Brow Lift
Brow lift
A brow lift, also known as a forehead lift, is a procedure to raise the brows. By raising the brow, apart from suspending them higher on the face, achieves other benefits such as opening the eyes, looking less tired and improve asymmetry.
The procedure is a popular combination with facelifts and blepharoplasties.
Benefits of a brow lift
The brow lift procedure can be done for aesthetic or functional reasons. Aesthetic reasons are due to the brow dropping as we age to a lower position. This gives a feeling of heaviness and the look of tiredness.
Functional reasons are around restrictions of the eyesight due to the heaviness of the brow or due to asymmetry as a result of a facial nerve palsy or injury.
The procedure
A brow lift procedure can be done under a general anaesthetic, sedation or a local anaesthetic. It is usually a day case. There are usually no drains but sometimes a fibrin tissue glue is used to support the tissues and prevent fluid collection. Depending on the type of brow lift, there will be instructions about aftercare to follow.
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Options
There are non-surgical and surgical options to lift the brow. Non-surgical options are chemical or threads, lasting up to one year depending on the technique.
Surgical options include direct, indirect and endoscopic, each having advantages and disadvantages, which will be discussed during consultation.
If combined with a blepharoplasty, the brow lift is preformed first, then the blepharoplasty, all be it in the same operation.
After Care
After the procedure you might have wear a compression bandage if an indirect surgical brow lift was preformed. This is for up to one week.
For non-surgical techniques the down time is minimal, but we do advise to avoid doing any aggressive sporting activities for a few days.
You will need to rest and elevate the head, avoiding straining Cold compressors help in reducing the swelling after the procedure. Arnica reduces the bruising.
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what is a non-surgical browlift
This is when chemicals are injected in the brow area to lift it, or when a silhouette soft thread is used to suspend the brow.
is a surgical browlift permanent
The short answer is no, but the result should last for many years depending on the technique used and on your skin quality. Using sutures to suspend the brow in the skull helps results last longer,
are the scars visible
Depending on the type of the brow lift and hair pattern, incisions can be placed in areas to hide them for the future. A direct brow lift does have a visible incision but sometimes it is the best solution.
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Frequently asked questions
There are a number of ways to lift the brow, depending on your wishes and the degree the brow has dropped. These procedures vary from minimally invasive procedures, such as Botox or fillers, to those requiring surgical operations. The most common way to lift the brow now is to perform a chemical brow lift.
The chemical brow lift is when we inject a chemical to lift the brow. This is performed as an out-patient clinic procedure. The action ois used to balance the eyebrow at a higher level than it originally was. The effect is temporary and lasts 3-4 months. It can however be repeated once it begins to wear off to maintain the result.
Dr Souéid preforms this procedure using Juvederm dermal fillers. The fillers are injected at specific points around the eyebrow area to lift. Dr Souéid uses the MD Codes a part of his treatment, giving more accuracy. Fillers to this area last up to 12 months.
During this procedure, Dr Souéid will use a Silhouette Soft thread to lift the eyebrow. The skin can then be pulled over the thread to lift the brow up. Thread lifts are temporary but they last up to 18 months.
Dr Souéid’s surgical brow lift procedure is performed as a general anaesthetic day case procedure.
The operation involves making incisions in the hairline, through which instruments are passed to release structures, then the skin can then be lifted and redraped to restore a more youthful appearance. This can be combined with upper eyelid or facelift surgery.
The most common side effects include bruising and swelling.
Bleeding
Bleeding may occur after the procedure and it is common to have a few drops from the wound after the procedure. Sometimes the bleeding can be more and result in a collection underneath the skin, this is a haematoma. This may recover further surgery to remove the blood collection.
Facial nerve injury
Extremely rarely, but the most dreaded risk of a facelift operation. Temporary weakness of facial muscle movements can occur, but rarely this is permanent.
Infection
Infection can result in redness and swelling. This may also result in discharge or even wound breakdown.
Under or over-correction
It is common to overcorrect in this procedure to allow for some relaxation. It is difficult to predict the amount of relaxation that will happen afterwards.
Asymmetry
Most patients will have some degree of asymmetry, which is completely normal. This may also occur after surgery or you may become more aware of asymmetries after the procedure.
Scarring
You will have scarring in the scalp area, which will be permanent. The scar is normally in the natural creases. Hair will hide then well usually. Occasionally, scars can become raised and thickened, also referred to as hypertrophic or keloid.
Seroma
Some patients will experience a collection of fluid under the skin that requires drainage.
Hair loss at the incision site
There is a small risk of hair loss at the incision site. Usually that will recover.
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