Brow Lift (Forehead Lift)
The position and contour of the brow changes with age as our entire body. Our genetic structure, gravity, decrease in skin elasticity and fat, and activity of brow muscles affect the position of the brow. The position and contour of the brows are important in facial appearance and mimics. A low brow can be related to "anger", and an unusually high brow can indicate being surprised. In other words, brows are the parts of the body that we use most effectively to reflect our facial expressions and even our emotions. Therefore, forehead or brow lift should yield a more natural and youthful brow and eye appearance.
A brow lift can often be combined with upper blepharoplasty or other cosmetic facial procedures in order to address sagging upper eyelids.
What are Brow Lift Techniques?
There are several types of brow lift techniques. The technique to be used is decided most effectively during the meeting with your surgeon depending on the current position of your brow, contour, hairline, facial structure and expectations.
Endoscopic Brow/Forehead Lift: A minimally invasive procedure performed using 3 to 5 small hidden incisions behind the hairline. It is performed by using special tools, including a small camera. Forehead lines can also be softened by lifting and reshaping the forehead, and the hairline can be raised if necessary. The recovery period is fast, and the procedure leaves no visible scars.
Temporal Brow/Forehead Lift: For this procedure, where only the outer halves of both brows are lifted, an incision is required along with both temples at the hairline level. This procedure is ideal for patients who wish to both lift their brows and narrow their forehead. Recovery period is fast, and there is no visible scarring after recovery.
Direct Brow Lift: It is the procedure of removing a part of the upper skin and the underlying tissue by following the length of the brows. This procedure is generally preferred by people who have severe sagging in the brow due to paralysis. In order to camouflage the scar, the incision is made as close to the brows as possible. It is generally preferred by patients, who do not mind the scar.
When Should Brow Lift Be Considered?
- If the sagging and low brows have started to make you look tired, sad or grumpy,
- If you have deep wrinkles on your forehead,
- If you have frown lines between your brows and on the upper part of your nose,
- If you have excess fat tissue and sagging skin in the upper part of your eyes.
If you experience one or more of the problems mentioned above, if your overall health is good and you have realistic expectations, if you feel ready and have a positive attitude about this procedure, you can be an excellent candidate for this procedure.
It improves the sagging and low brows above the upper eyelid.
It raises the brows to a position that looks younger.
Since this procedure does not completely affect sagging eyelids, crow's feet or the appearance of the eyelid, additional eyelid surgery may be required.
How Long Does the Outcome Last?
As in all surgical procedures, the final result in this procedure is evident after six months. In this process, the entire skin and all incisions are healed. There is no doubt that the resulting appearance will regress due to aging and gravity; however, certain parts of brow lift, particularly the wrinkles in the brows and the frown area, will never be as deep and droopy as before. A healthy lifestyle will help you maintain and prolong your resulting appearance.
In brow lift procedures, serious risks are rare, and the post-operative satisfaction rate is high.
Yet, all surgical procedures have a certain degree of risk. Some of the possible complications of all surgical procedures include:
- Reaction to anesthesia.
- Hematoma or seroma (accumulation of blood or fluid under the skin, which requires removal).
- Infection and bleeding.
- Changes in skin sensation.
- Allergic reactions.
- Unsatisfactory results that may require additional procedures.
- Numbness and tightness in the surgical area, which usually improves in parallel with several healing processes.
- It is very important for you to follow all the instructions provided by your surgeon to have a healthy healing process.
- Hospitalization may not be necessary depending on the technique used. In case the technique that requires hospitalization is used, the duration of hospitalization is 1 day unless there is a medical necessity.
- It may take one week for you to return to your daily routine.
- Pain is a rare complaint in this procedure. It only lasts for two to three days, and it can be relieved with painkillers.
- Immediately after the procedure, there will be discomfort due to swelling, bruising, tightness and numbness. The bruising will disappear in a week; however, the feeling of tightness, swelling and numbness may remain for a month.
- You may feel tired and sensitive in the first days due to your surgery.
- Keeping your head elevated will make you feel better during the first week after surgery.
- Smoking reduces circulation, delays wound healing and significantly increases the likelihood of serious complications; therefore, you should discontinue smoking at least four weeks before and four weeks after your procedure.
- You can return to work after maximum one week.
- Exercise and most activities can be resumed after three weeks.