Eyebrow Lift Surgery
As we age, our foreheads and brows begin to droop and sag, making us look angry, depressed, or tired when we're actually well rested and perfectly happy. A brow lift works to lift and tighten sagging brow tissue, revitalizing the appearance and leaving patients looking younger and more refreshed.
A brow lift typically takes about one and a half to three hours and involves general anaesthetic. Dr. Brown will choose to employ either a traditional or endoscopic technique depending on your unique aesthetic concerns. Some patients may benefit from having excess eyelid skin removed in tandem with their brow lift to achieve the best possible results. Dr. Brown is able to determine which approach to take after performing a physical exam and listening to his patient's improvement goals during the consultation.
Traditional or Coronal Brow Lift
A traditional/coronal brow lift involves an incision that runs across the scalp from ear to ear. This is positioned behind the hairline, to minimize visible scarring, or at the middle of the scalp, if the patient has thin hair or is bald. The coronal technique can help provide a greater degree of brow lifting and hairline adjustment than the endoscopic approach, but leaves behind a more noticeable level of scarring.
A complication related to the traditional method is temporary hair loss (postoperative alopecia). Though this problem only develops in 2% of patients, it can last for several months. Once the hair has regrown it may be thinner than before.
Endoscopic Brow Lift
An endoscopic brow lift involves the creation of a few tiny scalp incisions that are, as in the traditional approach, hidden behind the hairline. The incisions made during an endoscopic lift allow for a shorter recovery time than what is possible through a traditional lift.
Recovering From a Brow Lift
After 24 to 48 hours, you will see Dr. Brown for a post-surgical checkup. During this visit, he will change head dressings, assess the level of surgical site bleeding, and monitor your discomfort. Postoperative pain will be managed with medications, prescribed before the operation. You may resume washing your hair and showering after this appointment.
Patients should expect to experience bruising and swelling around their eyes typically for seven to ten days after surgery. Blood thinning medication (like ibuprofen/aspirin) should be avoided for two weeks before the surgery in order to minimize this complication. Dr. Brown will recommend sleeping with the head elevated and, possibly, the use of specific medication (such as Arnica Montana) to help with your recovery.
A week after surgery, you stitches will be removed and a removable head bandage is provided. There will still be some bruising at this point, but you’ll be able to return to your usual schedule (avoiding strenuous activities and exercise). Those who have undergone an endoscopic lift may be ready to head back to work after one week. After ten to fourteen days the bruising should have diminished to the point that patients who received a traditional lift are ready to go out in public. Around the two week mark it is still important to avoid sun exposure, heavy lifting, and tough work outs.
Dr. Brown will continue to advise patients during their follow-up appointments. In most cases, normal exercise may be resumed after four to six weeks. All scalp numbness should be gone within three to six months. If pinkish or slightly raised incision marks are left behind, they will also become less noticeable over time. Any other lingering side effects (e.g. temporarily thinned hair or marks left behind after the use of an endotine device during surgery) will resolve themselves as well.
It is possible for brow lift patients to develop infections or suffer from excessive bleeding. In some cases they may also experience scalp numbness, localized hair loss, weakened forehead muscles, or asymmetrical results.