Facial aging is a complicated process and it is common to see the first signs of aging in the brows and forehead. Changes to the skin, the effects of muscle contraction over time, volume loss of the soft tissues of the forehead and brows, relaxation of the fibrous/muscular tissues, and descent of the soft tissues due to gravity result in drooping of the brows, rhytid (wrinkle) formation in the forehead and between the brows, and laxity (sagging) of the skin. These changes impart a heaviness to the forehead and brows, which can cause a tired, sad or angry appearance.
What are the Benefits of Brow Lift?
The goal of brow lift surgery is to reposition and stabilize the brows to a more natural position and shape. This restoration of the harmony of the upper third of the face in relation to the eyes results in rejuvenation of the upper face and in many cases also results in rejuvenation of the upper eyelids.
How are Brow Lift Procedures Performed?
Brow lift surgery is performed in our fully accredited surgery center under intravenous sedation, allowing us to offer the highest level of care in a safe, comfortable, and private setting.
There are several options for brow lift surgery, with the main difference among these being the placement of the incisions.
The coronal brow lift has an incision made behind the hairline and carried down just above and in front of both ears. This type of surgery will tend to lift the hairline while lifting the brows. A pretrichial or trichophytic brow lift has an incision placed right at the natural hairline. This approach will lift the brows, without altering the position of the hairline. Finally, endoscopic brow lifting uses several small incisions just behind the hairline in the scalp and temples. This minimally invasive procedure uses a special endoscope (small camera system) and specialized minimally invasive instruments to release the tissues of the forehead and reposition them to a more natural position, resulting in stabilization of the brow and a more refreshed appearance, and tends to minimally alter the position of the hairline.
Dr. Cynthia M. Gregg prefers the endoscopic brow lift approach, as it results in a natural result with refreshed appearance and with minimal incisions and downtime. Incisions are hidden with the hair.
Brow lifting is a safe, time-tested surgery and generally takes one to two hours. It is an outpatient procedure and patients are able to go home the day of surgery. Advances in techniques and technology have allowed for smaller incisions, a less invasive procedure, and shorter downtime.
Brow Lift Recovery
This is an outpatient procedure, and once surgery is complete patients are sent home to the care of their significant other, family member or trusted friend. Patients should refrain from using hairdryers, curling irons, and hair dye until cleared to do so by Dr. Cynthia M. Gregg.
Sutures or staples within the hairline are removed between 10 to 12 days after surgery. Patients may experience a mild headache, tightness to the forehead, mild swelling, slight pain/discomfort and temporary numbness of the scalp. Cool compresses, head elevation and pain medication taken as needed will help in the postoperative period.
Patients usually have minimal downtime of 1-2 weeks before returning to work or school.