Forehead/Brow Lift

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A forehead lift, also sometimes referred to as a browlift is a surgical procedure to change the position of the soft tissues of the forehead and thereby the appearance of the upper face and also reduce sagging of skin in the eyebrows and above the nose.

Multiple surgical approaches have been developed, and more than one may be used in combination by surgeons wishing to elevate the forehead skin.

A direct browlift is performed by removing an segment of skin and muscle just above the eyebrows. The incision is hidden within the brow hair. This technique does not address wrinkles or lines within the forehead and surgical scars may be prominent. It is typically reserved for older patients or for men with thick eyebrow hair and male pattern baldness for whom other techniques might result in unacceptable elevation of the hairline.

A mid-forehead lift is intended for patients who have heavy sagging eyebrows and the deeper forehead wrinkles. The surgeon makes incisions within the deep forehead wrinkles and removes the excess skin, fat and sometimes muscle.

A coronal forehead lift is performed by making an ear to ear incision across the top of the head and elevating the entire forehead and brow. The advantage of this technique is that incisions are not made on the face.

Dr. Reetesh Purwar performs a brow lift using a viewing instrument called an endoscope that requires only a few small incisions just above the hairline. The endoscopic brow lift surgeon can clearly see the nerves, blood vessels, and muscles in the area. He can make adjustments to the muscles with little risk of damaging the nerves or causing hair loss. Through these adjustments, lines are smoothed, the brows are raised, and the entire face given a more youthful, rested appearance.

Candidates for a Brow Lift

Candidates for a brow lift include those with drooping eyebrows, lines in the forehead, frown lines just above the nose, or an unwarranted angry or sad upper facial appearance. Even those who are bothered or impaired by heavy upper eyelids may see more improvement after a brow lift than blepharoplasty (eyelid surgery), as fixing the structures of the eyebrows and forehead tends to unfold the eyelids.

These conditions most commonly plague people in their forties or older, though inherited conditions can also cause them, and this younger group may just as easily benefit from a brow lift.

An Improved Look Through a Brow Lift

Patients are frequently surprised by just how much their brow lift has improved their look. They often comment that they look younger, happier, and more rested. The effects can last for ten years or longer.

Risks on Brow Lift Surgery

When surgeons have problems with an endoscopic forehead lift, -- in about one percent of cases -- they finish the procedure by switching to the open forehead lift method.

Complications are said to be rare and minor when a forehead lift is performed by a surgeon trained in the technique. However, it is possible for the surgical process to damage the nerves that control eyebrow and forehead movements. Hair loss can also occur along the scar edges in the scalp when an incision is made through the hairline. Moreover, infection and bleeding are possible with any surgical procedure.

Patients who have Endotine implants in their foreheads risk moving their newly adjusted tissues with relatively small movements just after the operation and before complete healing takes place. While the implant absorbs into the body, the Endotine generally does not support the very thick forehead flesh and heavy brows often seen in some overweight males.

Frequently Asked Questions About Brow Lift Surgery

Q: Is hair loss likely due to a brow lift?
A: An endoscopic brow lift does not require the hair to be shaved or even trimmed. The incisions are made in the scalp, but the surgeon works beneath the hair follicles to prevent damage to them.

Q: Will the brow lift result in an unnatural or surprised look?
A: A successful brow lift delivers significant improvement without distortion. If the sagging of the brow is a result of aging, the surgeon can sometimes use old photographs to map out the most natural restoration of the patient’s old look.

Q: How can I tell whether a brow lift or eyelid surgery would be best?
A: A brow lift is meant to restore the entire upper region of the face to its most natural position. If heavy upper eyelids seem to be a result of the downward migration of the brow and forehead, then a brow lift is likely most appropriate. If the patient notices lines across the forehead or above the nose, or experiences frequent headaches, these are also signs that the brow, and not just the eyelids, may need to be reshaped. Sometimes a brow lift is performed first, and then a better assessment as to the degree of excess upper eyelid skin can be performed.

Q: What are the incisions like in a brow lift?
A: In an endoscopic brow lift, there are usually no visible incisions. The incisions in the scalp are small enough that they will likely be undetectable after a few months, even by your hairdresser. Unlike many other surgeons.

Schedule Your Consultation

If you would like to bring your worried, angry-looking brow in line with your true personality, please contact the office of Dr. Reetesh Purwar today to learn more about how this procedure can help you.