Over time, persistent muscle activity, gravity, and sunlight impact the forehead and brow, causing the skin to wrinkle and loosen. This contributes to a 'heaviness' in the brow that leads to an aged and exhausted appearance. Certain inherited traits, such as a naturally low, flat, or heavy brow, can also cause this appearance. A browlift procedure will lift the brows and in turn eliminate deep furrows and restore a smoother, more youthful contour to the upper one-third of the face.
If you are bothered by droopy brows, deep furrows, or frown lines over the eyes that create a tired look, then a brow lift may be the right choice for you. Whether your heavy brows are genetic or a part of the aging process, Dr. Stiller will help fix what bothers you. While some aspects of forehead and brow aging can be improved with non-surgical procedures such as Botox, some patients may need more. Most commonly, patients struggle with wondering if a brow lift or upper eyelid lift is the right decision. While an upper eyelid lift can help remove excess skin of the eyelid, helping to improve that tired look and even help correct vision, a brow lift helps to lift the brow to a more alert and youthful position. Dr. Stiller is highly skilled in making sure your brow lift is natural and makes you look refreshed without giving you that "tightly pulled” or “plastic" look. During your consultation, Dr. Stiller will discuss your goals and help guide you to the right decision for you.
The brow lift procedure can either be done endoscopically or classically, along the forehead hair line. There is no right answer for what procedure to choose when getting a brow lift. Dr. Stiller can discuss pros and cons in great detail with you to assist you in choosing what is best suited for you.
An endoscopic brow lift procedure involves two incisions, about a ¼ inch in length, behind the hairline. Then, using a tiny camera and thin instruments, Dr. Stiller loosens the brow and forehead skin from the underlying tissues. An endotine, a small three tined bioabsorbable implant, is placed underneath the skin and anchored directly to the underlying frontal bone for secure brow elevation. The skin is pulled and secured onto the endotine and the excess skin is removed.
A classic, or coronal, brow lift procedure involves one incision behind the hairline along the forehead. The skin is lifted from the underlying tissues and pulled to gently lift the brows and forehead. Excess skin, fat, and tissue are removed and brow muscles are repositioned into a more youthful appearance. The incision is closed and hides nicely behind the hairline.
Recovery after a brow lift procedure can vary among patients. Dr. Stiller will provide a pain management regimen to help manage your discomfort and get you through recovery as easily as possible.
A brow lift is an outpatient procedure, so after a short period of recovery time, you will go home the same day as your surgery. You will need a person 18 years or older with you the day of surgery.
When you awake from your surgery, your head will be wrapped in a compression garment to prevent swelling, which we recommend you wear for around 2 weeks. There will be deep dissolvable stitches. Staples along the hairline are used to prevent hair follicle damage and will be removed after 1 week. It is normal to experience bruising, swelling, and a feeling of tightness for about 2 weeks. Even so, many patients feel comfortable going out in public about a week or so after the procedure. You may also experience some burning and numbness tin the face and along the incision lines which can last up to 3 months
Most patients return to work after 10-14 days, however some may take longer or return sooner depending personal preference. As the face heals, patients can usually return to normal activity around 2 weeks. As you ease back into your routine, it is especially important to apply sunscreen to the face for protection. Several weeks after surgery, you will be more vulnerable to sunburn, plus staying out of the sun will help scars heal as inconspicuously as possible.
The changes made with brow lift surgery will last for several years to come when performed by an experienced, board-certified cosmetic surgeon. None, however, will hinder the natural aging process, and your forehead tissues will gradually start to settle with time and gravity. Neurotoxin injectables like Botox or Dysport can be a great addition in helping smooth out wrinkles and prevent new ones from forming. Additionally, maintaining a healthier lifestyle can help you keep your results looking better. Wear sunscreen on a regular basis, eat a rich diet in whole foods and vitamins, and exercise regularly. This will keep the body healthy and your skin looking its best.