Dr. Wyatt C. To, our Board Certified Facial Plastic Surgeon, understand that the brows are one of the most prominent and expressive features of the upper part of the face.
With age, gravity and repeated expression, the brows tend to drop and deep furrows may develop between and above the brows, giving the face a tired, harsh and even angry appearance. A browlift, also referred to as a forehead lift, can help reverse these effects of aging by raising the brows, smoothing the forehead and reducing the action of certain muscles of expression.
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What sort of pre-operative evaluation is necessary?
Routine medical clearance from the patient’s primary care doctor and standard laboratory tests are required. It is also necessary for patients to avoid certain medications, aspirin, herbal remedies and alcohol for the 10 days prior to surgery.
Where are the incisions placed for browlift?
There are three basic approaches for browlift. The time tested coronal approach is done with an incision concealed in the hair, while the high forehead approach uses an incision hidden at the hairline. The endoscopic approach is done via several small incisions behind the hairline.
Which approach is best for me?
The most important factor to consider when selecting the approach is the position and characteristics of the hairline. The coronal and endoscopic approaches tend to raise the hairline while the high forehead approach lowers it. Dr. To will help guide you through the advantages and disadvantages of each approach during your consultation.
What sort of anesthesia is used?
Browlift surgery is done with intra-venous sedation and local anesthetic or under general anesthesia. Patient safety and comfort is the primary consideration, so be sure to discuss this issue with Dr. To.
How long does a browlift last?
Coronal and high forehead browlifts are some of the longer lasting facial cosmetic procedures. Many patients are pleased with the appearance of their brows even many years after surgery. While the results obtained with endoscopic browlift are similar, they may not be as long lasting.
What is the typical post-operative course for browlift surgery?
After surgery a small drain tube is placed to drain away fluids that otherwise might accumulate. A bulky head dressing is also placed to decrease swelling. Patients may choose to go home that afternoon or be observed at a recovery facility overnight. The drains and bulky head dressing are removed the following day. Sutures at the hairline are removed 3-5 days after surgery, while the rest of the sutures and any surgical clips are removed 6-8 days after surgery.
What are the limitations of browlift?
The effect of the browlift is limited to the brows and forehead only. Sagging cheeks, jowls and facial wrinkles will not be corrected with a browlift. The browlift is not intended to correct minor asymmetries of the brows.
What are the alternatives to browlift?
Chemical peels, laser or radiofrequency treatments may be used to reinforce or substitute for surgical lifting, however the degree of lifting achievable with these methods is significantly less. BOTOX® Cosmetic may be used to reduce the action of certain muscles to provide a slight elevation of the brows and to reduce the appearance of forehead wrinkles and frown lines, however this is a temporary treatment that will have to be repeated every several months.