Brow Lift / Coronal Brow Lift

The forehead and brow are often the first areas to show the effects of aging. Wrinkling across the forehead and heaviness in the brows can be caused by many different factors. Stress, sun, wind, the pull of gravity and excessive squinting all affect the face and cause you to look tired and older than you are.

To see what a forehead lift can do for your face, put your hands above your brows and outside the edges of your eyes and gently raise the skin upwards. Forehead lifts are an option if you have a heavy brow or deep furrows between the eyes.

A forehead lift or “browlift” is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired. In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines.

A forehead and brow lift can be combined with an eyelid surgery or facelift to improve the overall youthful appearance of your face. The surgical procedure the forehead lift procedure takes between one to two hours to perform. It is most commonly performed under IV sedation or twilight anesthesia. Incisions can be placed at the hairline, behind the hairline, or in some cases, in the brow or in the mid forehead. If your hair is very short, you may wish to let it grow out before surgery, so that it’s long enough to hide the scars while they heal.


Procedure

After you are anesthetized or sedated, your surgeon will determine the area which need to be excised and where the best incision placements would be for your particular needs. You will have this skin dissected and your surgeon will move and suture your muscle or skin, depending. Or he may excise or clip your corrugator muscle to prohibit or hinder you from frowning in the future. After the internal work has been done your incisions will be sutured and a pressure dressing will be applied.

What To Expect After Surgery

Patients may experience some numbness and temporary discomfort around the incision, with a certain amount of swelling and bruising in the 10 day period following surgery, which can be controlled with prescription medication.

Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. Sutures are normally removed 7 to 10 days after surgery. Most patients can resume normal activities in two weeks, but still may be advised to avoid strenuous activities for longer periods.

Resumption of Physical Activity

Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed.

Most patients are back to work or school in a week to 10 days. Vigorous physical activity should be limited for several weeks, including jogging, bending, heavy housework, sex, or any activity that increases your blood pressure. Prolonged exposure to heat or sun should be limited for several months.

FAQ

A brow lift, or forehead lift, is a procedure to reduce the angry or tired look of the brows by excising a bit of skin and resituating or lifting the muscles and suturing them higher.
A brow lift is usually performed during the late 20’s and upwards. There are endoscopic techniques which do not give a more intensive lift that older patients may need and of course the other techniques, such as the coronal, may be a great option for those who do need extensive lifting.
Your surgeon will go over your options that can realistically attain your goals. You will discuss the risks and complications as well as anesthesia choices and fees. As well as what to expect post-operatively. This is the time where you can ask questions regarding your concerns and determine if this surgeon is for you. Do not be afraid to inquire about anything.
After you are anesthetized or sedated, your surgeon will determine the area which need to be excised and where the best incision placements would be for your particular needs. You will have this skin dissected and your surgeon will move and suture your muscle or skin, depending. Or he may excise or clip your corrugator muscle to prohibit or hinder you from frowning in the future. After the internal work has been done your incisions will be sutured and a pressure dressing will be applied.
Expect to be swollen, tender and possibly bruised. This is very normal so do not be alarmed at the presence of any of the above. If you are in pain, take your prescribed medications and do not forget to take your antibiotics and apply your eye salves if instructed. You will be groggy from the anesthetic this is a normal thing, do not fight it. This helps you rest and adjust to your healing period without memory of pain.
The sutures and/or staples will be removed in a week to 10 days. It may hurt a little but your surgeon can give you injections of a lidocaine (a pain reliever).
The results are immediate but you will be swollen, remember to be patient during the healing period and the full results should be visible in a few months. Any numbness along the incisions should subside by 6 months but may remain indefinitely in some patients. Remember that as each day goes on you will be that much closer to your final result, so be patient.
There is a chance of hematoma (blood clots), numbness from nerve damage and hyperpigmentation (permanent discolorations) caused by the bruising. There may be asymmetry and/or undesired results resulting from your browlift. Possible infections may arise and scarring can be apparent depending on the incision placement. There can be necrosis of the tissues at the incision lines, resulting in additional tissue removal. If performed by an unskilled surgeon, it is very possible to have your skin pulled too tight and result in a very surprised look. Although you may look this way at first, it should relax.

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