Types of forehead and brow lifts:

1. Eyebrow or Mid-Forehead Approach – Incisions are made just above the eyebrow or in a natural crease in the forehead. We rarely recommend this procedure for our patients because this technique does not address the issue of removing excess skin and the incisions can be conspicuous.

2. Endoscopic – The brows are raised through small incisions in the scalp just behind the hairline. This works best in patients with low hairlines and mild brow droop. For patients with more extensive aging and excess skin, this procedure gives less favorable results because you cannot remove the excess skin, which most patients’ need, but simply shifts that skin towards the back of the head. Therefore, the hairline is raised even more than with other approaches.

3. Coronal – A long incision is made within the scalp behind the hairline. The hairline is raised with this procedure, so we rarely perform this surgery, and only on women with a very low hairline.

4. The ENDOTINE Forehead/Brow lift – This technique offers a novel solution designed specifically for elevating the forehead tissue in brow lift surgery. Through small scalp incisions the Endotine device is placed under the skin to maintain elevation of the forehead tissue. This creates a more even and gentle distribution of the forehead lift. The result is a rested, relaxed and natural appearance, not a "surprised" look. The incision is concealed within the hairline and women can wear their hair in any style they want following their procedure. However, this procedure also raises the hairline.

5. Hairline – The incision is made in the hairline. For women who have a high hairline, or those with hairlines in the correct position, we developed a procedure to camouflage the incision at the hairline. After the brow and forehead are elevated, hair follicles are buried deep under to the skin incision. These follicles produce hair which grows through and in front of the incision to hide it, so patients have total freedom of hairstyling. We therefore maintain the hairline in its correct location or lower it for those with high hairlines. We developed this procedure because the majority of women who need a brow lift, do not want to raise their hairline. This technique also allows us to lower the hairline for women who have a high hairline, whether or not we lift their brows.

Post-operative expectations:

Once the surgery is complete, the incision may be covered with gauzed padding and bandages for a day or two.  Healing will continue for several weeks as the swelling dissipates and incision lines refine and fade and it may take several months for your complete recovery.  Keeping the head elevated will help reduce swelling.

As the nerves heal, itching can last as long as five or six months.  Temporary hair loss or thinning may also occur around the incision. 

Strenuous activities will need to be avoided for several weeks, and prolonged sun exposure avoided for several months.

What is a brow lift?

Also known as a forehead lift, a brow lift minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose; improves what are commonly referred to as frown lines; and repositions a low or sagging brow.

What to expect from a brow lift?

• Minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose, between the eyes

• Improves what are commonly referred to as frown lines, vertical creases that develop between the eyebrows

• ·Repositions a low or sagging brow that is hooding the upper eyelid

• Raises the eyebrows to a more alert and youthful position

The Process

1. Meet with the Surgeon

2. Create a surgical plan that is right for you.

3. Schedule your surgery.

4. Get a medical clearance to clear you for surgery.

5. Schedule your pre-op before surgery

6. Take pre-op photos.

7. Have surgery.

8. Return to the office for your post-op visit.

Some Risks include:

• Scarring. Scarring might be visible after a brow lift.

• Changes in skin sensation. A brow lift can cause temporary or permanent numbness on the forehead or top of the scalp.

• Asymmetry in the position of the brows.

• Hair loss at the surgical sight.

• Possible need for revision and/ or further surgery.