• Face-Forehead and Brow Lift

Definition

 A forehead or eye-brow lift reverses the impact of gravity on the face by tightening the soft tissues to bring back a more invigorating and youthful shape to your forehead skin, eyebrows and upper eyelids. There are a number of brow-lift options to choose from depending on the length and location of the incision. Sometimes you may need to do an endoscope.

You might need to know how a typical youthful brow at rest should look like so that you can easily spot a damaged or a sagged one. It is placed just above the orbital rim, with a plodding arch tangentially, and the lateral finish or ‘tail’ of the brow positioned just above the medial end. With age, the brow likely assumes an unexciting flat or horizontal position. A sagging brow is likely to hinder your facial expression, but a brow lift is a time-tested technique for restoring your face’s upper third. Brow-lift surgery is performed on thousands of people every year, and the reviews reveal a happy and satisfied lot.

When do you need a brow-lift?

 Conditions such as a sagging or low eyebrow position that gives you a tired, gloomy or irritable appearance indicate that you need a brow lift.

You have horizontal folds across the brow and sulk lines or furrows stuck between the eyebrows or diagonally at the top of your nose.

When you notice a glut skin or fatty tissue overshadowing your eyes, frown lines in between your eyes, a sad expression on your face because of sagging outer brows or an angry look that comes up because the central part of your brow is hanging down.

You may notice difficulties applying makeup on your upper eyelid especially for females. It means that drooping tissues have masked the surface area as you get older and they require a lift. When you gently lift the skin above your eyebrow to get that pleasant position, and it removes nearly all the excess skin in your upper eyelid, then a brow lift will offer a permanent solution.

Patient Eligibility

  1. Coronal Brow lift

Your low to middle brow must be sagging so that the center between two brows to pupil is about 1.5-2.5cm.

The height of the forehead must be more than 2.5 cm. The brow glide should lift your eyebrow to the highest point of 1-2 cm.

  1. Endoscopic Forehead lift

Presence of wrinkles between your two brows, on the forehead and your brows are sagging.

It works best for people with thick skin, mostly of western origin as compared to Asian descent.

Consult a board-certified plastic surgeon for evaluation to know whether to go for a brow lift, a blepharoplasty, or both procedures, and the benefits of each. Ensure a good general health, stay positive, be easy on yourself and have realistic expectations.

Operation Techniques

1. Coronal Forehead lift

It involves getting an invisible incision behind the hairline, which might cause the forehead to look a bit bigger. You might need to avoid this option if you have a wild forehead.

You can also have an incision in hairline. It best suits people with wild forehead or men with sight bald.

Operation for Forehead and Brow Lift at clinic in Bangkok, Thailand

2. Endoscopic forehead lift, or Endoscopic brow lift

It has lesser incision than coronal forehead lift. It is about 5-6 small incisions that are apart from each other. Endoscopic brow relies on specialized technique and equipment making it more expensive, but less painful compared to a Coronal Forehead lift.  It is not advisable for people with sagging highbrow.

Pre-Operation
  1. Consultation
  • Consult with a local plastic surgeon
  • Identify the right kind of brow lift versus your needs
  • Know your skin type
  1. Preparation
  • Avoid anti-inflammatory drugs such as aspirin and supplementary drugs 2 weeks before the procedure.
  • Avoid smoking 1-2 weeks prior the surgery
  • Avoid high vitamin E content diet, monosodium glutamate compound, garlic, onion and soybean foods to avoid coagulation during the surgery
  • Inform the surgeon if you have taken any of the above before the procedure begins.
  • Do not take any food or water 6 hours to the operation
  • Wash your hair before going to the operating room
  • Control hypertension 2 weeks prior the surgery
  • Ask for a sick leave of about 5-7 days
  • Tag a friend along during the operation.
  • Give the doctor your medical history
  • Do not go in with accessories
The Procedure
  1. Coronal brow lift

A coronal brow lift involves two diamond shape excisions in the hairline on either side of the fore-head. The surgeon will carefully lift the skin sandwiched between the excision and the brow to cut the extra skin. Before the skin is closed, drains will be placed to avert fluid collections.

Advantages: The scars are well-hidden and results to minimal numbness of the forehead and scalp.

  1. Endoscopic brow lift

Once you are under anesthesia, the doctor will open 3-5 small incision, localize brow position and use endoscope to separate skin and bone tissue. After lifting the skin forehead to a localized position, it will be fixed with a screw on the skull. A stitch is required to close the skin.

Post Operation
  • Do not bump your head
  • Gently wash the hair 24 hours after surgery using warm water and a very low heat dryer
  • Do not pull or take out the staples
  • Doctors will remove dressings after 1 day
  • Keep your head elevated most of the time to avoid swellings and discomforts
  • The surgeon will remove the sutures or staples approximately 10 days after surgery
  • Get a hat or a good sunscreen cream to protect the scar
  • Do not heavy-lift, strain or do aerobic exercises for at least 2 weeks
Side effects/ precaution

You may notice postoperative oozing under your forehead flap, a little swelling or bruising in the upper eyelids or around the eyes. Do not worry, it will resolve within 2 weeks.