Brow Lift

What is a Brow Lift?

Also known as a forehead lift, this procedure repositions low or sagging eyebrows. It can also help efface wrinkles on the forehead.

Temporal Brow Lift Look
How a brow lift will affect brow position

This is a highly individualized procedure. There are multiple different techniques depending on the desired result.

Brow Lift Techniques

Coronal Brow Lift

The Coronal Brow Lift is the original brow lift technique and still remains the gold standard of brow lifts. The technique involves an incision from ear to ear, lifting the forehead and removing excess skin from the scalp.

Drawbacks to this technique include a longer scar, hair loss along the scar, and sensory loss in the scalp. In addition, recovery time is often longer than the endoscopic brow lift due to the size of the incision.

Coronal Brow Lift
Location of incisions in a Coronal Brow Lift
Coronal Brow Lift Scars
Scars are hidden inside the hairline.

Endoscopic Brow Lift

This technique is done using an endoscope (surgical video device) and special instruments placed through small incisions made within the scalp and temple hairline. This allows the tissue and muscle beneath the skin to be repositioned, altered or removed, correcting the source of visible creases and furrows in the forehead.

Endoscopic Brow Lift
Location of scars in an Endoscopic Brow Lift. These are smaller and placed in strategic areas to allow brow lifting.
Endoscopic Brow Lift Scar Location
The scars are much smaller and hidden which results in quicker recovery

Since no scalp or skin is removed, this technique uses a device to hold the scalp elevated. The device is either a small screw or a plastic anchor that secured to the calvarium.

View from temporal incision in Endoscopic brow lift of Sentinel Vein. The frontal branch of the facial nerve is in the vicinity of the Sentinel Vein in the Superficial Temporal Fascia and thus this area of the dissection requires more care when placing any tension on the Superficial Temporal fascia located on the upper surface of the dissection

Temporal Brow Lift

In this technique, only the lateral third of the brow is lifted via incisions inside the hairline in the temple. This corrects hooding seen in the lateral third of the upper eyelid. It does not treat the middle or central brow. Since it is a smaller procedure, it can be done under local anesthesia in the office.

Pretrichial Brow Lift

In this technique, forehead skin is removed using an incision along the hairline, mostly extending along the lateral third of the superior hairline. It is not as invasive as the open coronal or endoscopic and can be done using local anesthesia in the office.

Brow Lift Results

Initial wound healing may take 5 to 10 days, at which time any sutures or clips will be removed. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising that remains.

Healing will continue for several weeks as the swelling dissipates and incision lines refine and fade and it may take several months for your complete recovery.

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