Brow and Forehead Surgery
Slight changes in the height of your eyebrows can have major effects on your apparent age and remarkably affect how your eyes appear. Many women pluck their eyebrows in order to change the height of the brow. A high arched eyebrow is a sign of youth and can highlight your eyes and draw attention to them. A droopy eyebrow can hood your eyelids, draw attention away from your eyes, and is more typical of the male brow.
If you are a man, the natural position of your eyebrow is slightly lower than a woman’s. This means that you have even less leeway before droopy eyebrows affect your upper eyelids and not only draw attention away from your eyes but may interfere with your peripheral vision. Hence droopy eyebrows in men often are a functional as well as a cosmetic problem. More and more men are interested in facial plastic surgery today. We take care not to elevate your eyebrows too much since too high an eyebrow can be feminizing.
The forehead and eyebrows make up the upper one third of the face. A standard face and neck lift is really a lift of the lower two thirds of the face and neck. A forehead lift is a facelift of the upper one third of the face. It may be combined with a standard face and neck lift or an eyelid lift. (For more information on facelifts, see our Face and Neck section.)
A forehead lift is recommended for people whose eyebrows have fallen with time and whose forehead has deep wrinkles. It is a permanent way to improve the deep horizontal and vertical grooves on the forehead that develop after years of facial expression.
Browlift: The Surgery
The standrd forehead lift, recommended for severe age-related forehead and eyebrow problems, is performed through an incision in the hairline of the forehead. The operation takes about two hours, and may be performed with you either awake with intravenous sedation or completely asleep under general anesthesia. At the end of the operation, small sutures and surgical staples are placed to close the incision. These are removed in seven to ten days. A small plastic drain is used to remove any accumulated blood overnight, and is removed the next day in the office. You are able to go home the same day as the operation.
If your eyebrow or forehead problem is not too severe, then perhaps you would be a candidate for endoscopic surgery of the forehead. Through five or six small incisions in the scalp, the deep grooves of the forehead can be improved and the eyebrows raised. We would be pleased to discuss this procedure in more detail during our consultation.
Browlift: The Recovery
You will be able to return to work in ten days and will be able to resume your routine activities and exercise at three weeks. There is very little swelling or bruising, but you will notice some numbness in the forehead and scalp for several months. You will also find that raising your eyebrows will feel funny for several months. These small nuisances are not of major concern to most of our patients. Your improved look will be subtle to everyone but you. Many people will say how well rested you look, or ask you if you have changed your hairstyle. This procedure alone can make you look anywhere from five to ten years younger.
Before and After Photos of Browlift Patients
Browlift: Pre- & Post- Op Instructions
Please read and familiarize yourself with these instructions both BEFORE and AFTER surgery. By following them carefully you will assist in obtaining the best possible result. If questions arise, do not hesitate to contact Dr. Miller or the office to discuss your questions at any time. Take this list with you to the hospital and begin observing these directions on the day of your surgery.
For more information and instructions please click here.
If your forehead grooves are not too deep, or you wish to discuss nonsurgical improvements, then perhaps Botox (Botulinum Toxin) injections or chemical peels might be for you. These are discussed in detail in the following sections.