With age, the combined effects of gravity, muscles deterioration, and loss of elasticity become more apparent. It is not uncommon for the skin above our eyes to start to droop, causing what is often referred to as the hood effect, and this make eyes look tired and the face look old. Brow lift surgery, also referred to as Forehead Lift, is a simple procedure carried out to lift the area directly above the eye, opening up the eye area and making the face look younger. It can be performed alone, but is frequently combined with other treatments such a Facelift and/or Blepharoplasty.
Types of Brow Lift surgery
There are two types of brow lift surgery traditional open / coronal brow lift and endoscopic brow lift. The traditional brow lift procedure requires large incisions behind the hairline. Endoscopic brow lift surgery avoids the need for such incisions by employing small probes with cameras at the tip that permit the surgeon to see inside the body. This procedure is particularly effective with younger patients where it is not necessary to remove any excess skin. Since the endoscopic brow lift can effectively reduce frown lines between the eyes, the procedure is often carried out in conjunction with surgery to the upper eyelid, in this way achieving the very best results. An endoscopic brow lift can produce the same results as a traditional lift but with fewer potential complications.
The technique suitable for you will depend on your skin type, the condition of your skin and where your hairline is.
A brow lift is most commonly performed in the 40-60 age range to reverse the visible effects of ageing. Individuals with inherited conditions, such as a low, heavy brow, or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.
Reasons for considering a brow lift surgery are:
- Drooping eyebrows giving the face a tired or sad appearance and making you look older.
- Severe cases of drooping brows can affect vision.
- Fleshy brow or one that is naturally lined which sometimes gives the face an overly severe or aggressive look.
- To look more youthful and attractive.
It is important that, before you see Mr Rezai, you consider what you are trying to achieve from your surgery. Smokers are advised to stop smoking at least six weeks prior to surgery, in order to help healing and reduce the risk of infection.
With an ‘Open’ traditional brow Lift a coronal (crown) incision is made. It begins at about ear level and runs across the top of the forehead well behind the hairline. The underlying tissue is also removed to create a smooth, more youthful appearance.
The endoscopic browlift involved making four or five incisions about an inch long around the hairline. The endoscope is then inserted into one of these incisions, enabling the surgeon to view under the skin via a connected viewing screen. Another probe with a cutting or grabbing tool is then inserted. Monitoring the procedure on the screen, the surgeon is then able to lift the forehead skin, muscles, and underlying tissue. He is even able to lift the eyebrows by placing sutures beneath the skin.
Once the adjustments are complete, the probes are removed and the incisions are sealed. The incisions used in the endoscopic procedure are smaller, less prone to infection and heal faster than those required in the traditional brow lift procedure.
- Most cases are performed under general anaesthetic, although local anaesthetic with sedation is possible in some cases.
- Most patients remain in hospital overnight.
- The operation takes one to two hours depending on the technique.
- If your work is not physically demanding, expect to return to work after one week.
- Expect to be able to return to normal physical exercise within four weeks.
As with all surgery, you can expect to feel bruised and sore after the operation. A bandage is applied to the forehead for two days to reduce any swelling. You may also be asked to keep your head elevated for a few days to help the swelling decrease.
For both types of brow lift surgeries, sutures are removed approximately 7 to 10 days after the procedure and you will be able to return to work within two weeks. Any scarring will be minimal and will be hidden under the hairline or in the natural forehead creases.
Recovery after endoscopic brow lift is quicker than open brow lift, with mild swelling and bruising, although the scalp may be numb for a few weeks.
Mr Rezai and his team will provide you with detailed post-surgery instructions to expedite your recovery. Should you develop any doubts or concerns following your treatment, however, they would encourage you to contact them straight away.
Cosmetic surgery is amongst the very safest of surgical procedures. However, all patients must understand that no surgical procedure is absolutely free from risk. Mr Rezai will discuss these with you at your consultation. For further information please refer to Risks and Complications of Brow Lift.
Patients are often unaware just how much their sagging forehead contributed to the signs of ageing. This becomes very apparent, however, when they see how much younger and more rested they look after the lift. Although a brow lift can ‘turn back’ the clock, it cannot stop it – you will always look younger than you would otherwise look, but, over the years, your face will continue to age. However, there are many non-surgical procedures which will help to prolong the result of a brow lift. For further information please visit the Non-surgical procedures section of our website.