Lift (brow lift)
A forehead lift, also called a brow lift, involves manipulating the tissue and
skin beneath your forehead and eyebrows. This procedure corrects the sagging
or low position of the eyebrows by minimizing creases across the forehead and
erasing worried, sad or angry expressions, resulting in a refreshed and younger
lifts are frequently done in combination with other procedures,
such as a facelift, to firm and tighten skin on the entire face;
upper eyelid blepharoplasty to lift and tighten sagging eyelids;
or lower eyelid blepharoplasty, to remove puffiness or wrinkled
skin beneath the eyes. Your surgeon may also recommend injections
of collagen or Botox to minimize the appearance of deep creases
in your forehead or frown lines between your eyebrows.
is a forehead lift performed?
forehead lift can be performed through two different techniques,
the classic lift and the endoscopic lift.
surgeon will make an incision that will start around the top
of your ear and run across the tip of your forehead and down
the other side of your head to your ear. In general, the incision
will be made along or slightly above your hairline so a scar
will not be visible. If your hairline is very low, your surgeon
can raise it by placing your incision near the top of your head.
Conversely, if your hairline is quite high, your surgeon can
lower it by making the incision in your hairline.
work through the incision, your surgeon will carefully lift your
forehead skin so that your underlying forehead tissue can be
adjusted and/or removed to help create your new appearance. Your
surgeon also may elevate your eyebrows and the skin near your
incision may be trimmed to help create a more natural expression.
Your incision will be closed with sutures (stitches) or clips,
and your face and forehead will be washed to reduce any skin
irritation. Your closed incision will then be covered with gauze
padding and your head will be wrapped with an elastic bandage.
preparation with the endoscopic approach is similar to that of
the classic lift. However, as opposed to making one long incision,
your surgeon will make four or five short incisions in your scalp,
each less than an inch in length. Your surgeon will then insert
an endoscope (a small, pencil-like camera device) through one
of the incisions. The endoscope is connected to a television
monitor that enables your surgeon to see the muscle and tissue
under your skin. Using another small instrument that is simultaneously
inserted through one of the other incisions, your surgeon will
alter or remove underlying tissues to give your forehead a more
smooth, youthful appearance. Your eyebrows also may be lifted
into a slightly higher position in this manner. Your incisions
will then be closed with sutures (stitches) or clips and your
face and forehead will be washed to reduce any skin irritation.
Finally, gauze and an elastic bandage will be wrapped around
long does a forehead lift take?
length of time depends on the type, difficulty and scope of the
procedure(s) performed. Typically, this procedure usually takes
about two hours to complete.
type of anesthesia is used?
forehead lift is usually performed using local anesthesia along
with a light sedative to make you feel drowsy and relaxed. General
anesthesia may also be used, causing you to be asleep during
the whole procedure.
is the procedure performed?
forehead lift is usually performed on an outpatient basis, in
the surgeon's office-based surgical suite, an outpatient surgery
center or hospital.
can I return home and resume normal activities?
patients return home the same day, and are able to resume normal
activities after seven to ten days. Strenuous activities, such
as sports, etc. should be kept to a minimum for at least two
weeks after the procedure.
do I prepare for a forehead lift?
your consultation, your surgeon will discuss the changes that
you would like to make to your appearance. Your facial skin and
underlying bones will be examined at this time. Since the appearance
of your forehead is a matter of personal perception and preference,
it is important that you speak honestly with your surgeon regarding
your goals and expectations. You should also make arrangements
ahead of time for someone to drive you to and from your procedure
and to assist you with your daily activities during your recovery
to your surgical procedure, your surgeon will perform a complete
health history and physical. Knowledge of your allergies, medications
and previous surgeries should be brought to your surgeon's attention
at this time. In particular, your surgeon will ask you about
any problems you have had with high blood pressure, blood clotting
or a tendency towards developing large scars. Specific instructions
to assist you in preparing for this procedure will be given to
you after the health history and physical is complete. Depending
on your individual health status, the instructions may include
guidelines regarding your diet, alcohol intake, smoking and which
medications to take or avoid. Your experience will be much smoother
if you remain compliant with your surgeon's instructions.
precautions are necessary during recovery?
recovery time may take several days to three weeks. The bandages
may be removed in as little as three days allowing you to wash
your hair. The use of make-up and hairstyling is often used to
cover minor bruising and swelling during the recovery period.
As always, your surgeon will give you precise instructions specific
to the technique that was used.
surgeon may advise you to keep your head elevated for two or
three days following your surgery to minimize swelling. You may
also experience some swelling around your eyes and cheeks, which
usually lasts a week or so. As your nerves begin to heal, you
may begin to feel some itching on the top of your scalp. These
sensations could take as long as six months to heal. Your doctor
will remove your incision sutures (stitches) or clips over the
course of two weeks. They may all be removed at once or in stages.
Your surgeon will make this determination based on your individual
there is less swelling with the endoscopic technique, you may
recover sooner. You will still, however, experience mild swelling
along with some incision discomfort and minor itching. Stitches
or clips are usually removed within a week.
are the possible complications after a forehead lift?
loss of sensation along your incision line is common in patients
who receive a classic forehead lift. Although most people experience
only a temporary sensation loss, the possibility of permanent
loss does exist. In rare instances, the nerves that control eyebrow
movement can be injured during a forehead lift. This can result
in the loss of the ability to raise your eyebrows and wrinkle
your forehead. If this occurs, additional surgery may be needed
to correct this condition. Additional rare complications include
large scar formation at the incision site, infection and bleeding.
If a complication should occur during an endoscopic procedure,
your surgeon may have to switch to the classic technique. It
is always important to be informed about the possible complications
before any surgery. Be sure to discuss any concerns you may have
with your surgeon.
results can I expect after a forehead lift?
both classic and endoscopic procedures, visible signs of your
surgery should fade completely within a few weeks. Any minor
swelling and bruising can be concealed with makeup or hair. As
with any surgery, you may feel fatigued for some time after your
procedure. However, your energy level should slowly pick up as
you begin to feel and look better. Results from forehead lifts
normally last from five to ten years.
forehead lift is very effective in restoring a more youthful,
refreshed look to the area above the eyes. While this procedure
cannot stop the aging process, it can often create a dramatic
patients are pleased with the results of a forehead lift, no
matter which surgical method was used. Often, patients don't
realize how much the wrinkled, loose skin on their forehead contributed
to the appearance of aging until they see how much younger and
more rested they appear after the lift. The shape of the eyebrow,
horizontal and vertical forehead lines may all be improved or
is important to understand that the texture of the skin will
not be altered by a forehead lift. Regardless of how tight the
skin is pulled; acne scars, age spots and fine lines will soon
return to their original texture. Procedures such as laser skin
resurfacing or chemical peels are frequently used in combination
with a forehead lift to improve the texture of the skin.