Browplasty or Forehead Lift
A Brow lift/forehead lift is a surgical procedure to correct sagging of the forehead skin, eyebrows, and upper eyelids. A forehead lift removes or changes the muscles and skin that cause signs of aging as drooping eyebrows, “hooding” eyelids, forehead furrows, and frown lines.
When to Consider a Brow Lift?
- Sagging or low eyebrow position creates a tired, sad or grumpy appearance
- You have deep horizontal creases across the forehead
- You have frown lines or furrows between the eyebrows or across the top of your nose
- You have excess skin or fatty tissue hanging over your eyes
Am I a good candidate?
A good candidate for a forehead lift has one or more of the following:
- Deep furrows between the eyes
- Horizontal wrinkles on the forehead
- Nose that doesn’t work properly
- Sagging brows
- Tissue that hangs down at the outer part of the eyelids
How is a brow lift procedure performed?
Brow-lift procedures have evolved from open techniques to more complex short incision and endoscopic techniques. A brow lift usually involves incisions in the hair-bearing scalp, but sometimes incisions are made in the forehead and/or the upper eyelids.
- Open brow lift.
A long incision is made across the forehead, either around the hairline or in one of the creases of the forehead, and lifts the skin away from the underlying tissues. The muscles are loosened and the fat is removedt. Excess skin is removed pulling the remaining skin down, and stitche the brow is stitched into its new position. Other names sometimes used to describe open brow lift include classic, coronal or trichophytic brow lift.
- Endoscopic brow lift.
An endoscope is inserted (a long, thin tube with a light at the end attached to a video camera) through several tiny incisions in the scalp. This allows work on the various internal structures of the forehead. The endoscopic technique requires very minimal incisions, but it may not be equally beneficial for all patients.
- Limited incision technique.
This hybrid technique of both procedures is non-endoscopic with limited incisions. It uses a small portion of the ends of the coronal technique incision to elevate the outside part of the eyebrows under direct vision without an endoscope. The resulting scars are hidden in the temporal hairline, even in balding men who have little temporal hair remaining. While this procedure does not address the center area of the brow, it can reduce wrinkles at the corners of the eyes, commonly referred to as ‘crow’s feet.’ Since many forehead-lift procedures are performed with an upper blepharoplasty, the upper eyelid incisions are used to complete the forehead-lift procedure by treating the ‘frown’ lines between the eyebrows and raising the inside part of the eyebrows.
The type of brow lift you undergo will be based on your facial features and aesthetic preferences. The goal of your Aesthetic plastic surgeon and the entire staff is to help you achieve the most beautiful and natural-looking results.
Occasionally, forehead lifts will make it hard to raise the eyebrows or wrinkle the forehead on one or both sides. If this happens, you might need more surgery to make both sides even. If you have already had plastic surgery to lift your upper eyelids, a forehead lift may not be recommended because it could affect your ability to close your eyelids.
In most people, the cut for the forehead lift is under the hairline. If you have a high or receding hairline, you may be able to see a thin scar after surgery. You’ll need to style your hair so that it partly covers your forehead.
If the forehead skin is pulled too tightly or there is a lot of swelling, a wide scar may form. In some cases, hair loss may occur along the scar edges. This can be treated by surgically removing the scar tissue or areas of hair loss so a new scar can form. Permanent hair loss after a forehead lift is rare.
Most signs of the surgery should fade completely within 2 – 3 months. Makeup can cover minor swelling and bruising. At first, you’ll probably feel tired and let down, but that will pass as you begin to look and feel better.
Most patients are pleased with the results of a forehead lift. They appear much younger and more rested than they did before. The procedure reduces the look of aging for years. Even if you don’t have the surgery repeated in later years, you will probably look better than if you had never had a forehead lift.