Brow Lifts

Indications for a brow (forehead) lift include visible signs of aging, such as deep forehead creases, hooding over the eyes, drooping eyebrows and frown lines above the nose and in the crow's feet area. The procedure involves removing excess tissue (see section on Endoscopic Surgery) and redraping the skin to smooth the forehead, lift the upper eyelids and minimize frown lines.

The brow lift is typically performed on men and women in their 40s to 60s to slow the signs of aging, but it is also appropriate for younger patients with droopy brows or furrows above the nose. The surgery takes from one to two hours and is generally performed in an outpatient setting on patients under either general anesthesia or local anesthesia with sedation.

After a brow lift, the patient may experience temporary headaches as well as swelling and bruising that may last from two to three weeks. Itching is another transient side-effect. Numbness and itching in the forehead and scalp region may be prolonged, and the patient may have to endure some hair loss for a few weeks to several months.

Infection and bleeding are risks, and noticeable and excessive scarring can occur. In some cases, hair loss may be permanent along the scar edges. Nerve injury can cause muscle weakness and loss of forehead or eyebrow movement on one or both sides, either temporary, or rarely, permanent. However, complications are rare and usually minor.

After a brow lift, the patient can generally go back to work within seven to 10 days and resume strenuous activities within a few weeks. Sun exposure (even with sunscreen) should be limited for several months.

The effects of a brow lift endure for five to 10 years, sometimes even longer.

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