Browlift (Forehead Lift)

The anatomic changes that occur in the upper face over time are the result of loss of skin elasticity, repeated muscle contraction, and gravity.   These three factors cause the development of horizontal forehead wrinkles and vertical wrinkles between the eyebrows and descent of the eye brows.  This descent accentuates the development of excessive upper eyelid skin by causing the skin to fold on itself even more, a condition called “hooding.”  Therefore, the appearance of the upper eyelids is very much dependent on the position of the eyebrows.

Fortunately, a brow lift, also known as a forehead lift, can rejuvenate this area of the face and give you a more youthful and refreshed appearance. Dr. Ali Sepehr is a highly experienced facial plastic surgeon, and he can talk with you about how a brow lift may be the best option for your goals.

Please contact The OC Center for Facial Plastic Surgery for more information on brow lift (forehead lift).

Dr. Sepehr frequently combines other procedures including facelift or eyelid surgery with a browlift.

Brow Lift Candidates

Descended eyebrows may be improved by the brow lift or forehead lift operation which lifts the brow skin and prevents it from crowding and bunching up the upper eyelids. Candidates for this procedure often complain of looking tired or fatigued because of saggy brows or looking angry because of frown lines between the eyebrows giving the perception of scowling. This procedure elevates the brows decreasing the heavy brow appearance. It also opens the eyes, making them look wider, brighter, and more rested. It removes the wrinkles between the eyebrows giving a happier look. It also smooths the forehead wrinkles, giving the entire upper third of the face a more youthful and elegant appearance. You may be a candidate for brow lift surgery if:

  • Your eyebrow position has lowered and gives the appearance of excess upper eyelid skin
  • You would like to have a more open eye look
  • You desire a more youthful expression by smoothing the forehead

Brow Lift Procedure

Before the procedure you will meet the operating room nurse and the anesthesiologist who will both ask you questions, to make sure the operation proceeds as safely as possible. The procedure takes approximately 1-2 hours.  When you wake up, you will have a soft head wrap dressing and a drain with a bulb.  After the procedure, you will be monitored to make sure you have no pain or nausea.  The nurse will also teach you how to care for the drain.  You can expect to be at the surgery center about half the day.  A variety of techniques are available and a consultation is necessary to determine which is the most appropriate.  As with any procedure, your thorough understanding of the preoperative and postoperative instructions is essential to a successful outcome.

Brow Lift Recovery

Patients may experience discomfort in the form of a pressure headache.  This can be well controlled with pain medication.  After a brow lift, some swelling and bruising is expected.  Please keep your head elevated above the level of your heart while sleeping to minimize the swelling that develops and to help expedite its disappearance.  It is natural for the swelling to travel down the face while it is resolving.  The amount of bruising and swelling varies, but typically most patients are sociable within 7-14 days.  Make-up can be worn immediately.  If other procedures are performed at the same as the browlift, then avoid makeup over incisions for 7 to 10 days. Varying degrees of forehead numbness can occur. This can last a few weeks to a few months.  Itching is expected and is a sign of improvement.  You can resume your cardiovascular or aerobic exercise after 2 weeks.  Please avoid contact sports for 6 weeks.

As with all types of surgery, there are potential risks associated with brow lifts. Dr. Sepehr will talk with you about all risks and benefits of the procedure at your initial consultation, and he will be happy to answer all of your questions.

Frequently Asked Questions (FAQs)

Should I have a surgical or non-surgical brow lift?

A surgical brow lift may be beneficial if your goal is to reduce excess or sagging skin, crow’s feet, and/or wrinkles. A non-surgical lift may be better if you wish to improve your skin’s texture, smooth some wrinkles, and increase volume along the brow line with advanced dermal fillers. Non-surgical brow lift procedures may be a good option if you are not able to take off much time for a longer recovery process. Ultimately this decision is up to you, but Dr. Sepehr is available for a personal consultation to help outline procedure specifics.

Are there other procedures that can be combined with a brow lift for more comprehensive results?

If your goals are to create a more youthful appearance for the entirety of the upper face, many of our patients have had positive results after combining both a brow lift with an eyelid lift. The facial muscles in both of these areas work together to form expressions, and therefore typically wear at the same rate. An eyelid lift works to lessen a tired-looking appearance and a brow lift can improve skin laxity and creases along the upper facial skin and forehead. During your initial consultation, Dr. Sepehr can answer any questions you may have about combining eyelid surgery and brow lift. Cosmetic injectables and other rejuvenation procedures can also be ideal complements to brow lift surgery for patients who have aesthetic concerns in additional facial areas.

How long will my results last?

A brow lift from Dr. Sepehr can typically last five to ten years, but will vary depending on how you care for your skin, the kind of lifestyle you lead, and your unique genetic factors. To help extend the length of results, there are a variety of non-surgical treatments, such as BOTOX® Cosmetic, that may be beneficial.

Will I have visible scars?

There is the potential for residual scarring after a brow lift, as is typical with most surgical procedures. However, with Dr. Sepehr’s extensive training and experience, he can often hide these incisions along your hairline. This can make the final results of a brow lift look as natural as possible.

Will my insurance cover this procedure?

A brow lift is commonly considered a cosmetic procedure, meaning that insurance is not likely to cover the costs. In some cases, if the weight of the forehead skin is pushing down the brows and the eyelids leading to impaired vision, some of the costs may be covered. It is best to check with your insurance provider to determine whether they offer coverage for brow lift surgery that is determined to be medically necessary. Our office staff would be happy to work with you to find financing options that could be beneficial.

Please contact The OC Center for Facial Plastic Surgery to schedule a brow lift consultation at our practice.

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