Brow Lift

BROW LIFT

A brow lift, also known as a forehead lift, is a plastic surgery procedure that rejuvenates the upper portion of the face, particularly the area above the eyes. As we age, the skin and muscles of the forehead can sag, leading to a tired or aged appearance. Dr. Guy Watts offers comprehensive consultations and different brow lift techniques to help individuals regain a refreshed look.

What Is a Brow Lift?

A brow lift is a surgical procedure designed to elevate the position of the eyebrows and smooth out wrinkles and frown lines on the forehead. The primary goal is to give more contour to the forehead skin, upper eyelids, and eyebrows. There are various techniques for performing a brow lift, but all aim to address the sagging or drooping of the brows. Whether it’s due to genetics, ageing, or other factors, a drooping brow can have a significant impact on one’s overall facial aesthetics. A brow lift can effectively counteract these changes, providing a refreshed and revitalised appearance.

Dr Guy Watts offers both endoscopic and open brow lift techniques and will assess your specific anatomy to determine which will provide the best results whilst minimising incisions and recovery time.

Who Is a Good Candidate for Brow Lift Surgery

The decision to undergo a brow lift is a personal one, and the best candidates are those who have thoroughly researched the procedure and have realistic expectations about the results. Here are some characteristics of good candidates for brow lift surgery:

• Age-Related Changes: Individuals who have noticed a drooping or sagging of the eyebrows
• Forehead Wrinkles: Those with deep horizontal creases across the forehead or frown lines between the eyebrows
• Asymmetry: Some people might have one eyebrow lower than the other and seek a brow lift to achieve symmetry
• Good Health: As with any surgery, it’s essential that candidates are in good overall health. This means they should not have any serious medical conditions that could complicate surgery or recovery
• Non-Smokers: Smoking can impair the healing process, so Dr. Guy Watts recommends that patients quit smoking well in advance of the surgery and remain non-smokers throughout the recovery period
• Realistic Expectations: It’s crucial for patients to understand what the surgery can and cannot achieve. A brow lift can enhance one’s appearance, but it won’t fundamentally change one’s look or solve personal problems
• No Contraindications: Some individuals might have medical or skin conditions that could make the surgery risky or reduce the likelihood of satisfactory results
• Commitment to Recovery: Recovery from a brow lift can take several weeks, and there might be swelling, bruising, and discomfort. Good candidates are prepared for this recovery period and are willing to follow post-operative care instructions closely
• Informed Decision: A good candidate has done their research, understands the risks and benefits, and has discussed their goals and concerns with Dr. Watts during the consultation
• Motivated by Personal Desire: It’s essential that the decision to undergo a brow lift is made for oneself, not to fulfil someone else’s desires or to fit an ideal image

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WHAT CAN A BROW LIFT DO FOR ME?

• Elevate a drooping brow
• Improve appearance of horizontal forehead wrinkles
• Reposition and create a more sculpted arched brow
• Improve brow symmetry
• Reduce excess upper eyelid skin by repairing brow ptosis

A brow lift can be combined with other cosmetic procedures such as blepharoplasty or face lift to offer a more comprehensive facial rejuvenation.
Non-surgical techniques such as dermal fillers, wrinkle relaxers and chemical peels can also be used in conjunction with a brow lift to leave the face looking naturally refreshed. After a thorough consultation to determine your goals and desires Dr Watts will recommend which procedure or combination of procedures will deliver you the desired result.

BROW LIFT PROCEDURE AND RECOVERY PERIOD

How Is the Surgery Performed?

A brow lift requires meticulous precision and expertise. The surgery’s primary objective is to elevate the eyebrows to a different position and smooth out the forehead’s wrinkles. The exact technique used can vary based on the patient’s anatomy, Dr. Watts’ preference, and the desired outcome. Here’s a step-by-step breakdown of the most common techniques:

Endoscopic Brow Lift:

• Preparation: The patient is typically placed under general anaesthesia or intravenous sedation
• Incisions: Several small incisions are made behind the hairline
• Procedure: An endoscope, a thin tube with a camera on the end, is inserted through one of the incisions. This allows Dr. Watts to view the underlying structures of the forehead. Special instruments are then used through the other incisions to lift the forehead tissues and anchor them into their new position
• Closure: The incisions are closed with sutures or clips

Direct Brow Lift:

• Preparation: The patient is typically placed under general anaesthesia for the procedure
• Incisions: Dr Watts makes a precise incision directly above the eyebrows, strategically placed for optimal access and minimal scarring.
• Procedure: At the time of the procedure the skin and underlying tissues are lifted to achieve the desired eyebrow elevation and excess skin is removed as needed. The lifted tissues are secured into place using sutures, dissolvable anchors, or other techniques.
• Closure: Dr Watts closes the incision with meticulous care using sutures and surgical techniques to minimise visibility of the incision line.

Gliding Brow Lift:

Preparation: Before the procedure, general anaesthesia is administered to ensure patient comfort and safety.

