A brow lift is a cosmetic procedure that's used to elevate the brow and reduce lines and wrinkles in the forehead and around the eyes. As we age, sun damage, gravity, textural changes in the skin, and repeated facial expressions can cause the brow area to drift downward, resulting in a “heavy-browed” tired or grumpy appearance. Brow lift surgery is designed to lift and reposition underlying muscle tissue in the forehead and brow area so the upper face looks rejuvenated and more youthful. Although brow lift surgery does not specifically address the upper eyelids, eyes usually appear more rested and alert following brow lift surgery once the brow areas have been elevated. Brow lift surgery is often combined with a facelift and neck lift to rejuvenate the entire face.
Most brow lift procedures rely on an endoscopic technique, using small incisions that can be carefully hidden behind the hairline. During the procedure, two to four small incisions are made and a special instrument called an endoscope is used to locate the brow muscles using a tiny camera attached to the end of the scope. This approach eliminates the need for larger incisions that can cause visible scars. Once the muscles are identified, their attachments are severed and the surrounding tissue is repositioned and attached with sutures, then a protective dressing is applied. The procedure takes about one to two hours to perform.
Because endoscopic surgery uses small incisions, discomfort typically is minimal. Keeping the head elevated can help with any minor discomfort that does occur. Mild bruising and swelling are common and resolve within about a week. Bandages can be removed in a few days and sutures are removed in about a week. Patients will need to avoid strenuous activity for up to a week or so after surgery, and most men and women return to work within five days to a week. There may be some minor numbness around the forehead area which will resolve within a couple of months.
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