Brow and Forehead Lift

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The effects of aging are inevitable, and, often, the brow and forehead area show the first signs. The skin begins to lose its elasticity, relax and droop. Sun, wind, and the pull of gravity all affect the face, resulting in frown lines, wrinkling across the forehead, and an increasing heaviness of the eyebrows.  Not only can the natural aging process cause eyebrows to droop lower on the face, but it can also accentuate excessive upper eyelid skin and cause tissues at the outer (lateral) part of the eyelids to sag. Fortunately, the “forehead” or “brow” lift operation can improve all of these facial characteristics. Proper elevation of the dropped brows and reduction of the forehead wrinkles is essential to achieve complete success.

Brow and Forehead Lift Before After Photo 4


Even people in their thirties may have faces that look older than their years. Your tired, angry, or sad expression may not reflect how you actually feel. As a result, many people have opted for a procedure known as the forehead lift or browlift. Based on variations in how men and women age and on new advances in medical technology, different methods are used to perform this procedure.

If you are wondering how a forehead lift could improve your appearance, you need to know how these procedures are performed and what you can expect. Furthermore, a successful browlift surgery is the result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery.

brow forehead lift stock photo

Is Forehead lift for you?
As with all elective surgery, good health and realistic expectations are prerequisites. When a surgeon tightens loose skin and removes the excess, forehead wrinkling and drooping brows are modified. The procedure is called a forehead lift or brow lift. If necessary, the surgeon removes part of the muscle that causes vertical frown lines between the brows.

The result can be a smoother brow and a more youthful expression with improved self-confidence. To see what a browlift can do for your face, put your hands above your brows and outside the edges of your eyes and gently raise the skin upwards. Forehead lifts are an option if you have a sagging brow or deep furrows between the eyes. This procedure is usually done between age forty and sixty-five, although it may be necessary at an earlier age.

Incisions can be placed at the hairline, behind the hairline, or in some cases, above the brow or in the mid-forehead. Your surgeon can help you select the best technique suited to your particular situation.

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Making the decision for a Forehead lift
Whether you are having forehead lift surgery for functional or cosmetic reasons, your choice of a qualified browlift surgeon is of paramount importance. During the consultation, the surgeon will examine your facial structure, the condition of your skin, and your hairline in order to decide where incisions should be made.

A thorough medical history will be obtained so that your surgeon can consider any medical conditions that may heighten surgical risks. A detailed description of the procedure will also include a discussion of risk involved.

After the decision to proceed with a browlift is made, the surgeon will describe the technique indicated, the type of anesthesia, the surgical facility, any additional surgery, and the risks and costs.

Brow and Forehead Lift Before and After Photos

Brow and Forehead Lift Before After Photo 1

Brow and Forehead Lift Before After Photo 3

View more brow and forehead lift before and after photos

Understanding the surgery
The main difference among the various options for forehead lifting consists of the placement of the incision.

The original technique is the coronal incision, which is made slightly behind the natural hairline. An alternative is the pre-trichial incision. This is similar to the coronal incision except that the mid-portion of the incision is made directly at the hairline. This incision generally heals favorably and has the advantage of lowering the hairline. The disadvantage could be noticeable scarring. An option is to place the incision within the mid-forehead creases. This is primarily used in men with deep pre-existing forehead lines.

The newest approach is endoscopic forehead lift surgery. Several small 1/2 inch to 1 inch incisions are placed just behind the hairline. Although this technique may require more surgery time, it is less invasive and results in a smaller chance of temporary scalp numbness.

A browlift procedure takes between 1-2 hours to perform. It is most commonly performed under IV sedation or twilight anesthesia.

Eyebrow Forehead Lift Illustration


What to expect after the surgery
You will experience a certain amount of swelling and bruising in the 10-day period following browlift surgery. In some patients, this condition may include the cheek and eye area as well as the forehead. You will be advised to keep your head elevated in order to reduce swelling for at least 1-2 weeks. Cold compresses may further reduce swelling. As the incisions heal, you may experience some numbness as well as itching, both of which will diminish with time.

The sutures are usually removed 5-7 days following surgery. If bandages have been used, they are removed in 1-3 days. You can return to work once the bandage has come off and depending on your personal comfort level.  For most patients, the recovery time will not exceed two weeks, but patients may still be advised to avoid strenuous activities for longer periods. Any prolonged bruising can be camouflaged with standard make-up techniques.  You will be able to see the full results of your brow and forehead lift after ~1 month.

Not infrequently, a brow lift is combined with blepharoplasty (an eyelid tuck) or face lift to provide a harmonious rejuvenation.

Forehead lift surgery makes it possible to correct many facial flaws and signs of premature aging that can undermine self-confidence. By changing how you look, browlift surgery can help change how you feel about yourself.

Insurance does not generally cover forehead lift surgery that is purely for cosmetic reasons. Browlift surgery to correct or improve sagging foreheads and brows which interfere with vision may be reimbursable in whole or in part. It is the patient’s responsibility to check with the insurance carrier for information on the degree of coverage.

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Learn More
Before considering a brow and forehead lift or any surgery make sure that you have chosen a qualified surgeon to take care of your needs and all of your questions. To learn more about brow and forehead lift and whether or not it is the right procedure for you contact Dr. Babak Azizzadeh, a facial plastic surgeon located in Beverly Hills, Los Angeles, California to schedule your initial consultation today. Dr Azizzadeh has written several books on facial plastic surgery topics, including brow lifts.

Watch Dr. Azizzadeh Discuss The Non-Surgical Liquid Browlift

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Next, learn about Facelift Procedures