If you’ve noticed that your brow overshadows your eyes more and more as you’ve gotten older, or your face seems angry or tired even when you’re in a good mood, you could benefit from brow lift surgery. A brow lift, also known as a forehead lift, helps brighten your face by lifting your eyebrows for a more open, refreshed look.
Recognized as a brow lift specialist and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. Dr. Koehler offers a wide range of plastic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach.
Are You a Candidate?
The best candidates for a forehead lift are those men and women with lowered eyebrows, deep forehead wrinkles and other signs of advanced aging through the brow and forehead area. It’s also important to be in good overall physical and mental health, and to have realistic expectations about your results.
A brow lift can help you look younger, but the results are localized to the forehead. If you have concerns such as sagging eyelids or crow’s feet in addition to a fallen brow, Dr. Koehler may recommend including additional procedures such as eyelid surgery or BOTOX® to further enhance the results of your brow lift. During your consultation, Dr. Koehler will explain how different facial cosmetic surgery procedures can complement each other so you can decide on the best approach to meet your cosmetic goals.
About Brow Lifts
With age, the wide forehead muscles and supportive tissues gradually weaken, which in turn causes the skin and soft tissue of the brow area to gradually lower, helped along by gravity as well. This combination of factors can lead to a heavy, overhanging brow or the appearance of being constantly tired or stressed even when your face is at rest. In some cases, a sagging forehead can even interfere with normal facial expressions, and can contribute to the deepening of existing forehead wrinkles as well as excessive hooding over the upper eyelids.
A brow lift repairs and tightens lax muscles for a smooth, unlined appearance across the forehead, minimizing pronounced horizontal wrinkles and restoring a natural arch to the eyebrows. This helps create a feeling of openness through the upper face so you look younger, less worried and more rested.
What to Expect
Since not everyone is a candidate for a brow lift, Dr. Koehler will perform a physical evaluation as part of your initial consultation in order to determine whether the procedure is right for you. At the same time, you’ll be given lots of information about what to expect during your surgery and throughout the recovery process.
There are a few different forehead lift techniques that Dr. Koehler may use during the surgery:
- Open (Coronal) Technique: In this traditional approach to lifting the forehead, Dr. Koehler will place the incision across the top of the scalp, beginning just above each ear and hidden well within the hairline.
- Endoscopic Technique: An endoscopic brow lift allows for smaller incisions and a less invasive surgery, which means faster healing and recovery. In an endoscopic brow lift, small incisions are required. Three incisions are typically placed along the top of the scalp, along with one at each temple, behind the hairline.
- Trichophyic Brow Lift: This technique involves placement of the incision just inside the hairline. This technique can actually be used to lower a high hairline. Initially the incision may be visible but when healed it is usually imperceptible. This technique is generally less uncomfortable than the endoscopic or coronal brow lifts.
- Limited Incision Technique: In a limited incision brow lift, Dr. Koehler hides the incisions within the hairline at the temples. Alternatively, Dr. Koehler can perform a brow lift using the same incisions as required during upper eyelid surgery if the procedures are performed at the same time.
There are a number of reasons that Dr. Koehler may recommend one surgical approach over another, all of which he can explain in more detail during your consultation.
A forehead lift is usually performed as an outpatient procedure under general anesthesia, so most patients can plan to return home right after surgery. You should sleep with your head elevated the first few nights to help you feel comfortable and reduce swelling. Dr. Koehler will prescribe antibiotics to prevent infection, and removes sutures about a week after your procedure. You can expect some initial swelling and bruising, both of which should be resolved within 1-2 weeks, about the same time that most patients return to their daily routines.
Risks and Complications
The risks associated with a forehead lift are generally minimal, and are similar to the risks that could occur after any surgery like having an adverse reaction to anesthesia or developing an infection. Other side effects, like an elevated hairline, facial asymmetry or facial nerve injury are possible, but rare. Dr. Koehler will discuss all the risks and benefits with you before your brow lift so you’re informed about what you can expect.
Your New Look
You should see an improvement in your facial appearance immediately after your brow lift, although initial swelling and bruising can disguise your results at first. Deep horizontal forehead furrows should be diminished or resolved, and your upper face should look more open and alert. The arches of your eyebrows will be restored to their natural curve instead of seeming flat and horizontal, and your facial expressions should look normal and untroubled, along with a more youthful appearance overall.
Brow Lift FAQs
How do I choose the best cosmetic surgeon near me for a brow lift?
Facial cosmetic procedures like brow lifts require a specific skill set, extreme attention to detail and an artistic eye. Choose a cosmetic surgeon for your brow lift who has extensive experience with facial procedures like brow lifts, eyelid surgery and facelifts. View before and after photos of brow lifts performed by each cosmetic surgeon with whom you are considering working to help you gauge the quality of results you might be able to expect yourself.
Is a brow lift the best facial cosmetic surgery for me?
A brow lift can address significant wrinkles and creases in the forehead and brow areas, as well as repair loose or excess skin and muscle tissue that often gives the appearance of a drooping or heavy brow. If these are your primary cosmetic concerns, a brow lift may be an appropriate solution for you. However, a brow lift may be combined with other procedures, such as an eyelid lift or facelift, if other cosmetic issues, such as drooping eyelids or lower-face wrinkles and creases, are also a concern.
Does a brow lift hurt?
You shouldn’t feel any pain or discomfort during your brow lift, as it is performed under either general or local anesthesia. Most people find that this outpatient procedure is fairly straightforward to recover from with minimal pain. However, some discomfort, tenderness, swelling and bruising are to be expected during the initial stage of brow lift recovery.
How much time will I need to take off work to recover from a brow lift?
Most people are able to return to work within 10 to 14 days after getting a brow lift. You should be able to apply makeup around two weeks after your brow lift to help conceal any residual swelling or bruising. However, check with your cosmetic surgeon before applying any topical products to areas with incisions.
You will need to avoid strenuous exercise or physical activity for several weeks after your brow lift. Work with your cosmetic surgeon to gradually reintroduce exercise to your daily routine.
How soon will I see results from a brow lift?
You may notice an immediate difference in the appearance of your forehead and brow directly after getting a brow lift. However, swelling and bruising can hide your initial results, so you may not see a significant improvement until around 1 to 3 months after your procedure. It can take six months or longer to see your final brow lift results, so remain patient as your body heals and continues to change.
How long does a brow lift last?
Generally speaking, a brow lift can last 10 years or more. However, the longevity of your brow lift will depend on a number of factors, including your age, genetics, the elasticity of your skin and lifestyle habits. You can help to prolong your brow lift results by avoiding sun exposure, wearing daily sunscreen, eating a healthy diet, drinking enough water and managing stress.