Brow lift New York City
Aging usually causes lines across the forehead and between the eyes to deepen. The distance between the eyebrows and eyelashes shortens as skin and soft tissues lose elasticity. The combination of low eyebrows and deep creases can make a person look aged, tired or disgruntled. This condition can be accentuated by folds lateral hooding of skin that can form between the eyebrows and eyelids near the outside corner of the eye.
By raising the forehead skin, altering muscles and removing excess tissue, a brow lift can soften facial lines, raise the eyebrows and restore a softer, more pleasing appearance. A forehead lift can be done alone or with other facial procedures.
There are several types of brow lifts. A full coronal brow lift involves and incision across the top of the head behind the hairline. This is usually not necessary. A temporal brow lift involves small incisions at the hair line on either side of the forehead. An endoscopic brow lift involves small incisions behind the hair and using a video device to perform the surgery.
Brow lift is excellent for the right patients. However, newer technology such as Botox and Fillers and help make nice rejuvenating changes and not require surgery. It’s important to have a consultation to discuss which procedure is right for you.
- Anesthesia: Twilight
- Length of procedure: 1 hour
- Length of stay: Home same day
- Discomfort: Mild, well controlled by pain medication
- Anticipate: Possible temporary swelling and light bruising
- Final result: Most patients take several days to a week off of work. Final results are apparent 4 to 6 weeks as swelling resolves completely
- Duration of results: Usually 10-15 years, with normal aging. However, this is not a procedure that people have over and over. Usually once is enough for this surgery.
What to expect
Three surgical approaches can be used to accomplish a brow lift. Each enables the surgeon to hide the incision:
Coronal brow lift
An incision is made in the hairline across the top of the head from ear to ear. Dr. Shafer lifts the forehead to its new position, with the scalp in front of the incision overlapping the scalp behind it. The overlapping scalp is removed and the remaining scalp sewn together. Some muscles of the forehead are deliberately weakened to alleviate horizontal forehead lines. Sensory nerves at the top of the head are involved, and as a result, temporary itching or numbness is common following the procedure.
Hairline brow lift
A hairline brow lift is often used if someone has a high receding hairline. An incision is made between the top of the forehead and the beginning of the hairline. The hairline is not pulled back when the skin is removed. The technique can yield dramatic improvements in horizontal creases. However, depending upon healing, a scar may be visible along the hairline. The technique works best for those who wear bangs.
Endoscopic brow lift
Using an endoscope with a tiny camera mounted at its end, Dr. Shafer makes four to six small incisions behind the hairline and then shifts the skin backward on the head. Some surgeons place small screws into the skull bone to temporarily support the skin until it heals. Stitches are placed around the screws to anchor the skin at its new location.
Each technique has advantages and disadvantages. Dr. Shafer will work with you to decide which technique is best.
A brow lift will not diminish crows-feet or affect the puffiness or bulging that can occur in the upper or lower eyelids. Some horizontal lines will likely return in people who have expressive faces. Eyelid surgery blepharoplasty can be combined with a brow lift or with a face-lift to decrease the visible signs of aging.
When seeking the best eyebrows for your face shape or yearning to appear younger, a brow lift might be the perfect procedure for you. “Brow lifts help rejuvenate the upper face and forehead. When done correctly, the procedure helps make the patient appear more awake and vibrant without an unnatural surprised look. The forehead skin is smoother and the brows sit in a more youthful position. The procedure can be combined with a skin resurfacing procedure such as laser or chemical peel to help with pigmentation and fine wrinkles,” says plastic surgeon and RealSelf contributor, David Shafer, MD.