Charles Perry, MD, Plastic Surgeon
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Brow Lift

The aging process can bring drooping eyebrows, marked forehead creases, and an involuntarily tired, sad, or angry appearance. In some cases, these aesthetic issues can be resolved through eyelid surgery or facelift; however, in other cases, browlift surgery, also known as a forehead lift, is required to smooth the appearance of the forehead, re-elevate the brows to their proper position, and restore a refreshed and youthful look. While a forehead lift does not have the ability achieve the same cosmetic goals as eyelid surgery, it does allow patients to open up the upper eyelid area by elevating the eyebrows. Browlift surgery helps patients look their best and regain their confidence.

The incisions utilized during browlift surgery are hidden behind the hairline. Through this incision (or multiple one-inch incisions if the endoscopic browlift technique is used), the plastic surgeon will remove or alter the muscles and tissues responsible for drooping and furrowing.

We offer two types of browlift surgery: the traditional coronal browlift technique, and the less invasive endoscopic browlift technique. Read more about these two surgical methods below, and consult with Dr. Charles Perry to determine which procedure will best accomplish your aesthetic goals.

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Who Is an Ideal Candidate for Browlift Surgery?

The ideal candidate for browlift surgery is a man or woman with visible signs of aging in the forehead and brow region, such as drooping of the eyebrows and forehead creases. While most people who undergo browlift surgery are between 40 and 60 years old, this procedure can help those of any age seeking to erase visible signs of aging or correct an inherited trait, such as a low, heavy brow. As with any surgery, the best browlift candidate is physically healthy, mentally stable, and has realistic expectations about the results that can be achieved with browlift surgery.

If you are bald, have a receding hairline, or have undergone previous upper- eyelid surgery, it is likely than you can still undergo browlift surgery. The surgeon will alter the technique and location of the incision to suit your needs.

Browlift is not recommended for:

  • Individuals with unrealistic expectations
  • Individuals suffering from certain medical conditions – This includes high blood pressure and blood-clotting problems. These conditions can complicate the surgery and post-surgical healing. Inform Dr. Perry of any health problems you have or medications you take before undergoing surgery.
  • Patients suffering from laxity of the mid to lower face This is better addressed by a facelift or mini facelift. However, if a patient has marked forehead creases as well as facial sagging, facelift can be successfully combined with browlift.

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Things to Consider Before Undergoing Browlift Surgery

Financial responsibilities

Fees for browlift include surgical materials, facility fees, anesthesia fees, and more. Health insurance does not cover browlift surgery, and should complications arise that require additional surgery, you will incur further expenses.

Unplanned abandonment of the endoscopic technique

If, during the endoscopic browlift procedure, a complication arises, the surgeon may have to abandon the endoscopic technique and switch to the conventional open procedure. This can result in a longer recovery period and a more extensive scar.

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How is browlift surgery performed?

Browlift surgery can be performed under general anesthesia or local anesthesia that has been combined with a sedative. Browlift is rarely performed the same way for every patient. Like eyelid surgery, the procedure is highly customizable based on the patient’s unique needs. There are various browlift surgery techniques, and the chosen technique depends on your needs. Read more about the surgical approaches to browlift that we offer at Chrysalis Cosmetics.

The Coronal Browlift

The surgeon will prepare you for the surgery by securing your hair with rubber bands on each side of the incision line. Though your hair will not be shaved, hair growing directly in front of the incision line may be trimmed.

Usually, an incision behind the hairline to keep any scarring concealed. This incision resembles a pair of headphones, extending from the top of one ear, arching over the head and back down the other side until reaching the top of the other ear. A slight rise of the hairline is to be expected with this technique. If your hairline is already high, or is receding, the incision can be placed at the hairline to draw your hairline down. Patients can make scars less conspicuous by covering them with bangs, or a new hairstyle.

After making the incision, the surgeon will carefully lift the flap of skin from the forehead, and set about smoothing and altering the muscles of the forehead. The skin is then lifted taut, the scalp elevated, and excess skin trimmed along the incision site. Finally, the incision is sutured closed.

The Endoscopic Browlift

Just as with in the traditional browlift procedure described above, the endoscopic technique begins with tying back of the hair at the incision sites.

Instead of utilizing one long incision, the endoscopic technique uses five inch-long incisions, each hidden within the hairline. Once the incisions are made, an endoscope (a tiny camera connected to a monitor) is inserted through one of the incisions to give the surgeon a view of the underlying muscles and tissues.

As in the traditional technique, the forehead skin is separated from the underlying structures and the muscles and tissues are altered or removed, producing a smoother, more youthful appearance. The eyebrows are lifted to a higher position and secured using sutures and temporary surgical screws that are absorbed by the body.

With the lift portion of the surgery complete, the small incisions along the scalp are closed with sutures or clips.

The advantage of this technique is that it is less invasive, and patients generally experience less swelling, bruising and pain during recovery compared to the traditional method.

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Could There Be any Risks with Browlift Surgery?

Risks are inherent in any surgical procedure. The following list covers some, though not all, possible risks of the browlift procedure. Dr. Perry will educate you further about possible complications during your consultation.

Loss of forehead and/or scalp skin

Known as necrosis of the flap, this condition is rare, but is more common among smokers.

Hair loss along the scar edges

This is impossible to predict, but hair loss is usually not extensive.

Difficulty closing the eyelids

Especially if upper eyelid blepharoplasty is done at the same time as browlift surgery, or has been done in the past, browlift surgery can lead to some difficulty in closing the eyelids.

Eyebrow asymmetry

While surgeons aim for an aesthetically pleasing balance, the human face is not symmetrical, and perfect symmetry following browlift surgery must not be expected.

Formation of a broad scar

This is rare, and can be treated by removing the wide scar tissue to make way for a new, thinner scar.

Damage of nerves that control eyebrow movement

The surgery can injure the nerves that control eyebrow movement, either on one side or both. This can result in an inability to wrinkle the forehead or raise the eyebrows.

Loss of sensation along or behind the incision

This complication is relatively common, especially when the traditional, coronal browlift technique is used. Sensation usually returns within six to 12 months, but is sometimes permanent.

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Complete Pre- and Post-operative Instructions for Browlift Patients

To give our patients a comfortable and positive browlift surgery experience, we have compiled this comprehensive list of pre- and post-surgery instructions. Study the instructions before surgery, and print them out and bring them with you on your surgery day.

Browlift Instructions (printer-friendly)

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*Individual Results May Vary

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