The brow and forehead are often the first facial areas to show signs of aging. The elements, the pull of gravity, and years of facial expressions affect the face resulting in frown lines, wrinkles across the forehead, deep furrows between the eyes, and a droopiness of the brows and upper lids. People may say that you look tired, angry or sad when you really feel fine. Brow lifts, also known as forehead lifts – often combined with upper eyelid surgery (blepharoplasty) and/or a mini facelift – can rejuvenate your look.
During a complimentary first visit, a full medical history will be taken. The physical examination will focus on age (patients are usually between 40 and 65), genetics, skin type and elasticity. It is important to discuss any pre-existing conditions, allergies, medications and previous surgeries. The surgeon will ask what you like and dislike about your forehead. Once your surgeon understands your expectations, mutual and realistic goals can be set.
Insurance does not generally cover cosmetic surgery. However, surgery to correct sagging brows and eyelids that interfere with vision may be reimbursable in whole or in part by your insurance company.
Endoscopic Brow Lift
The procedure usually takes between one and two hours to complete and is performed under local anesthesia.Several tiny incisions are made just above the hairline. The surgeon will insert an endoscopic instrument to see beneath the skin. Another instrument is then inserted to lift the skin and to remove excess fat, muscle or skin. Small temporary screws and sutures may be fastened to hold the repositioned skin in place. Incisions are then closed.
For at least two weeks before surgery, patients are required to refrain from smoking, alcohol and aspirin products. Smoking interferes with circulation and healing, and products containing aspirin or ibuprofen thin the blood and increase the risk of bleeding.
Brow lift patients usually go home the same day of the procedure. A bandage is wrapped around the head and under the chin and remains in place for the first 48 hours. Antibiotics and painkillers may be prescribed. There will be some degree of swelling and bruising which can be kept to a minimum by applying cold packs, and by sleeping with an elevated head. Patients should keep their heads above their hearts and avoid any strenuous activity until cleared by their surgeon. Sutures and tiny screws are usually removed within 7 to 12 days (or the screws may be absorbable).
Most people return to work in 3 to 4 days, covering any bruising with makeup.
Brow lifts are minimally invasive procedures that have a complication rate of less than one percent. Nonetheless, brow lifts do carry certain risks.
There may be itching and numbness at the sites of the incisions. This usually subsides within a few weeks. Infection, bleeding and other minor complications are possible. In rare instances patients may not be able to move their eyebrows or forehead; this can be corrected with additional surgery. Scarring is usually minimal, and any scars would be hidden within the hair.
Don't let the effects of age and the environment make you appear older than you are, or worse than you feel. A relatively quick and safe procedure, a brow lift can readily restore a more youthful and natural appearance.