Who is a good candidate?
You are a good candidate for a brow lift if:
- You have droopy eyelids due to your eyebrows shifting down from their natural position
- You have deep frown lines and lines on your forehead
- You have a positive outlook, with a clear and realistic vision of what you want the procedure do for you
- You are otherwise healthy and do not have a serious illness or medical condition that may impair the healing
- You are a non-smoker or can abstain from smoking for at least three weeks before and after the surgery
Due to the prominence of the forehead and eyebrows in one’s appearance, many methods have been devised to tailor brow lift surgery to each individual unique case. Your surgeon may choose to combine a brow lift with other procedures to achieve the best result.
1-The Coronal Lift:
This is the classical approach for brow lifting. In this method, one incision is made from ear to ear across the top of the head. Then your surgeon pulls the skin away from the underlying tissues, loosens the muscles and removes excess fat and skin. The incision is then closed with stitches in different layers. The resulting scar from a coronal lift is well hidden within the hair and can be further concealed with a zig-zag incision. This is a good choice for women with high hair density and a normal to short forehead who show an advanced level of brow droop.
2-The Pretrichial (Hairline/Trichophytic) Lift:
This method is recommended for women with very high foreheads and advanced level of brow droop. Your surgeon may choose this method to avoid extending the height of your forehead by placing the zig-zagged incision along your hairline. The resulting scar, while somewhat more visible, can often be hidden with bangs. The rest of the procedure is similar to the coronal lift.
3-The Endoscopic Lift:
If you have mild to moderate brow droop and horizontal wrinkles and/or thin hair or receding hairline, an endoscopic lift may be a good choice for you. Your surgeon will insert an endoscope through 3-5 small 1-2 cm incisions placed just behind the hairline and uses special instruments to alter or re-position the tissue and muscle beneath the skin. Incidences of complications are rare and recovery time is significantly lower in this method.
4-Limited incision or The Temporal or Short Scar Lift:
This is best used for patients who are concerned about flat eyebrows or sagging of the skin affecting the outer portions of their eyebrows. It is also the method of choice for relatively younger balding men who have little temporal hair remaining. In this technique about 4 cm, long incisions are placed hidden in the temporal hairline on each side. This procedure does not address the center area of the brow and the frown lines. However, it can reduce wrinkles at the corners of the eyes and if combined with an eyelid lift (blepharoplasty) your surgeon can remove the frown lines as well.
5-The Direct Brow Lift:
In this method, an incision is made directly above the eyebrow in a pattern to create the desired lift. Then your surgeon removes forehead skin directly above the eyebrows. Although it has the potential to leave visible scars if done carefully the scar can be concealed with the eyebrow hair. Nevertheless, this method is reserved for candidates with male pattern baldness or a very high hairline and for individuals with one-sided brow ptosis (sagging) and eyebrow asymmetry.
Depending on the method used for the procedure and whether it is combined with other procedures a brow lift can take one to two hours under general anesthesia, intravenous sedation, or local anesthesia.