With aging, there is a descent of the muscle, supporting tissue, fat, and skin of the face. As the skin and supportive tissue of the forehead begin to lose their strength, the eyebrows can become heavy and begin to droop. This can result in a sad, tired or angry appearance. It can also contribute to wrinkling across the forehead and between the eyes and a hooded appearance to the eyelids. Many patients come in pushing their eyebrows up to where they used to be, or where they think they should be to give themselves a younger appearance. A forehead lift or brow lift is a good option to reposition the eyebrows, giving the forehead and upper eyelids a more youthful, rejuvenated look.
Endoscopic: In the operating room under general anesthesia 5 small incisions are make behind the hairline. Endoscopes and other minimally invasive techniques are used to lift the brow from the underlying bone and reposition in a more youthful position. This technique can be modified for most receding hairlines to hide the incisions in existing hair.
Trichophytic (hairline): Incision is hidden along the hairline. This procedure is best for those who wish to reduce the height of their forehead or lower their hairline.
Mid-forehead and Direct: The incision is placed in a mid-forehead horizontal wrinkle or just above the brow. These techniques have the advantage of shorter operative time, ability to do under local anesthesia with the disadvantage of a slightly more obvious scar than the other two techniques.
A browlift allows you to raise the eyebrows without a surprised look, can improve brightness of the eyes as well as improve vision for those with significantly redundant upper eyelid skin. Blepharoplasty can be an excellent supplemental procedure for those with excess upper lid skin. Face and midface lifts can help to create an overall balance to the face.
During your consultation, Dr. Berens will analyze your brows and eyes to determine the best procedure for you.
Browlifts can be done in the operating room or in clinic depending on technique.
You will need someone to stay with you overnight if you received general anesthesia.. Ice will need to be applied to the eyes for the first 24-48 hours. You will be seen in the office the day after your procedure and follow up visits will continue at week 1,3,6 and 12. You should take 5-7 days off of work.
Final cost will be determined at time of consultation and extent of potential insurance coverage for browlift (if being done for visual field defects).