Browlift is a surgical procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure aims to flatten the vertical lines between the eyebrows and reduce the horizontal creases of the forehead. It will also lift the eyebrows to give a more youthful position if they have sagged.
This combination often gives a better result an open eyed look, a young fresh look.
This surgical procedure removes wrinkles from the sides of the eyes and lifts the upper parts of the cheeks and outer parts of the eyebrows. It is often performed on relatively young patients who do not have any problems with neck skin. It is often combined with “Eyelid Surgery”.
THE BEST CANDIDATES FOR A BROWLIFT
A forehead lift is most commonly performed on patients who wish to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.
Forehead lift is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.
RISKS AND COMPLICATIONS
• Numbness and tingling: This can occur at the top of the head and can last for several weeks.
• Hair loss: This can occur around the incision and may be permanent.
• Scar: Scars may stretch and require a revision procedure after a certain time. Scars are hidden in the hair, so they can only be found if looked for.
• Asymmetry: This may occur resulting in one side higher than the other. A surgical revision may be necessary.
• Movement: Forehead movement will be limited immediately after surgery, but normal movement returns in a few weeks.
• Infection and bleeding: This is possible but very rare.
• Pain and discomfort: Painkillers will be prescribed to held control pain and discomfort.
You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.
PLANNING YOUR SURGERY
During your consultation, the surgeon will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure, such as uncontrolled high blood pressure, blood-clotting problems, or the tendency to develop large scars.
Be sure to tell the surgeon if you have had previous facial surgery, if you smoke, or if you take any drugs or medications — including aspirin or other drugs that affect clotting. If you decide to proceed with a forehead lift, your surgeon will explain the surgical technique, the recommended type of anesthesia, the type of facility where the surgery will be performed, the risks, complications and the costs.
PREPARING FOR YOUR SURGERY
Your surgeon will give you specific instructions to prepare for the procedure, including guidelines on eating and drinking, smoking, and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery and your recovery proceed more smoothly.
If your hair is very short, you may wish to let it grow out before surgery, so that it’s long enough to hide the scars while they heal. Arrange for someone to drive you home after your surgery, and to help you out for a day or two.
WHERE YOUR SURGERY WILL BE PERFORMED
A forehead lift is usually done in hospital as an outpatient. However, it is occasionally done with an overnight in hospital.
TYPES OF ANESTHESIA
Most forehead lifts are performed under local anesthesia, with sedation to make you drowsy. It can also be done under general anesthesia, in which case you’ll sleep through the entire operation.
Before the operation begins, your hair will be tied with rubber bands on either side of the incision line. Your head will not be shaved, but hair that is growing directly in front of the incision line may need to be trimmed.
For most patients, a coronal incision will be used. It follows a headphone-like pattern, starting at about ear level and running across the top of the forehead and down the other side of the head. The incision is usually made well behind the hairline so that the scar won’t be visible.
If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding even more height to the forehead. In patients who are bald or losing hair, a mid-scalp incision that follows the natural pattern of the skull bones is sometimes recommended.
Working through the incision, the skin of the forehead is carefully lifted so that the underlying tissue can be removed and the muscles of the forehead can be altered or released. The eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help create a smoother, more youthful appearance.
The incision is then closed with stitches or clips. Your face and hair will be washed to prevent irritation and the rubber bands will be removed from your hair. Although some plastic surgeons do not use any dressings, your doctor may choose to cover the incision with gauze padding and wrap the head in an elastic bandage.
AFTER YOUR SURGERY
Forehead lift patients may experience some numbness and temporary discomfort around the incision, which can be controlled with prescription medication. Patients who are prone to headaches may be treated with an additional longer-acting local anesthesia during surgery as a preventive measure.
You may be told to keep your head elevated for two to three days following surgery to keep the swelling down. Swelling may also affect the cheeks and eyes– however, this should begin to disappear in a week or so.
As the nerves heal, numbness on the top of your scalp may be replaced by itching. These sensations may take as long as six months to fully disappear. Bandages will be removed a day or two after surgery. Most stitches will be
removed within two weeks, sometimes in two stages.
Some of your hair around the incision may fall out and may temporarily be a bit thinner. Normal growth will usually resume within a few weeks or months.
GETTING BACK TO NORMAL
Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed.
Most patients are back to work in a week to 10 days. Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired and let down at first, but your energy level will increase as you begin to look and feel better.