Based on your analysis of your whole face,
rejuvenating the brow and forehead by lifting
it will reverse the ravages of gravity and
age to give you a more youthful look with
improvement in both the forehead's horizontal
lines and furrows - making you look less
stern or tired ' and the hooded effect caused
by loose skin at the outer aspect of the
The difference between
good and bad brow lift is millimetres, but
is likewise, the difference between someone
looking younger and well-rested or someone
looking as though they've been fired down
a wind-tunnel at mach speed!
Commonly asked questions
about brow lift
a good candidate for a Brow Lift?
is beneficial to people of any age who have
developed furrows or frown lines due to
stress or muscle activity or whose outer
upper eyelids look older because of gravitational
descent of the brow skin and soft tissues.
In many patients, all
that is needed to improve their look is
treatment with Botulinum
toxin A ' which is significantly
less invasive and expensive.
is combined with facelift surgery as well
as eyelid surgery.
Male patients who are
bald or have a receding hairline are still
good candidates for brow rejuvenation surgery.
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should I expect from my consultation?
First, I will take
a full medical history and examine you completely;
then I will focus specifically your brow,
forehead and eyes looking especially at
the underlying bone structure and the condition
and elasticity of the overlying skin and
soft tissues. Everyone has an asymmetrical
face and it is important to realise this
before surgery, rather than notice it for
the first time after surgery and worry about
it being caused by your operation. This
is especially important for surgery in the
brow and upper eyelid region where a slight
pre-existing asymmetry can be magnified
by surgery and become noticeable when it
wasn't so previously. With this in mind,
please come to your consultation prepared
with some pictures of yourself 10 and 20
years ago, which along with some standardised-view
photographs that I will take during the
consultation, will help us plan and discuss
your operation. During our consultation,
you will learn about the surgery, and we
will discuss its limitations and risks.
I will ask about your expectations and goals
and by the end of it, we will decide whether
I can realistically achieve them.
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the surgery performed?
Most commonly, brow
lift surgery is performed using an endoscopic
technique in which thin tubes are introduced
through small incisions down which a camera
and instruments are passed to allow surgery
under direct vision. The advantage of the
endoscopic technique is that it requires
very minimal incisions.
A more invasive, but
sometimes more effective approach, is to
make a longer incision across the top of
the scalp (from the top of one ear across
to the top of the other), which in most
women, is hidden in the hairline and inconspicuous
when healed; this is called an open brow
In the endoscopic technique,
the brow is held in it's new elevated position
until loose excess skin has shrunk back,
either by permanent or dissolving material
fixed through the outer part of the skull.
In the open technique, the excess is trimmed
off and discarded - which is why many argue
the open technique gives better, longer
lasting and more reliable results, albeit
at the expense of more extensive scarring
and longer recovery time.
does my operation involve?
Before surgery, you
will meet and be assessed by your anaesthetist
who will prescribe you medications for your
comfort and to lessen anxiety if need be.
On the evening before, or the morning of
your operation I will review what we have
discussed and planned previously and we
will both sign your operative consent forms.
The operation lasts
1-2 hours, depending on whether you choose
an open or an endoscopic technique, but
may be considerably longer if combined with
operations on the face and eyelids.
After surgery, you
will awake in a recovery area and soon afterwards
you will be returned to your room. Most
patients go home the day after surgery on
simple pain relieving medications and a
short course of antibiotics.
The surgery usually
takes 1 to 2 hours depending on the technique
used and if you have any other procedures
such as a facelift or eyelid surgery at
the same time.
After surgery, you
will awake in a recovery area where you
will be closely monitored.
After surgery you will
experience some pain at the sites of incisions
and some numbness in the surrounding skin,
which later becomes an itching sensation.
This numbness followed by itching represents
unavoidable sensory nerve damage, followed
by recovery. It is more extensive and lasts
for longer after the open brow lift, than
after the endoscopic brow lift ' and
may take as long as 6 months to disappear
For the first few nights
after your operation I ask you to sleep
with your head and chest propped up several
pillows to help decrease the swelling which
may also affect your eyes and cheeks, but
which should have disappeared by 1 - 2 weeks.
Your dressings will
be removed 1 - 2 days after surgery and
your staples (scalp sutures) are removed
between 7 - 10 days.
about my recovery and return to normal activities?
In some patients,
bruising may persist for 2 - 3 weeks. It
is not unusual for patients to tire easily
in the weeks after surgery, and to feel
low and a little emotional, but this passes
for those who experience it.
Avoid strenuous activity
(sex, heavy work, aerobic exercise) for
2 - 3 weeks following your surgery, but
gentle exercise such as walking would be
Generally, you can
return to work after 2 - 3 weeks and so
long as you can do so with due care and
attention, driving too.
Loss of sensation around
incisions is usual, especially with the
open brow lift and although it is usually
temporary, it may also be permanent. You
may experience hair loss around your incisions,
but normal hair growth should resume in
a month or so. It is rare, but possible
to experience permanent hair loss in these
Whichever method (open
or endoscopic) is used for your brow lift,
you are likely to be pleased once you see
the results of correcting a sagging forehead
and brow and realise how much younger and
rested you now look.