeon will lift your forehead tissues and anchor them in place with sutures, small screws or another technique. Your incisions are then closed with stitches or small clips.
Coronal brow lift. Your surgeon will make an incision behind your hairline across the top of your head, from ear to ear or primarily on the top of your head. He or she will lift your forehead into its new position, with the scalp in front of the incision overlapping the scalp behind it.
The overlapping scalp is then removed and the remaining scalp is sewn together. This technique is not typically done in people who have high hairlines, thin hair or who are likely to lose their hair.
Hairline brow lift. Your surgeon will make an incision between the top of your forehead and the beginning of your hairline. He or she will remove a small amount of skin and tissue from the top of your forehead, rather than your scalp. As a result, your hairline won't be pulled back.
A hairline brow lift is often used if someone has a high receding hairline. However, depending upon healing, a scar might be visible along the hairline.
Brow lift surgery typically takes about one to two hours.
After a brow lift, your forehead might be loosely wrapped to minimize swelling. A small tube might be placed along the incision site to drain any excess blood or fluid.
Your doctor will give you specific instructions on how to care for your incisions. In the first few days after a brow lift:
As your incisions heal, you might experience itching and numbness, which will likely lessen over time. If your incisions are covered in bandages, your doctor will likely remove them in one to three days. Sutures typically will be removed within seven to 10 days of surgery.
Ask your doctor when it's OK to resume daily activities, such as washing and drying your hair and bathing. Keep in mind that swelling might last several weeks.
Incision lines will fade over time. You might use makeup to conceal any prolonged bruising.
After a brow lift, contact your doctor immediately if you have:
By raising the soft tissue and skin of your forehead and brow, a brow lift can give your face a more youthful appearance.
Keep in mind that brow lift results won't last forever. As you age your facial skin might begin to droop again. Sun damage also can age your skin.
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