A brow lift is a facial plastic surgery procedure that elevates drooping eyebrows to a more youthful position while providing a smoother appearance to the forehead skin. As people age and gravity takes its toll, eyebrows begin to droop, and wrinkles appear on the forehead.
Additional expression lines on the forehead and between the eyebrows can deepen with age, creating a tired or angry look. A brow lift can address these concerns and create a fresh, rested appearance with smoother skin on the forehead and around the eyebrows.
Even though the ideal eyebrow varies among different races, ages, and genders, it is possible to define an ideal eyebrow suitable for every face.
- For men - The brow should be straight and lie at the superior rim of the eye socket.
- For women - The brow is gently curved and arches slightly above the superior rim of the eye socket.
People in their late 40s and above may benefit from a brow lift. Ideally, candidates for brow lift surgery should be
- Looking for an improvement in sagging brows or deep furrows between the eyes
- In good physical health, with no history of problems with anesthesia
Before the procedure is planned, you will have a consultation with Dr. Greco to discuss your requirements and evaluate your face. Dr. Greco will use this meeting to inquire about your aesthetic goals.
Following the discussion, the doctor will perform a thorough physical assessment, including taking pictures of your face for reference. Your treatment options for both surgical and non-surgical procedures will be discussed in detail. At this time, video imaging will be performed to best determine the appropriate lift for your individual facial features.
This is a good time to ask all your questions and put to rest any concerns or fears you may have about the process. Information gathered from this consultation will help to design a treatment plan tailored to your specific needs and aesthetic desires. Ultimately, the approach used for your brow lift surgery will depend on your desired look, as well as the type of eyebrows and hairline you have.
Browlift surgery is performed under MAC (twilight) anesthesia.
The length of surgery is determined by whether other procedures are part of the same surgical session. A brow lift by itself usually take one hour to complete.
Dr. Greco performs the following types of brow lift procedures:
This is a minimally invasive approach where the surgeon makes a series of short incisions just inside the hairline where the scars can be hidden. A camera and thin instruments are used to reposition the muscles and lift underlying tissues of the forehead.
Candidates for this surgery ideally have a good hairline (not receding) and normal forehead height.
A temporal brow lift or a lateral brow lift is another type of minimally invasive procedure, which is a slightly “scaled-back” version of the endoscopic brow lift.
During this procedure, the tissues of the forehead area are adjusted, and the lateral portion of the eyebrows is elevated greater than the medial portion to enhance the appearance of the eyes. It makes the eyes look more open and alert. The incisions for a temporal brow lift are made in the temporal scalp, avoiding the central scalp.
Lateral brow lifts may be combined with eyelid surgery, which may be performed simultaneously.
A trichophytic brow lift is appropriate for patients with sagging brows and a high forehead. The forehead height should be no higher than 6 cm from the brows.
For those who have low brows and a forehead greater than 6 cm, the incision can be placed at the frontal hairline, which allows for advancing the hairline and elevating brows while weakening the frown muscles all in one procedure.
After the surgery, your forehead will be bandaged to help keep the skin flat. This bandage will be removed the next day in the office, and you will be able to shower and wash your hair thereafter.
Stitches are usually removed within one week after the procedure. Swelling related to the surgery is expected and normal. It will subside on its own within two to three weeks.
Post-operative care instructions may include:
- Following a bland diet within the first 18 hours after anesthesia
- Taking Tylenol and over-the-counter pain medications to relieve any pain and discomfort
- Resting with your head elevated to help reduce swelling
- Following care instructions for the surgical site
- Using cold compresses intermittently for the first 72 hours after surgery
Dr. Timothy Greco is Philadelphia’s leading facial plastic surgeon, skilled at all types of cosmetic procedures that help counter the effects of aging. He is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology/Head & Neck Surgery (ABOto).
Dr. Greco focuses solely on plastic and reconstructive surgery of the face, head, and neck at his in-office, state-certified aesthetic surgical center. If you're looking for a younger, fresher appearance customized to your facial structure, Dr. Greco can help!
Get in touch today to schedule a consultation with Philadelphia’s leading facial plastic surgeon. For appointments, call (610) 664-8830 or check the doctor’s schedule online.