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Everything you wanted to kn...

Everything you wanted to know about Brow lift

By Mr Ahmed El Gawad, Consultant Plastic Surgeon,

A smooth, supple and relaxed face radiates energy and is the first part of the body to show the signs of aging! As one ages, we notice lines across the forehead and between the eyes. As these lines gradually deepen, the skin loses elasticity and the distance between the eyebrows & eyelashes reduce. As a result, the face appears dull and tired despite all the efforts on relaxation and sleep restoration.

The process of aging is quite predictable. We become flatter and angular in our face – the once arched eyebrows appear flatter due to the combined effect of stress, gravity and the sun. The brows may even droop over the eyes.

A brow lift, also termed as a forehead lift, is a surgical procedure to improve the appearance of the forehead, the brow and the area around the eyes by removing excess skin from the forehead area, creating a youthful and sharper look. The procedure can also soften the facial lines, and raise the eyebrows to restore a softer, pleasing and youthful appearance.

What is Brow Lift Surgery?

Brow lift, or forehead lift surgery, is performed to get rid of the lines and wrinkles formed on the forehead and brow region which make you appear older, less vibrant and more tired. The result lasts for nearly a decade, providing you lead a healthy and active lifestyle post surgery.

Why is Brow Lift surgery done?

People opt for Brow Lift surgery to:

  • Elevate the forehead area and the drooping upper eyelids
  • Reduce the wrinkle lines that develop horizontally across the forehead and on the bridge of the nose, between the eyes
  • Raise sagging brows that are hooding the upper eyelids and arches them
  • Place the eyebrows in an alert and youthful position
  • Repositions and tightens the skin that sits over the brow
  • Minimise the frown lines
  • Rejuvenate the face for a youthful look.

When should I consider a Brow Lift procedure?

Unless for hereditary or genetic concerns, a brow lift is a procedure commonly undertaken by anyone from late 30’s to early 60’s for cosmetic reasons.

A simple test at home can determine if the brow lift is to be considered by you:

  1. Stand in front of a mirror
  2. Gently lift the skin above the brow into an appealing position
  3. If most of the excess skin bearing down on the upper eyelid is eliminated, you may consider to opt for a brow lift

 

Anyone who is interested to improve the appearance of their forehead and brows is generally a good candidate for a brow lift surgery. Hence, you may consider a brow lift if you have any of the following signs:

  • Sagging or low eyebrow position, creating a tired, sad or grumpy appearance
  • Deep horizontal creases across the forehead
  • Frown lines or furrows between the eyebrows or across the top of your nose
  • Excess skin or fatty tissue hanging over your eyes
  • Vertical furrows between your eyebrows
  • Eyebrows appearing flat or horizontal due to sagging skin bearing down on them
  • Skin directly above the nose beginning to sag
  • Upper eyelids beginning to droop

What is involved in the Brow lift procedure?

Depending on your facial anatomy and the concerns, our Plastic Surgeons will decide upon one of the techniques for the brow lift:

  • Endoscopic brow lift
  • Temporal or limited incision brow lift
  • Classic or coronal brow lift
  • Trichophytic lift

The following steps are performed in the brow lift procedure:

Step 1) Administration of the Anaesthesia (if opting for general anaesthesia)

Anaesthesia – general or intravenous sedation is administered to make you comfortable and relaxed during the surgical procedures. Some patients may opt for local anaesthesia, which is an option the surgeon will discuss with you

Step 2) The incision

  • A. The Endoscopic incision:

A less invasive method in which a series of very small incisions (¾-inch in length) are made behind the hairline, to ease concealing. An endoscopic camera is used to guide the repositioning of the muscles and the facial tissue is lifted. The excess fat and skin is removed depending on the need and then the skin is repositioned. 

  • B. Temporal or Limited Incision Brow Lift:

This method is done with slightly longer incisions (1 Inch) in comparison to the endoscopic brow lift made above each temple behind the hairline. Through these incisions, the brow is accessed, lifted and repositioned.

  • C. Coronal incision

A coronal incision is the traditional brow lift method, in which a single long incision is created from ear to ear across the top of the head behind the hairline, to access all parts of the brow and the forehead. The forehead skin is then elevated and muscle adjustments are made under direct visualization. Any excess skin, fat and tissue is trimmed. The resulting scar is concealed within the hair.

  • D. Trichophytic Lift

This is a brow lift technique especially suited to people with high foreheads and higher hairlines. It is a modified version of the coronal brow lift - with a shorter incision (4-cm long) made at the junction of the hairline and forehead. Excess forehead skin and fat is removed.

Step 3) Suturing the incisions

Brow lift incisions are closed with:

  • Skin adhesives
  • Removable or absorbable sutures
  • Special clips

 

Step 4) Final Outcome

Results can be seen  within a few weeks, once the swelling and bruising subsides, revealing a smoother forehead and a youthful, rested appearance!

 

Will the scar be visible after the surgery?

The advanced techniques like the endoscopic brow lift, has minimal incisions made in the hairline, making the scars of the surgery are almost unnoticeable.

Although the incision made while using any other methods is larger than the one made in an endoscopic procedure, our Plastic Surgeon are able to ensure it is covered well by the hairline and concealed with the hair after the surgery.

What is the recovery time?

Generally, you can start mild activities within a few days post-surgery and resume work within 7 to 10 days after the procedure. Vigorous activities need to be avoided until doctor advices.

Bruising and swelling and later itching is common after the surgery; which may be a little bad by the third day, then gradually subside.

Follow the surgeon’s advice for optimum results, all of which will be discussed with you in advance of the surgery.

How long will the results last?

The results from a brow lift last for almost a decade, depending on a healthy lifestyle, controlled exposure to sun and smoking habits.

Are there any risks involved?

The Brow Lift is safe cosmetic surgery procedure, but may have some complications – though rare, minimal and generally temporary. Like any other surgery, a brow lift poses a possibility of bleeding, infection and a reaction to anaesthesia.

Some possible risks may include:

  • Scarring
  • Asymmetry in the position of the brows.
  • Loss of hair around the incisions
  • Elevated hairline
  • Facial nerve injury with weakness or paralysis
  • Fluid accumulation
  • Loss of skin
  • Changes in skin sensation
  • Skin contour irregularities
  • Skin discoloration
  •  

All possible risks and complications will be discussed with you prior to the surgery and any related concerns will be addressed to as well by the team of efficient cosmetic surgeons at Pall Mall Medical.

Book with Confidence

The final results of the procedure may take several months to be significantly visible, but once healed completely, you will be revitalized with a refreshed appearance - a forehead free of creases and the repositioned eyebrows - sharp and appealing.

For more information about the brow lift surgery and understanding its positive effect, contact our dedicated team to book a free of charge consultation with the Surgeon.

Prices start from £2,495 and after your free consultation, we will provide a full quote.

For more information on Brow Lifts at Pall Mall Medical, please contact one of our team on 01744 62 44 64 or email cosmetics@pallmallmedical.co.uk.

Relevant blogs:

https://www.pallmallmedical.co.uk/pmm-blog/what-you-need-to-know-about-a-blepharoplasty-eyelid-surgery

https://www.pallmallmedical.co.uk/pmm-blog/5-top-tips-for-eye-bag-removal

https://www.pallmallmedical.co.uk/pmm-blog/4-things-to-look-out-for-when-booking-cosmetic-surgery