Eyebrow Lift (Browplasty)
Eyebrow Lift, also referred to as Forehead Lift (Browplasty), is a cosmetic procedure improving drooping eyebrows that impedes eyesight. Drooping eyebrows make the a face sad, worried or aged and eyebrow lift fixes this problem. Endoscopic surgery is often applied to this type of surgery.
Deep furrows between the eyebrows, across the brow or even sagging eyebrows, not only age us, but imply that we are dissatisfied or unhappy when we are not. An eyebrow lift involves elevating the area above the brows and weakens the muscles that result in furrows between the eyes and on the forehead. The result is a younger and smoother forehead and an increased wide-eyed look.
Every incision has the possibility to leave a permanent scar, but endoscopic surgery scars are barely noticeable to a trained eye. 3-5 very short (approximately 1 cm) incisions are made, usually behind the hairline. An endoscope (a pencil-like camera device), is then inserted through one of the incisions.
During a forehead lift of ‘brow lift’ a surgeon alters or removes the tissues and muscles that caused the drooping or furrowing so that frown lines and eyebrows lifts are reduced.
Step Right Up
Brow lifts are most commonly performed on patients from the 40-60 year old age range and often in conjunction with a face lift or blepharoplasty in hopes of developing a more refreshed and brighter look and reduced signs of ageing.
Younger patients from 20 years old with frown lines or deep furrows as a result of muscle activity or stress are also good candidates for a brow lift. Those patients with inherited facial traits (heavy, low brows or furrowed lines above the nose) can also benefit significantly from this procedure.
Risks and Complications
Whilst it is rare, complications can arise during surgical procedures. There is risk in all surgical procedures and it is important that you are aware of the risks involved in your procedure before going ahead with the surgery. During your appointments you should discuss any concerns with your surgeon and not be afraid to ask questions. Your surgery will be unable to proceed unless you sign a pre-surgery consent form.
It is also your obligation to advise your surgeon of any important medical information that could affect your surgery and/or increase your levels of risk. The type of medical information that you should disclose includes medical complications, previous surgeries, current and recent medications and family disease.
Every patient is different with risks for each person varying based on different factors. The below risks can occur with undergoing a brow lift:
- Excessive or broad scarring
- Hematoma (localized swelling as a result of the accumulation of blood. This requires removal).
- An asymmetrical look
- Extreme pulling of the skin which can result in a permanently ‘surprised’ look. This may be noticeable initially, but most patients notice that the skin relaxes soon after
- Injury/numbness to facial nerves
- Hyperpigmentation (permanent discolouration) as a result of bruising
- Loss of motion
- Necrosis of the tissues the incision lines, needing additional removal.
Fountain of Youth
The results are semi-permanent as all people age continuously. You should also note that whilst endoscopic techniques are significantly less invasive, the results do not last anywhere near as long as the coronal lift.
Your surgeon will discuss your options and advise realistic results. As part of this discussion, you will discuss fees, anaesthesia and what you can expect following surgery. You should use this time to ask any questions and to discuss any concerns that you may have. This will help you decide whether you wish to proceed with the surgery and whether the surgeon is right for you. Do not hesitate to express any concerns that you may have.
After you have been sedated or anaesthetized, your surgeon will decide the area to excise and the most suitable incision points based on your individual needs. That particular skin will be dissected and your surgeon will move and stitch either your skin or muscle or it may be decided to ‘clip’ or excise your corrugator muscle to prevent future frowning. Once the internal work is finished, your incisions will be stitched and then a pressure dressing will be applied.
You should expected to be tender, swollen and possibly bruised. Do not be alarmed by this. Take your prescribed medications to reduce your pain and do not forget your eye salves and antibiotics if advised to do so. Expect to also feel groggy ‘or out of it ’from the anaesthetic. You should avoid fighting this and instead, should rest as much as possible.
No Pain, No Gain
The staples and/or stitches will be removed in one week- 10 days. This procedure may be uncomfortable and hurt slightly. However, your surgeon can administer injections of the pain reliever, Lidocaine in the case where the staples are difficult or causing pain when being removed.
Whilst the results will be immediate, you need to remember that you will be swollen so you need to be patient while you are healing. Within a few months, results will be visible. You may feel that your brows are too high. This is normal and they relax. Numbness along the areas of the incisions should fade within 6 months. However, for some patients this numbness can remain for an indefinite period of time. Be patient and kind to yourself during this healing and adjustment period.
Your surgeon will perform diagnostic examinations and/or laboratory investigations prior to hospital admission and surgery. This is to ensure that you are fit for surgery. This is in line with standard hospital procedure
Time allocated: 1- 2 hours
Anesthesia: General anaesthesia or local with sedation.
- Temporary Swelling
Returning to Work: Within 7-10 days
High Impact Activity: Rest for several weeks
Scars Will Fade: Within 3 weeks and avoid sun exposure for several months with the eventual results lasting 5-10 years.
Note: This information acts as a guide to your possible treatment. Your individual concerns and specific medical history will need to be shared and discussed with your surgeon during your initial consultation.