Eyebrow and forehead lift
Description (overview)
A brow lift, also known as a forehead lift or forehead rejuvenation, is a cosmetic procedure to raise the brows. A brow lift improves the appearance of the forehead, the brow and the area around the eyes by raising the soft tissue and skin of the forehead and brow.
- Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes
- Improves frown lines, the vertical creases that develop between the eyebrows
- Raises sagging brows that are hooding the upper eyelids
- Places the eyebrows in an alert and youthful position
Other cosmetic procedures that may be performed with a brow lift include:
- Upper and or lower eyelid surgery (blepharoplasty)
- Face lifting
- Skin resurfacing techniques
Why Brow Lift Is Required ?
The problem with an aging forehead is the effect it has on our facial expressions—a sagging, heavily furrowed brow can cause us to look constantly tired, worried or even angry. Some of us are also genetically inclined to have a heavier, thicker brow, making us look as though we are wearing a frown even when we are feeling our best. A brow lift directly addresses these issues, helping patients enjoy a more naturally refreshed appearance as well as other positive changes:
- Others may find you more approachable, as they no longer mistakenly perceive you as angry or concerned
- Your eyes will appear brighter and more naturally alert
- Self-confidence can improve as you are no longer worried about looking “worried”
Why Iran Is Suitable For Brow Lift?
Patient Eligibility \ Who Can Have Brow Lift?
You might want to consider a brow lift if you:
- Are bothered by moderate-to-severe wrinkling on the brow or forehead
- Would like to smooth forehead skin, but prefer not to have your muscles paralyzed as with BOTOX®
- Have tried a series of dermal fillers to correct brow wrinkles in the past, and are now looking for a solution.
As we age, unsightly wrinkle lines may appear on the forehead. Frown lines between the brows can make us look angry or “too serious.” Skin relaxation may cause the eyebrows to drop, hooding our upper eyelids and making us look tired. If you are bothered by these signs of aging in the brow region, a brow lift may be right for you.
The incision lines from a brow lift are well concealed within the hair or natural contours of the face unless they are placed at the hairline to shorten the forehead. Results appear gradually as swelling and bruising subside to reveal smoother forehead skin and a more youthful, restful appearance.
Life-long sun protection will help to maintain your rejuvenated appearance by minimizing photo-aging or sun damage. In addition, a healthy lifestyle will also help extend the results of your rejuvenated, more youthful appearance.
How Is Brow Lift Done? (Procedures)
Cosmetic surgeons use different techniques for brow lift surgery; which is best for any given patient depends on a patient’s goals, unique anatomy, and the extent of corrections needed to achieve the desired results.
Types of Brow Lift Surgery
Endoscopic Brow Lift
Increasingly, cosmetic surgeons are using the endoscopic method for brow lift surgery, which is much less invasive than previous techniques, yet can often achieve an equally desirable result. For an endoscopic brow lift, your cosmetic surgeon will make a series of very short incisions (about ¾” in length) just behind the hairline. Then, using a special tiny camera and thin instruments, he or she will reposition the muscles and lift underlying tissues of the forehead, removing excess fat and tissue as needed to create a naturally more youthful brow.
Temporal or Limited Incision Brow Lift
A temporal brow lift involves slightly longer incisions than an endoscopic brow lift and is most commonly performed in conjunction with eyelid surgery. Incisions about 1 inch long are made just above each temple, behind the hairline. Through these incisions, your cosmetic surgeon will lift and reposition the tissues of the outer brow area. Then, through the incisions made for an upper eyelid procedure, the area between the eyebrows is lifted to smooth out frown lines.
Classic or Coronal Brow Lift
Once the standard technique, the coronal brow lift has generally fallen out of fashion, as well-qualified cosmetic surgeons are typically able to make needed improvements with less invasive techniques. In certain cases, however, a coronal brow lift may be necessary to achieve a patient’s desired results. This technique involves one long incision made behind the hairline, running from ear to ear. Excess skin, fat and tissue are removed and the remaining skin and brow muscles are repositioned into a more youthful appearance.
