Pre Operative Brow Lift Information

You can download this information above as a printable .pdf file here: Browlift pre-op

Eyebrow and Forehead Lifts

A brow lift, also known as a forehead lift or browplasty, is a cosmetic surgical procedure
aimed at raising the eyebrows to create a more youthful and refreshed appearance. It
addresses sagging eyebrows, horizontal forehead lines, and wrinkles between the eyebrows
(glabellar lines). The procedure can also improve the overall contour of the upper face and is
often performed in conjunction with other facial surgeries, such as blepharoplasty or a
facelift.

Types of Brow Lift Procedures

There are several techniques for performing a brow lift, each with specific indications,
advantages, and considerations:

 

1. Endoscopic Brow Lift

Indications:

Mild to moderate brow sagging and forehead wrinkles.

Procedure:

•  Small incisions (typically five) are made within the hairline.
• An endoscope (a small camera) is inserted through one of the incisions,
  allowing the surgeon to view and manipulate the underlying tissues.
• Special instruments are used to lift the forehead skin and adjust the
  underlying muscles and tissues.
• The brow is secured in its new position using sutures, small screws, or
  an absorbable fixation device.

Advantages:

Minimally invasive, shorter recovery time, minimal scarring.

Disadvantages:

Frequently fails to give good long-term results.

 

2. Coronal Brow Lift:

 Indications:

Significant brow drooping and deep forehead wrinkles.

 Procedure:

• A longer incision is made across the top of the head, within the hairbearing scalp.
• The forehead skin is lifted, and excess skin is removed.
• The underlying muscles and tissues are adjusted to achieve the desired
  lift.
• The incision is closed with sutures.

Advantages:

Effective for extensive corrections, long-lasting results.

Considerations:

Longer recovery time, longer scar (though well hidden in
hair), potential for scalp numbness.

 

3. Lateral Temporal Brow Lift:

Indications: Mild brow sagging and lateral (outer) eyebrow drooping.

Procedure:

• Small incisions are made within the hairline at the temples.
•  The outer portion of the brow is lifted and secured in place.
•  Advantages: Less invasive, quicker recovery, minimal scarring.

Considerations:

Limited effect on the central forehead and brow.

 

4. Direct Brow Lift:

Indications:

Significant asymmetry, patients with high foreheads, or those
who need targeted lifting.

Procedure:

• Incisions are made directly above the eyebrows.
• Excess skin and tissue are removed, and the brow is lifted and secured.

Advantages:

Precise correction, shorter surgery time.

Considerations:

Visible scarring, typically used in patients who are not
concerned about scarring or where other methods are not suitable.

 

Preoperative Considerations

Consultation:

A thorough consultation with a qualified surgeon is essential. During
this consultation, the surgeon will evaluate the patient’s facial anatomy, skin elasticity,
and discuss the patient’s goals and expectations.

• Medical Evaluation: A medical evaluation may be required to assess the patient’s
  overall health and any underlying conditions that could affect the surgery or recovery.
• Preoperative Instructions: Patients may be advised to avoid certain medications,
  smoking, and alcohol before the surgery to minimise the risk of complications.

Procedure Steps

1. Anaesthesia: Brow lift surgery is typically performed under general anesthesia,
2. Incision: The type and location of the incision depend on the chosen technique. The
surgeon will make the incisions within the hairline or directly above the brows, as
previously described.
3. Tissue Adjustment: The forehead skin is lifted, and the underlying muscles and
tissues are adjusted or removed to achieve the desired elevation and smoothing effect.
4. Securing the Brow: The brow is secured in its new position using sutures, screws, or
other fixation devices.
5. Closure: Incisions are closed with sutures, staples, or surgical adhesives. Drains may
be placed to remove excess fluid and reduce swelling.
Postoperative Care and Recovery

Immediate Postoperative Care:

•  Cold Compresses: Cold compresses are applied to reduce swelling and bruising.
• Head Elevation: Keeping the head elevated, even while sleeping, helps to minimize
  swelling.
• Medication: Pain medication and antibiotics may be prescribed to manage discomfort
  and prevent infection.

Recovery Timeline:

• First Week: Swelling and bruising are common and peak within the first few days.
  Most patients experience some discomfort, which can be managed with medication.
  Stitches or staples are usually removed after 7-10 days.
•  2-4 Weeks: Most patients can return to work and normal activities within two weeks,
  although strenuous activities should be avoided for at least four weeks. Swelling and
  bruising gradually improve.

Final Results: The final results of a brow lift are generally visible within 1-2 months,
with scars continuing to refine and fade over the course of a year.

Risks and Complications

As with any surgical procedure, a brow lift carries certain risks and potential complications,
including:

• Infection
• Bleeding
• Scarring
•  Asymmetry
• Changes in sensation (numbness or tingling)
• Hair loss along the incision lines
• Anesthesia risks

Conclusion

A brow lift is an effective procedure for rejuvenating the upper face, providing a more
youthful and refreshed appearance. It addresses sagging brows, forehead wrinkles, and frown
lines, and can significantly enhance overall facial aesthetics. However, it is essential for
patients to have realistic expectations and to discuss potential risks and benefits with a
qualified surgeon