Brow Lift - Facial Plastic Surgery
As we age, the skin of the forehead and upper eyelids relaxes. The distance narrows between the eyebrows and eyelashes, which can contribute to a tired, angry or sad look. Relaxation of the skin can also accumulate above the eyes and obstruct the vision, causing a visual field defect.
As a skin care service, a brow lift is designed to reposition the brows in their more youthful position. At the same time, the muscles that control brow position and forehead expression can be attenuated to soften forehead lines and smooth wrinkles. In combination with a conservative trimming of the upper eyelid skin (upper blepharoplasty), a brow lift can open up the eye area and can help rejuvenate the entire upper face.
Types of Brow Lift
There are several types of brow lifts. Most procedures feature some method of skin trimming and suture suspension to elevate the brow:
- Endoscopic brow lift: This facial plastic surgery procedure is done by making five small incisions behind the hairline and using an endoscope and special instruments to elevate the brow position. There are no visible scars on the brow or forehead from this procedure.
- Midforehead brow lift: This facial plastic surgery procedure is done by making staggered incisions hidden in skin creases of the forehead. This is an effective procedure, with scars fading nicely over time postoperatively.
- Pretrichial (trichophytic) brow lift: This facial plastic surgery procedure starts with an incision that is made at the junction of the forehead and hairline, so that hair will grow back through the scar and camouflage the incision. Behind the hairline on the side, the incision goes down to just above the ear. This is a good procedure for patients with a high hairline.
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Patients typically have a head wrap placed after facial plastic surgery to minimize swelling, although bruising and swelling are both common. Headache is also common, but pain is mild to moderate. Some patients need narcotic pain medications, but some require only over the counter pain medications. It is best to avoid strenuous activity and heavy lifting for 1-2 weeks after surgery, and most patients take off 1-2 weeks from work postoperatively.