Preparation & recovery
How you prepare
Initially, you’ll talk to a facial plastic surgeon or plastic surgeon about a brow lift. During your first visit, your surgeon will likely:
- Review your medical history. Be prepared to answer questions about current and past medical conditions. Talk about any medications you’re taking or have taken recently, as well as any surgeries you’ve had. Tell your doctor if you are allergic to any medications.
- Do a physical exam. To determine your treatment options, the doctor will examine and measure different parts of your face with your eyes open and closed. The doctor might also take photographs for your medical record.
- Discuss your expectations. Explain why you want a brow lift, and what you’re hoping for in terms of appearance after the procedure. Make sure you understand the benefits and risks.
Before a brow lift you might also need to:
- Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
- Avoid certain medications. You’ll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
- Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.
After the procedure
After a brow lift, your forehead might be loosely wrapped to minimize swelling. A small tube might be placed along the incision site to drain any excess blood or fluid.
Your doctor will give you specific instructions on how to care for your incisions. In the first few days after a brow lift:
- Rest with your head elevated and take pain medication as recommended by your doctor
- Apply cold compresses to relieve swelling
- Avoid exposing your incisions to excessive pressure or motion
As your incisions heal, you might experience itching and numbness, which will likely lessen over time. If your incisions are covered in bandages, your doctor will likely remove them in one to three days. Sutures typically will be removed within seven to 10 days of surgery.
Ask your doctor when it’s OK to resume daily activities, such as washing and drying your hair and bathing. Keep in mind that swelling might last several weeks.
Incision lines will fade over time. You might use makeup to conceal any prolonged bruising.
After a brow lift, contact your doctor immediately if you have:
- Shortness of breath
- Chest pain
- Irregular heartbeats
Other option
Nonsurgical Brow Lift
Contrary to popular belief, the eyebrow does not truly sag or change position as we age. Rather, it stays relatively fixed in position through our life. However, muscle and soft tissue changes around the eyebrow causes changes the can alter the shape or position of the brow.As we lose fat and soft tissue in the upper forehead, brow, upper eyelid, and eye region, our muscles around the eyes and forehead try to pick up the slack and work over time. This causes tell-tale forehead lines, slight drooping of the brows, and deflation and redundant skin of the upper eyelid skin.
However, there are innovative techniques using injectable products and skin tightening devices that can improve aging changes to the eyebrow.
Treatment Options for the Eyebrow
- Botox: Injectable botulinum toxin such as Botox, Dysport, and Xeomin can be artistically placed at the tail of the eyebrow and in between the brows to lift its position, opening the eye and lifting the brow.
- Skin Tightening: this procedure improves crepey skin in the upper eyelid and helps to subtlety lift the upper eyelid skin.
- Ultherapy : this ultrasound-based device is used around the eyes to tighten, lift, and improve texture of the skin. It is FDA-approved for lifting the eyebrow region approximately 1-2 mm according to clinical trials.
- Protégé Elite: this no-downtime, no pain procedure is a radiofrequency device that over a series of treatments tightens the skin around the eye, sometimes providing a subtle lift to the eyebrow.
- Injectable fillers: using a blunt-tipped cannula technique, the upper eyelid and eyebrow fat loss can be restored with minimal risks and downtime.
- Restylane and Restylane Refyne: these hyaluronic acid fillers restore volume appropriately do not attract excess water and swelling to the eye region like other fillers.
- Fat: One’s own fat can be grafted through autologous fat transfer to rejuvenate the entire eye region and to improve the upper eyelid.
Risks & Complication
A brow lift poses various risks, including:
- Scarring. Scarring might be visible after a brow lift.
- Changes in skin sensation. A brow lift can cause temporary or permanent numbness on the forehead or top of the scalp.
- Asymmetry in the position of the brows. A brow lift can result in asymmetry, with one or both of the eyebrows appearing too high. However, asymmetry may even out during the healing process. Persistent brow shape or position problems can be treated through additional surgery.
- Hair problems. A brow lift can cause an elevated hairline or hair loss at the incision site. If hair loss doesn’t resolve on its own, it can be treated with scar excision or hair grafting.
Like any other type of major surgery, a brow lift poses a risk of bleeding, infection and an adverse reaction to anesthesia.