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Brow Lift & Endobrow

As you get older, the skin on your forehead starts to lose its elasticity and forehead lines or wrinkles start to appear. Your eyebrows can also droop which may give an appearance of heaviness of the upper eyelids. This can lead to looking permanently tired or “miserable” despite getting enough sleep. This is a common issue in middle-age or older, however the problem can develop in younger people where it can cause distress.

What is brow lifting and what can it achieve?

The brow lifting procedure lifts the tissues of the forehead to a higher position, this raises the eyebrows and opens the upper eyelid to give a younger, fresher appearance. The muscles at the top of the nose can also be weakened to reduce the appearance of lines and wrinkles in that area.

There are three approaches to brow lift surgery. All three elevating the brow and allowing it to heal in a higher position.

What does an Open Brow Lift operation involve?

This is a traditional technique which involves removal of skin from the scalp. This ‘open browlift’ is very effective however it is the largest of the procedures and has the longest recovery time. It will leave a long scar that is hidden in the hair

Your surgeon will make a long incision across the forehead either around the hairline or in one of the creases of the forehead. The fatty tissue is removed, the muscles loosened, and a section of skin removed. The skin is pulled down and the brow is fixed into its new position to the bone of the forehead.

This technique sometimes results in a higher hairline (not reported with the endoscopic browlift), although it is normal for the brow to look a little high and feel tight for the first few weeks following surgery.

The procedure is performed under either a local (with sedation) or general anaesthetic on an outpatient basis. In some cases, an overnight stay may be required.

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What does an endoscopic (keyhole) Endo Brow Lift procedure involve?

Your surgeon will insert an endoscope (a tube with a camera on the end) through three or four small incisions that are hidden in the scalp to minimise scarring. This enables the tissue beneath the skin to be seen via a television screen. The fatty tissue is removed, the muscles loosened, and a section of skin removed. The skin is pulled down and the brow is fixed into its new position to the bone of the forehead.

Recovery is quicker than open surgery, with mild swelling and bruising, although the scalp may be numb for a few weeks. Stitches will be removed after one to two weeks. It is advised to take a week to 10 days off work.

The operation is performed under a local or general anaesthetic on an outpatient basis or with an overnight stay.

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What does Temporal Lift surgery involve?

The lateral browlift or temporal lift concentrates on correcting sagging around the outside of the eyebrow. It is not designed to target the middle brow area or sagging in the face. It is less invasive than an endoscopic browlift and is often performed alongside blepharoplasty (eyelid surgery) or a facelift.

Your surgeon will make incisions at the temples (in the hairline) lifting the outer corners of the forehead before removing and tightening excess skin. This will help alleviate crow’s feet and sagging around the outer eye. It can also help lift the cheeks and provide a more contoured look.

The operation usually is performed under either a local (with sedation) or general anaesthetic as an outpatient. In some cases, an overnight stay may be required.

Stitches may be dissolvable or removed after two weeks. During this time you should avoid wearing make-up. Activity should be limited for the first six weeks.

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Straight after surgery you should get plenty of rest for 2-3 days as you will experience some swelling and bruising that should settle down 1-2 weeks after surgery and many patients are able to return to normal activities at that stage. More major surgery may require a longer recovery period so it’s important to discuss this with your surgeon. It is not uncommon to have a headache after surgery and you will be provided with suitable pain killing medication. If you suffer from migraines a brow lift has been known to improved symptoms.

The risks of significant or long-lasting complications in brow lifting surgery are very small. There are some rare problems which can develop such as bleeding under the skin, numbness or nerve damage, hair loss and infection, though these tend to be temporary and short term. It’s worth asking your surgeon about complications at your consultation.

Brow lift surgery will provide a more youthful appearance, however aging still continues and further rejuvenating surgery, perhaps after 10-15 years, will help fight this aging process.

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