Incisions: Small and discreet incisions are carefully made within the hairline or natural forehead creases, strategically placed to allow access while minimising visible scarring.

Procedure: Dr Watts gently separates the skin from underlying tissues, creating a “glide path.” Brow tissues are then lifted and repositioned to achieve a natural and rejuvenated appearance, employing specialised techniques such as internal sutures for secure anchoring.

Closure: After the procedure, the incisions are meticulously closed with sutures to minimise scarring. Patients receive postoperative care instructions for managing discomfort, swelling, and bruising, and follow-up appointments are scheduled to monitor healing and address any concerns.

Each technique has its advantages and potential drawbacks. The best method is determined based on the patient’s specific needs, hairline position, degree of forehead wrinkles, and other factors.

Recovery after Brow Lift

Recovery from a brow lift is a crucial phase, and understanding what to expect can help ensure a smooth healing process:

• Immediately Post-operative: After the surgery, the forehead may be taped or wrapped to minimise swelling. In some cases, a thin tube may be placed to drain any excess blood or fluid
• First Few Days: Swelling and bruising are common but will begin to subside after a few days. Keeping the head elevated can help reduce swelling. Cold compresses can also be beneficial
• Pain Management: Some discomfort is expected, but this can be managed with prescribed pain medications. Over-the-counter pain relievers may also be recommended, but always consult with Dr. Watts before taking any medication
• Suture Removal: If non-dissolvable sutures or clips are used, they are typically removed within a week or two
• Activity Restrictions: Strenuous activities, including heavy lifting and vigorous exercise, should be avoided for at least 2-3 weeks or up to 6 weeks. It’s essential to follow Dr. Watts’ specific guidelines to avoid complications
• Long-term Recovery: While most of the noticeable swelling and bruising will diminish within a couple of weeks, the healing process continues for several months. The incision lines, initially noticeable, will fade over time and become less visible
• Follow-up Appointments: Regular check-ups with Dr. Watts are crucial to monitor the healing process and address any concerns
• Final Results: The full results of the brow lift will become evident once all swelling has subsided, and the forehead has fully healed. This can take several months, but the outcome is a rejuvenated appearance

Risks of Brow Lift Surgery

Plastic surgery comes with inherent risks. While modern techniques and advancements have made these procedures safer than ever, it’s crucial for patients to be aware of potential complications and make informed decisions. Anaesthesia is used in most surgical procedures to ensure the patient’s comfort. However, in rare cases, it can lead to complications such as allergic reactions, lung infections, stroke, and even heart complications.

Also, keep in mind that all surgeries result in some form of scarring. While Dr. Watts often uses techniques to minimise and strategically place these scars, some patients might experience hypertrophic or keloid scarring, which is raised and more prominent. It’s essential for anyone considering plastic surgery to thoroughly research and understand these risks. Read more about risks and potential complications of plastic surgery.

FAQs about Brow Lift Surgery

Who is an ideal candidate for a brow lift?

• An ideal candidate for a brow lift is someone who has sagging or low-positioned eyebrows that create a tired or sad appearance. They may also have deep horizontal creases across the forehead or frown lines between the eyebrows or across the top of the nose. It’s essential for candidates to be in good health, non-smokers, and have realistic expectations about the outcome.

Are there any potential risks or complications associated with a brow lift?

• Like any surgical procedure, a brow lift comes with potential risks. These may include infection, poor wound healing, hair loss at the incision sites, facial asymmetry, nerve injury leading to facial weakness, and anaesthesia risks. It’s crucial to discuss these potential risks with Dr. Watts during the consultation.

How long do the results of a brow lift last?

• The results of a brow lift are long-lasting. While the procedure can deliver visible results, it doesn’t stop the natural ageing process. Over time, the forehead tissues will gradually settle, but most patients enjoy the benefits of the procedure for many years. Factors like genetics, overall health, and skincare routine can influence the longevity of the results.

Can a brow lift be combined with other facial procedures?

• Yes, many patients choose to combine a brow lift with other facial rejuvenation procedures for more comprehensive results. Common combinations include eyelid surgery (blepharoplasty), facelift, and skin resurfacing techniques. Combining procedures can provide a harmonious and balanced facial appearance.

Will there be visible scars after a brow lift?

• Watts makes every effort to place incisions in specific locations, such as behind the hairline or within natural skin folds. As a result, scars from a brow lift are well-concealed. Over time, with proper care, these scars will fade and become less noticeable.

How soon can I return to work after undergoing a brow lift?

• Most patients can return to work and light daily activities within 7-10 days post-surgery. However, the exact recovery timeline can vary based on the individual and the specific technique used. It’s essential to follow Dr. Watts’ post-operative care instructions and avoid strenuous activities until cleared to do so.

Medical References about Brow Lift

• Brow lift – Mayo Clinic
• Brow Lift: What It Is, Procedure Options, Surgery & Recovery – Cleveland Clinic
• Brow Lift Procedure Steps – ASPS

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PLEASE TAKE INTO CONSIDERATION

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.