A brow lift is also known as a forehead lift. The goal is to recreate a youthful appearance to the upper face. This is done by reducing the wrinkles of the forehead and repositioning sagging brows. There are a number of different approaches to a brow lift and Dr. Robin Evans—our board-certified plastic surgeon near Los Angeles—will discuss with you what is appropriate for you.
How Does Dr. Evans Perform a Brow Lift?
There are a number of different approaches to a brow lift. All techniques have different advantages and disadvantages. The incisions can be placed behind the hairline, along the hairline or just above the brows. In your consultation, Dr. Evans will examine you and help determine what approach he would recommend for you. Correctly placed BOTOX® injection is occasionally all that is required.
How do I Prepare for a Brow Lift?
The best way to prepare for a brow lift is to live a healthy lifestyle. This includes healthy eating and regular exercise. Being a non-smoker is a must to optimize wound healing and reduce the risks associated with the procedure. Taking good care of your skin and having a quality skin regimen does help improve your overall result.
What Procedures are Often Combined with a Brow Lift?
Occasionally eyelid surgery can be combined with a brow lift. Sometimes when there is sagging skin of the lower lids the real problem actually lies with the position of the brows. The brows do drop over time and this can result in heavy upper lids. Sometimes removal of skin from the upper lids and repositioning of the brows is necessary to achieve the best result. Occasionally we release muscles through the eyelid surgery incision that cause wrinkles between the brows.
Sometimes it is necessary to develop a treatment plan to address the upper face through a brow lift, the middle face through a facelift and the lower face through a neck lift. It is important to understand the cosmetic outcome and how improving one part of the face may make the other areas look relatively more aged. Having an overall plan is important to getting the best result possible.
What are the Risks Associated with a Brow Lift?
There are risks to any procedure and brow lift is no different. The risks specific to a brow lift include risks such as loss of hair around the incisions or an elevated hairline. We reduce this risk by designing the incision to minimize it and to select the appropriate incision placement for you. There is always a risk to the facial nerve which could cause asymmetry to the face. We decrease this risk by careful planning and dissection. It is also possible to get numbness, especially of the forehead and scalp. This usually resolves over many months but can occasionally by permanent.
Is a Brow Lift Performed Under Local Anesthetic (freezing) or a General Anesthetic (completely asleep)?
It all depends on what type of brow lift is required and how comfortable you are being awake during the procedure. Sometimes, we can perform the operation under local anesthetic. However, sometimes a more extensive approach is required for you to achieve your goals and in that case I would recommend a general anesthetic.