Browlift

• General
• The Consultation
• The Operation
• Recovery

Brow lift surgery is performed under a general anaesthetic and usually involves an overnight stay in hospital. It is often associated with a face lift or eyelid surgery.

Historically, brow lift surgery involved a long cut across the scalp behind the hairline. This procedure, now termed an open or coronal operation, is much less common today but still useful in selected cases. For example, open procedures can be combined with a degree of reshaping of the rim of the orbit, if softening of the facial features is targeted

A variation of this procedure, used to stretch the skin of the forehead and lower the hairline, places the scar on the edge of the hairline at the top of the forehead.

Today, most brow lift surgery is performed through several small incisions in the hair behind the hairline. The procedure, termed endoscopic brow lift, is assisted by the use of an endoscope, a tiny camera and light mounted on a tubular probe and inserted through these incisions. Images acquired by the camera and displayed in magnified form on a screen guide the cosmetic surgeon as he works.

• During the surgery the tissues of the forehead are lifted from the bone and repositioned higher.
• Frown muscles may be weakened. (Generally they are not destroyed entirely as this could cause the position of the brows to change too much resulting in a startled appearance.)
• The skin is then supported in its new position with a variety of fixation techniques and the wounds are closed, most commonly with skin staples.

A more limited degree of brow lifting can also be done through the incisions made for an upper lid blepharoplasty or through the incisions made at the upper part of a face lift. This is called Browpexy for the former and temporal lift for the latter.