Brow Lift
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Are your brows crowding your eyes?

Raising the eye brows can open up your eyes and relax that furrowed, concerned look.

Understanding the aging eyebrow

Eyebrow and Forehead Lifting addresses eyebrow position and loose or wrinkled forehead skin and underlying tissue. To fully understand the benefits of eyebrow and forehead lifting, one must be aware of the importance of the position of the eyebrows.

Our natural eyebrow position changes as we age due to the effects of gravity, loss of tissue elasticity and tone, fat atrophy, and continuous eyebrow and forehead muscle use over time.

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In our daily interactions, our face sends a message, and the position of the eyebrows is a significant part of that message. Patients often complain that they look “worried,” “angry,” “tired” or “stressed” when they don’t feel that way. Their facial expression doesn’t present how they truly feel inside.

In addition to these unpleasant facial expressions, brow descent will lead to a “crowding” of the eyes by excess eyelid skin. The “hooding” of the eyes by the eyelid skin, in addition to the feeling of eyelid heaviness, will often lead to a subconscious drive to use your forehead muscles to counteract the drooping brow. Though this action will camouflage the brow droop, it will lead to the development of forehead creases and lines that will deepen over time. A browlift or forehead lift, often in combination with fat grafting to restore volume, can significantly improve these facial features, and restore a person’s natural rested, rejuvenated appearance. Not only will the elevation of the brow lead to a more “open and alert” appearance to the eyes, but it will also naturally diminish the development of the forehead lines that lead to a more aged appearance.

There are several types of eyebrow and forehead lifts. The type you and your surgeon choose will depend on your current eyebrow position, your hairline, facial structure, and on what is possible to maximize your appearance. The main types of forehead lifting are as follows:

The Pretrichial (Hairline) Brow/Forehead Lift

Though the Pretrichial Brow Lift requires a longer incision along the hairline, Dr. Amadi feels that this gives the most powerful and long-lasting lift with an aesthetically “friendly” incision. This procedure is ideal for patients who want to lift the eyebrows while shortening the forehead by removing a strip of skin and underlying tissue along the incision. Because the forehead is shortened, the hairline is lowered which is ideal for those with a high forehead. This procedure lifts everything from the hairline down to the eyebrows and can address eyebrow shape and asymmetry. The scar from the incision, once healed, is virtually undetectable as the incision is made in such a way that hair follicles are preserved allowing for hair growth through the scar. Following the procedure, there will be some bruising and swelling. Patients usually return to their normal daily routine in 1-2 weeks.

Coronal browlift is a similar type of surgery, except the incision is made on the crown of the head way further back in the hairline. Though this hides the incision well, it increases the height of the forehead which is usually not desired.

Endoscopic Brow/Forehead Lift

The Endoscopic Eyebrow/ Forehead Lift is very popular as it requires 5 small incisions hidden in the hair and leaves no visible scar. This procedure can lift everything from the hairline to the eyebrows. It tightens and smoothes the entire forehead while lifting the eyebrow area which “opens up” the entire upper face. Eyebrow shape and asymmetry can be addressed with this type of lift. This type of lift may not be ideal with someone with severe brow descent or heavy skin, and may not be as long-lasting a lift as the pretrichial method. Following the procedure, there will be some bruising and swelling. Patients are usually comfortable returning to their normal routine activities in about 1- 2 weeks.

The Mid-forehead or Direct Brow Lift

The Mid-forehead, sometimes called “Gull Wing”, lift or Direct Brow Lift requires removing a section of skin and underlying tissue above eyebrows or in the forehead. This procedure is best for a patient with a severe brow droop that already has significant forehead wrinkles which hide the incision. It is also preferred for patients with an extremely thin or balding hairline. As it is a less invasive procedure, it can often be done under local anesthesia. The “Gull Wing” beautifully lifts a sagging brow while tightening and smoothing the forehead by pulling the skin and tissue of the forehead down rather than up. It, therefore, lowers the hairline which is ideal for a receding hairline and/ or a high forehead. This procedure also addresses eyebrow shape and asymmetry. Care is taken to position the scar just along the eyebrows so that it is maximally camouflaged as shown below. Patients will experience some bruising and swelling following the procedure. They are usually comfortable returning to their normal routine activities in about 2 weeks.

 

Frequently Asked Questions

Who is an ideal candidate for a Brow Lift?

A patient that has low eyebrow position that seems to fall in the eyes is an excellent candidate for a brow lift. Patients that tend to furrow their brows and develop “angry lines” between the eyebrows are often also good surgical candidates. 

Will Insurance Pay for Brow Lift Surgery?

Rarely. Insurance companies are unlikely to cover a brow lift procedure as it is one of the most commonly performed cosmetic procedures. On rare instances, however, if a patient's eyebrows are so low as to encroach into a patient's visual field, exceptions are possible. If your surgeon feels that you may be such a candidate, standardized photography and visual field testing will be necessary to send to the insurance company to obtain preauthorization. Increasingly, even in cases where insurance companies “preauthorize” surgery, they have denied payment afterward. In these instances, the patient would be responsible for covering the cost of the surgery.

What are the risks/complications of a Brow Lift?

As with any surgery, there are always risks, complications or side effects that may occur. Besides infection, bleeding, or hematoma formation, other risks/complications that may occur include scarring, numbness of forehead or scalp, and temporary or permanent nerve damage to the brow causing a brow droop. As with any surgery that requires an incision, brow lifting will create a scar. These scars will naturally fade with time, and positioned properly can be nearly imperceptible. In addition to scarring, skin numbness is a usual side effect of brow lift procedures. Skin numbness will usually fade with time, and different brow lift types have different risks. Rarely, a motor nerve may be weakened due to surgery which can paradoxically drop the eyebrow. Often the nerve will recover with time, but rarely, it may be a permanent process. Though risks exist, they are rare, and your surgeon would not recommend a surgery if the risks outweighed the benefits.

With you from step one

Contact us below or call at 206.599.3223. We’re here to help answer your questions or to get you started with a consultation.

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