in Boca Raton
Unfurrow your brows and rejuvenate your upper face
On days when you are feeling well rested and content, does your facial expression tell a different story? Often, the forehead is the main culprit. A lined or furrowed brow can make a serene face appear upset or concerned. Frown lines between the eyebrows can produce an angry look. A drooping brow can create a perpetually tired or sad look.
A brow lift is a surgical procedure, used to address signs of aging in the upper face around the eyebrows and forehead. By repositioning and tightening the brow tissue, wrinkles are smoothed and the eyes look more alert and refreshed. The brow lift can be performed alone, but is often combined with other facial rejuvenation techniques like the facelift, or noninvasive methods like Botox.
If you believe that your forehead is preventing you from looking as good as you feel, a forehead lift, also called a brow lift, may be a good option for you. A forehead lift corrects the sagging or low position of the eyebrows, softens horizontal creases across the forehead and erases the worried or angry expression that can result from frown lines. The outcome is a more relaxed and refreshed appearance.
Forehead lifts are most commonly performed on men and women in the 40 – 60 year old range. However, there is no age limit to the procedure. It can also produce good results for younger adults who have inherited stress-related conditions, such as low eyebrows or furrows above the nose. You may be a good candidate for a forehead lift if you have one of the following conditions:
- Sagging or low position of the eyebrows, creating a tired or sad appearance.
- Deep horizontal creases across the forehead. frown lines or furrows, between the eyebrows and sometimes across the top of the nose.
Brow lift surgery needs to be approached with extra caution if you have any of the following medical conditions:
- uncontrolled high blood pressure.
- blood-clotting problems.
- the tendency to form excessive scars.
A personal consultation is the first step for every patient considering a forehead lift. During this meeting, Dr. Berman will assess your physical and emotional health and discuss your specific cosmetic goals for the surgery.
During your physical evaluation, your plastic surgeon will assess your bone structure and the underlying tissues of the face. The thickness, texture, and elasticity of your skin and the muscle activity of your entire forehead and the upper-eyelid region will be evaluated. In developing your surgical plan, these factors will be considered as they relate to the position of your eyebrows, the amount of upper-eyelid skin and the height of your hairline.
Dr. Berman may explain additional procedures that can be performed along with a brow lift to meet your appearance goals. For example, a brow lift is frequently combined with:
- a facelift, which removes excess skin and tightens muscles in the mid and lower face and neck
- eyelid surgery, which can correct excessive skin overhang in the upper eyelids and minimize puffy bags beneath the eyes.
The technique chosen for your surgery depends upon your features, your surgeon’s preferences, and your desired results. There are several variations to the forehead lift procedure. Your plastic surgeon will recommend the surgical technique that he or she feels will obtain the best outcome for you.
One common method is the coronal incision technique. An incision is made across the top of the scalp, beginning above the ears and concealed within the hair. Sometimes, the incision may be placed at the front of the hairline. The incision is designed to be inconspicuous when healed. Working through this incision, your plastic surgeon can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin and lift your eyebrows to a more pleasing level. Are there other options? – In selected patients, instead of the coronal incision technique, a limited-incision technique can be used. One such technique uses an endoscope, a long, thin tube with a light on the end, which is attached to a video camera. The endoscope is inserted through several small incisions in the scalp and allows the plastic surgeon to see and work on the internal structures of the forehead. In some instances, a combination of endoscopic and other techniques may be used.
Another limited-incision technique can be performed without an endoscope. This technique uses incisions near the temples to lift the drooping eyebrows and upper-eyelid incisions to treat the frown lines. If your only concern is frown lines between the eyebrows or across the top of the nose, your surgeon may elect to use an endoscopic procedure, or to treat the frown lines using only upper-eyelid incisions – the same incisions that would be used for blepharoplasty (eyelid surgery).
After the initial healing period, you will return to your plastic surgeon’s office for a postoperative follow-up visit so that your healing and progress can be evaluated. In the following months, your surgeon may ask you to return for periodic checkups. It’s important to keep these appointments so that your surgeon can assess your long-term results and address any questions or concerns you may have.
Throughout the healing period, you should avoid exposure to direct sunlight and, for the long term, be conscientious about using sun block lotion to protect your skin. You will also be instructed to keep the head elevated and avoid strenuous activity for several weeks.
If you are like most people who have a forehead lift, you’ll be pleased with your refreshed and rejuvenated appearance. Although it may take several months to see your final result, you will probably agree that your new appearance was worth the wait.
A number of factors, including your heredity and your lifestyle, play an important role in how long the results of your forehead lift will last. Remember, even though your “aging clock” will be turned back several years, that clock will continue to run. However, at any point in the future, you will still look better than you would have looked without the surgery. Patients are usually happy with their appearance for many years following a forehead lift.
The best way to get complete answers to specific questions that relate to your individual needs is to have a personal consultation with Dr. Jonathan Berman, a Board Certified Plastic Surgeon.
Even though your skin and eyes will continue to age after you have healed from the brow lift, your results are usually permanent. Despite future aging, your eyebrows will be in a better position and the eyes will have an enhanced appearance. You will always look more rejuvenated and youthful than you would have without undergoing surgery, however, normal signs of aging will eventually show again.
A brow lift works on the outer half of the eyebrow, giving them a youthful arch and do not address any changes desired on your eyelids or eye shape. Talk to Dr. Berman about other surgical options such as eyelid surgery.
One of the risks of a brow lift is forehead numbness. This numbness may extend past your hairline as well. This numbness on the top of your head may last from a few weeks up to 6 months.