Brow Lift

Also known as a forehead lift, a brow lift is a surgical procedure performed to reduce signs of aging in the forehead area. It aims to remove or minimize deep horizontal creases across the forehead and bridge of the nose, as well as the frown lines between the eyebrows (glabellar lines). It also lifts the eyebrows, making the eyes look more open.

Common Brow Lift Techniques

There are two techniques used for performing brow lifts. The classic lift requires a long incision that runs across the top of the head at the hairline and down to the ears. However, for patients with a high forehead, a coronal incision, which is made behind the hairline, may be used. The endoscopic lift requires three to five small incisions that are made across the forehead at the hairline. These shorter incisions mean a shorter recovery time and less scarring than those from a traditional brow lift.

Which technique is chosen depends on the thickness, texture, and elasticity of the skin, the bone structure of the face, the overall appearance of eyebrows and eyelids, and the position of the eyebrows.

The Brow Lift Procedure

Brow lift surgery usually takes 1 to 2 hours to perform and takes place at a hospital, office-based surgical suite, or an ambulatory center. Either general anesthesia or intravenous sedation is used. Depending on the surgical technique chosen, one long incision or a series of small incisions is made. The tissue and muscle underneath the skin are moved or repositioned as necessary. At the end of the procedure, the incision(s) is closed with sutures, screws, adhesives, or surgical tape; a drain may be put in to collect excess blood and fluid. Post-surgery, the patient is moved to a recovery area for observation.

Recovery From a Brow Lift

A patient typically returns home on the day of the brow lift surgery, although an overnight stay may be necessary for some. Swelling may be pronounced for the first day or two after surgery, although most swelling goes away within 2 weeks. To prevent postoperative bleeding, bending and heavy lifting should be avoided for a few days. It can take up to 6 months for swelling to fully subside and scars to fade.

Results of a Brow Lift

Depending on the patient’s presurgical appearance and goals, a brow lift’s results can be either subtle or dramatic. The eyes will immediately appear more “open,” and creases across the forehead, bridge of the nose, and between the eyes will be much less prominent.

Risks Associated With a Brow Lift

Prior to scheduling surgery, you should fully discuss the risks involved. In addition to those associated with any type of surgery, a brow lift’s risks include the following:

• Hair loss around the incision site(s)
• Facial asymmetry
• Higher hairline
• Injury to facial nerves
• Eye dryness/irritation

The chance of complications is minimized by choosing a Royal College-certified plastic surgeon who has experience in performing brow lifts. To get started with brow lift surgery at our Calgary, Alberta, practice, request a consultation online or call Demsey Plastic Surgery at (403) 209-4333.