The forehead and the eyes often show our age faster than any other part of the face. Often, these signs of aging manifest as horizontal lines across the forehead or eyebrows that have dropped to a lower position, causing our upper eyelids to droop. A brow lift, sometimes called a forehead lift, may be the answer.
This surgical procedure can rejuvenate the upper portion of the face and restore a more youthful look.
When done with skill, this surgery can be seamless so that no one is aware that you have had a procedure.Dr. David J. Kiener, M.D.
We will spend time with you in consultation, answering all of your questions so that you can decide if a brow lift is a smart choice for you. Our philosophy is to provide you with a natural look that does not look “operated on.”
Note that sometimes, eyelid surgery is necessary to correct overhanging eyelids. Only after an examination can Dr. Kiener advise which procedure(s) will provide the results you want. In cases of more pronounced signs of aging, a combination of eyelid surgery and a brow lift may be necessary.
If you have lines, wrinkles, or sagging on the middle or lower portions of the face, a cheek lift, face lift, or neck lift can sometimes be performed with a brow lift for an overall facial rejuvenation. If the aging is not significant, fat transfer, Botox®, or dermal filler injectables may be sufficient to improve some areas.
What can be accomplished by a Brow Lift?
A brow lift can address horizontal forehead creases, deep frown lines (the “11” lines between the brows), sagging eyebrows that may have caused overhanging eyelids, eyebrows that have lost their natural arch, and/or brows that have become mismatched.
How does Roseville Facial Plastic Surgery Approach Brow Lifts?
In most cases, we perform endoscopic brow lifts, which are done with the patient under general anesthesia. We place three to five small incisions behind the hairline where scars will remain hidden. A camera is then inserted into the incisions so that we can see to tighten the skin and muscles and perhaps reshape the brows.
If a woman has a very high hairline, we sometimes make the incision along the hairline, remove some skin of the upper forehead and then close the incision resulting in elevation of the brow and shortening of the forehead. For men, we often make the incisions in a horizontal forehead crease and remove skin above and below the incision. When the incision is closed the new scar is in the old line and is difficult to see. Because men have generally higher hairlines than women, the endoscopic approach in men is not done frequently.
These surgeries last anywhere from 1 to 1 1/2 hours depending on your particular case, and the incisions are closed with temporary stitches, and possibly staples in the hair bearing areas.
What is Recovery Like After a Brow Lift?
Most patients are surprised that recovery from a brow lift is relatively easy. There is, of course, some residual post-operative swelling, bruising, numbness, itching, and tenderness in some patients. In the case of a traditional brow lift, mild numbness may continue for a few months. Sometimes, hair around the incisions will thin for a short period of time, but it will grow back.
You can take pain medications, if necessary, and you can use cool compresses to relieve discomfort.
Plan to take 1 to 2 weeks off from work and social activities as you heal. Exercise and sports should be avoided for about 4 weeks. Stitches, and staples, or screws are removed during the first 1 to 2 weeks days after surgery.
You will follow up with us several times after your surgery to ensure that you are healing well and that you are happy with your results.