Brow Lift (Forehead Lift)

The brow lift, also known as a forehead lift, is a surgical procedure which elevates low or drooping brows to a higher position, and acts to reshape the curvature of the brow in a more aesthetically pleasing way.

THE BROW LIFT PROCEDURE

The brow lift is an ideal procedure for individuals with low positioned brows or flattened brows which lack an arch. Most patients range in age from forty to sixty, though the procedure can be performed at younger and older ages if necessary. As with all types of surgery, good health and realistic expectations for improvement are important.

Dr. O’Mara performs the brow lift procedure at an outpatient surgery center using either IV sedation or general anesthesia. Surgical times will vary but generally average one to one and one-half hours in length. Dr. O’Mara most often uses an endoscopic approach in which several small incisions are made behind the hairline. For a traditional coronal brow lift, a longer incision is made across the top of the head. Working through the incisions, the doctor will release the soft tissue attachments at the brow and re-suspend the brows to the desired new height. This effectively elevates the brow while also creating an aesthetically pleasing arch.

BROW LIFT BENEFITS & RESULTS

The procedure effectively minimizes forehead creases, drooping eyebrows, hooding over the eyes, frown lines and furrowed forehead lines to rejuvenate a heavy, tired or frowning appearance while also enhancing the eyes. The result is a more youthful and refreshed brow and eye appearance.

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BROW LIFT RECOVERY

The recovery after the brow lift in Texas takes approximately one to two weeks. During this time, patients may experience some bruising, swelling and minor discomfort. Swelling should subside within about one to two weeks. Any bandages applied after surgery is typically removed the next day. Most non-physical work can be resumed within one to two weeks after the brow lift while physical work and more strenuous activities can be resumed after three weeks.

COMBINATION PROCEDURES

The brow lift in Beaumont, Texas is often combined with eyelid surgery, midface lift or lower face lift for additional facial rejuvenation.

FAQ

I am a 56 year old female and would like to have a forehead/brow lift and a Blepharoplasty done. I don’t want to have that “scared” or surprised look after surgery. How do I know this won’t happen?

First and foremost, knowledge and confidence in the surgeon that you choose is the most important step in achieving your desired goal. When combining upper eyelid surgery with brow lift, it is important to elevate the brows to the desired position and not to remove too much upper eyelid skin, which could impair eyelid closure and/or create a hollowed out look. I feel that a softly arched brow with lateral enhancement along with upper eyelid skin positioned several millimeters above the eyelashes looks the most pleasing. In my experience, I have not had a patient complain of their eyebrows pulled too high. As in any other cosmetic procedure you desire, ask your surgeon to show prior patient before and after pictures.

What is the difference between a brow lift and blepharoplasty?

A brow lift is a procedure that elevates your eyebrows to create more distance between your brows and upper eyelids. There are several ways to perform this procedure (I almost always do endoscopic brow lifts). Blepharoplasty procedures are surgery of the eyelid, either upper or lower, in which unwanted skin and soft tissue is removed or repositioned to give a more rejuvenated appearance. Many times, patients are candidates for both brow lift and blepharoplasty to achieve the desired result.

I am a woman and I am considering having brow surgery. I do not want anyone to know that I have had this surgery. Should I have open or endoscopic surgery and how long will it take before there is no swelling or bruising?

I almost always perform brow lift surgery via an endoscopic approach through small incisions behind the hairline. The brow and forehead region can remain swollen and bruised for up to three weeks, but most of this can be covered with makeup within ten to fourteen days. Also, hairstyles with bangs help camouflage postoperative changes. If you allow two weeks, I think that is enough time to heal unnoticed.

I’m in my late 20s and I’m considering a browlift which I know sounds crazy because of my age. However, I have very droopy eyebrows which I think are hereditary. Is it possible to get a browlift at my age?

It is possible to get a browlift at your age, but it is not very common. Persons with a family history of droopy brows usually do request earlier treatment for this condition, and I would consider it in carefully selected patients. Sometimes Botox injection can provide enough brow elevation to avoid surgical intervention for several years.

I’m a 45 year old man interested in a forehead lift. I have a rather unusual issue: I sleep on my stomach, and I’m wondering what effect a forehead lift would have on my sleep. Would sleeping on my stomach be painful after a brow lift?

Many people either sleep on their side or lie flat on their abdomen. After a brow lift procedure, I ask my patients to try their best to keep their head elevated to reduce swelling. It can be a bit difficult trying to sleep with your head elevated. I will sometimes prescribe a sleep aid to help my patients get better rest. I do not recommend sleeping on your stomach after brow lift.

People around me always think I am angry with them. My eyebrow always has this sort of furrowed look to it. I heard that a Forehead lift could help. Is that true or would Botox be a better option?

I would definitely tell you to start with botox injections to see if this would soften your medial brow region. This will also give you a “chemical” brow lift. Depending on your age and how your sagging brows affect your upper eyelids and eyes, brow lift (or forehead lift) combined with possible blepharoplasty is always an option at the desired time.

Since I had my brow lift (7 weeks ago) I have noticed that the skin on my forehead is really shiny. Is this a result from the surgery?

If you are seven weeks postop from your brow lift, you probably still have a bit of edema or fluid retention of the soft tissue of your forehead. This does impart a small amount of stretch on the forehead skin, which can give it a smooth, shiny look. It often takes about three months for this to completely subside, especially if you had other facial cosmetic procedures performed simultaneously.

I had a brow lift 4 months ago. It appears as if one of the endotines has dissolved OK but the other one has not. Now I am left with a strange uneven appearance because the one endotine is making my skin appear lumpy in that area. I try to cover this up as much as possible with my hair but it is really bothering me. Do you think there is something wrong?

I personally do not use the endotines when performing brow lifts. If it has been 4 months since your procedure, chances are the soft tissue of your brow and forehead has healed so that the endotine can be removed without affecting you cosmetic result. Endotines are absorbable, so if given enough time, this issue could resolve itself.

I’m a 28 year old Asian woman with hooded eyelids. I want to have surgery to have this corrected. Can you tell me how brow lift can help enhance my eyes?

If you have a significant amount of brow ptosis or sagging of the brows, this can impart extra skin that hangs down onto the eyelid platform. When this occurs more in the lateral brow over the outside corners of you eyes, this is called hooding. A brow lift can elevate either the medial brow, the lateral brow, or both depending on the patient. When the brows are too low, this causes the eyes to look smaller. A brow lift can enhance your eyes by elevating the sagging soft tissue off of your eyes and making them look larger, refreshed, and well-rested. More often, brow lifts are performed in conjunction with upper eyelid blepharoplasty.

I am interested in getting a browlift but want to avoid looking surprised all the time. How can you guarantee that I won’t end up looking overdone?

Patients need to be counseled about the changes of the brow and hairline with brow lift procedures. I perform endoscopic brow lifts in most cases. In my experience, I have not had any patients report to me that they feel like their eyebrows are too high. There have been instances where the concern is more of the hairline shift. Although there can be no certain guarantees, in virtually all patients once swelling has subsided and the brow skin has relaxed a bit, there is no concern of being “overdone.”