What is a Brow lift?
The Brow lift, sometimes referred to as a Forehead lift, is a surgical procedure designed to elevate the brow to a more youthful position relative to the eyelids. Since most people focus on the area of the eyes when talking to you, it can, by itself, make your whole face appear younger. It can be performed endoscopically with only two tiny incisions in your scalp. It requires only 1 week off of work.
If you have droopy upper eyelids, the Brow lift is a more natural way to achieve a rested and refreshed look to your eyes. The Brow lift will also slightly raise the upper cheeks and temporal area, to make a more youthful appearance. Lastly, after a Brow lift, you should no longer need to have Botox or Xeomin injections into your forehead. A Brow lift is the permanent way to address wrinkles in your forehead.
What problems does a Brow lift address?
My upper eyes droop and look tired all the time. -a Maryland patientThe ideal candidate for the brow lift will have some of these symptoms:
- forehead wrinkles
- sagging brow or forehead
- hanging upper eyelid skin
- tired looking eyes
- permanent facial expression which has a sad or angry look
- unsuccessful treatment of forehead wrinkles with botox
Will my forehead look frozen after the Brow lift surgery?The result of the Brow lift surgery is long lasting and the brow does not look 'frozen' as it can with Botox. After surgery, the brow will be able to express emotions and will look natural. The Brow lift can be combined with other facelift procedures such as the mid facelift or fat transfer to the face. However, even by itself, the brow lift can give wonderful, natural results for a more youthful and rested look. I'm fond of the procedure and find myself recommending it more and more often for patients looking for facial rejuvenation.
How is the Brow lift procedure performed?In my surgery center, the Brow lift procedure is performed under monitored IV sedation administered only by a board certified anesthesiologist. We prefer to use IV sedation instead of General anesthesia to eliminate nearly all risks of pulmonary embolism. Recovery is much easier and quicker with IV anesthesia. The procedure takes 1 - 2 hours. In order to reach the muscles which need lifting, several small (about 1 inch) incisions are made in the scalp. An endoscope is introduced through one of the small incisions and the operating instrument through the other. The brow muscles are surgically altered. The skin is closed after fixing it in position. With the Brow lift procedure, there is no long scar, no cutting of skin, no 'pulling back' on the forehead skin, and no hair loss. The basis of the procedure is altering the balance between brow depressors and brow elevators. This has the effect of lifting the brow to it's youthful position.
Can I have the Brow lift if I had Botox injections in my forehead 2 - 3 months ago?Yes! In fact, if you have had Botox or Xeomin in the past 2-3 month prior to your surgery, the muscles are easier to work with. So, no worries about delaying the surgery until the Botox has worn off.
What are the preoperative requirements?During your consultation with a board certified plastic surgeon it's important to discuss the surgical plan and review risks associated with the procedure. Your surgeon should also provide a copy of the ASPS informed consent so you can read it carefully in advance of your surgery. This document will list all the possible risks and complications. Preparations for this procedure involve the following:
- Quit smoking 3-4 weeks before the surgery so that healing is not compromised.
- Read the Informed Consent document which lists the possible risks and complications for the surgery. Make a list of questions.
- Stop taking multivitamins, herbals, and aspirin two weeks prior to surgery.
- Within 30 days of your surgery date, get a medical clearance for surgery with a Physical examination (H&P) and CBC (anemia detection).
- Schedule a pre-op office appointment with the surgeon to review the surgical plan and sign the informed consent forms.
- Get all of your prescriptions filled out before your surgery date.
- Do not drink anything (NPO) after midnight the night before surgery.
What is Brow lift Post-Op recovery like?Since the Brow lift procedure is performed under IV anesthesia in my facility, the recovery time after leaving the operating room is fairly quick. You should have little or no nausea and be eligible for discharge to your home within 1 - 2 hours of the procedure. The post op instructions include:
- bed rest and drink lots of fluids during the first 24 hours
- use of cold pack intermittently during first 24 hours to help with swelling
- return to office the day following surgery for bandage removal
- sleep with the head elevated for the first week
- return to work in 1 week with makeup coverage, or 2 weeks with most all bruising gone
What are the risks and possible complications?Any surgery poses some risk, but brow lift complications are typically rare. Possible complications following a brow lift depend heavily on the techniques used by the surgeon. These complications can include, but are not limited to:
- numbness and tingling
- blurry vision (rare)
How much does a Brow lift surgery cost?The total cost for brow lift surgery in 2023 with Dr. Rodriguez averages $5,300. Total cost includes the surgeon's fee, operating room fee, board certified anesthesiologist fee, and all post op office visits. Please call the office at 410-494-8100 to find out more information or to schedule your consultation.
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Board Certified Plastic Surgery, ASPS Member
Patients depicted in our before and after galleries have provided their written consent to display their photos online. Every patient is unique, and surgical results may vary. Please contact us if you have any questions.