A brow lift is a surgical procedure used to rejuvenate the forehead and brow region and give the whole area a more youthful and alert appearance.
What can a brow lift treat?
A brow lift can treat the following signs of ageing in the upper face by:
- Minimising the creases that develop across the forehead,
- Improving the frown lines, which are the vertical creases that develop between the eyebrows
- Repositioning a sagging brow that results in hooding of the upper eyelid
A browlift can be achieved in a number of ways. These range from the traditional coronal brow lift where a long incision is made, from ear to ear, within or in front of the hairline. Recovery time is often longer than the endoscopic brow lift due to the size of the incision.
My preferred technique to perform a brow lift is an endoscopic approach. This is a minimal access technique performed by using an endoscope (video device) and special instruments placed through small incisions made within the hairline. This allows the tissue and muscle beneath the skin to be repositioned or altered to correct the source of visible creases in the forehead and also resuspend the brow to a more youthful position.
An alternate technique for forehead rejuvenation is a lateral brow lift. I use this procedure in the select patient that have hooding of the outer aspect of the eyebrow only. A short incision is made in the temporal hairline to access the lateral brow and the retaining ligaments are released with the lateral brow being resuspended. A lateral brow lift is usually combined with a chemical brow lift of the medial brow, that is, the use of anti-wrinkle injections for example Botox
Recovery time is often longer in the traditional coronal browlift than it is in the endoscopic brow or lateral brow lift due to the size of the incision. Your forehead may be taped and your head may be loosely wrapped with a bandage to minimise swelling and bruising.
Initial wound healing may take 5 to 10 days, at which time your sutures will be removed. You will be ready to return to work and normal activity at this time.
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.
What are the potential risks and complications?
- Infection that requires antibiotic treatment or in some cases additional surgery
- Excessive bleeding from the site of the incision
- Swelling, pain and bruising around the incision site
- Allergic or hypersensitive reaction to the antiseptic, dressings or medications
- Immediately following your surgery you may experience short-term nausea and vomiting due to the anaesthesia
- You may develop keloid or hypertrophic scars which are raised and thickened scars. This type of scarring may be unsightly, annoying and itchy, however, they are not threatening to your health and rare if you have no family history of the condition.
- Numbness around the hairline but this is usually temporary and it recovers once the nerves heal, typically within a few months following the surgery
- No movement or decreased movement of the muscles in the forehead for the first few days following your surgery
- Slightly raised hairline
- Temporary loss of hair at or near the surgical area
- Hair loss or hair thinning may occur next to the incision line
- Some complications may require corrective revision surgery
- Although it is rare, the nerves responsible for controlling the movement of eyebrows may have permanent injury such as asymmetry of the eyebrows. Revision surgery may be required in order to improve appearance.
Costs associated with a brow lift varies between: $8000-$14000 depending on a number of factors:
- Anaesthetist’s fee
- Private hospital or day surgical facility fees
- Type of brow lift performed
- Need for anti-wrinkle injections such as Botox
- Implant costs
- Surgical assistant’s fee
After our consultation my staff will give you an itemised account of the total cost.
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