What Is A Brow Lift?

Low-lying eyebrows and forehead wrinkles can make someone appear tired, older, or even angry. As we age, our brow descends as a result of increased tissue laxity, loss of collagen/elastin, downward pull from gravitational forces and bony remodeling of the orbit. A brow lift, also known as a forehead lift, specifically address these concerns. Restoring the brow to its natural, aesthetically balanced position can transform a patient’s tired, worn out appearance into a natural, more youthful one. A brow lift is often performed in conjunction with an upper blepharoplasty to give the most dramatic improvement of the upper eyelid and brow area.

There are many different ways to perform a brow lift, and Dr. Hall takes an individualized approach to each patient. He takes great care to rejuvenate the brow and forehead without creating a surprised or shocked appearance. At your consultation, he will go over the various approaches – coronal, trichophytic (hairline incision), endoscopic and mid forehead – and discuss the indications, pros and cons of each. When appropriate, Dr. Hall favors the endoscopic approach due to the smaller, easily concealed incisions, but no matter which approach is chosen, patients can be assured that the utmost care is taken to achieve natural, long lasting results while minimizing scarring.

The Procedure

The brow lift, or forehead lift, is performed on an outpatient basis. Patients will receive anesthesia, which typically consists of local anesthetic and “twilight” or IV sedation. There is no general anesthesia involved, and patients do not need to be intubated.

Once the patient is comfortable, Dr. Hall makes a few short incisions in areas in the least conspicuous area to access the tissues of the forehead and brow. He then releases this tissue from its underlying attachment to the bone with specialized instruments. This allows for the elevation of the brow and forehead.  After the elevation is complete, the incisions are closed and a dressing is applied.

Recovery

Following their procedure, patients are able to go home the same day. We recommend someone be with the patient at least the first night. There will be a dressing in place which is to remain on overnight. Every patient is seen in the office the following day to remove the dressing, clean the incisions and review wound care. The patient returns for suture removal one week later.

Most patients do not experience significant pain. A mild headache and nausea is not uncommon. Pain medication is prescribed for pain relief as needed.

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