Are you being told you look tired, worried, or angry when you are not? Do people tell you that this makes you seem less approachable and friendly. When the brow is heavy and overhanging, it may give the appearance of being angry or tired. The facial appearance created by a sagging brow or deep furrows between the brows can be remedied with a brow lift, also called a forehead lift.
A brow lift can help reposition the brows back to where they used to be. In the process of doing so, a brow lift can open and brighten the eyes and provide a more pleasant, approachable appearance.
The procedure selected by your surgeon will depend on several factors, including the outcome to be achieved, the anatomy of the forehead and whether the brow lift is being done in isolation or along with eyelid surgery.
The endoscopic brow lift has been gaining popularity, because it is much less invasive than other techniques and achieves a result once only possible with a larger incision.
An endoscope consists of a very thin tube with a tiny camera at the end. The surgeon makes several short incisions, about ¾” long, just behind the hairline. He or she inserts the endoscope, and performs the surgery using the magnified images that display on a monitor.
The tissue of the forehead is freed and the muscles repositioned to reposition the location of the brow. The forehead tissue is then fixed into its new position with either sutures or dissolving anchors.
This is typically performed in conjunction with eyelid surgery. The incisions, at 1”, are slightly longer than those for the endoscopic brow lift and are made just above the temple, along the hairline.
The surgeon will use the 1” incisions for lifting and repositioning the tissues of the outer brow area. He or she can also use the incisions made for the eyelid surgery to smooth out the frown lines between the brows.
A coronal brow lift is the classic way of lifting the brows. The single, long incision is made behind the hairline and goes from one ear to the other. Then as with the other procedures, the excess skin, tissue and fat are removed and the muscles are repositioned. This technique, although older, is still useful for some patients.
This coronal brow lift is not used that often by plastic surgeons who are skilled in endoscopic surgical techniques, as we are at Arizona Aesthetic Associates. Our team of plastic surgeons employ the most advanced surgical techniques in brow lift surgery, with a faster recovery time, and often no need for a large incision.
For some patients, a forehead reduction may also be beneficial. For these patients, moving the brows and hairline back would only create a longer forehead, which is undesirable. A pre-hairline forehead reduction and brow lift combination may be a good option for these patients.
The incision is more visible but the result is beneficial and necessary for these patients. The final incision for the pre-hairline brow lift is hidden at the edge of the hairline.
Sutures are typically removed in 5 days, and you can usually return to work (if it is not physically demanding) in about a week. Swelling, bruising, and mild numbness may last a few weeks. The board-certified plastic surgeons at Arizona Aesthetic Associates are trained in a variety of brow lift techniques and can help guide you in choosing the best brow rejuvenating option.
At Arizona Aesthetic Associates, we want to provide the guidance, support, and results that will help you achieve your goals of an improved appearance with brow shaping or brow rejuvenation. To accomplish this we pride ourselves in using cutting edge surgical techniques and exemplary service.