What is brow lift surgery?

Dropping of the brow generally occurs due to ageing changes in the face and can occur alongside drooping of the upper eyelid and excess upper lid skin. In a brow lift procedure, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimise frown lines.

Why consider brow lift surgery?

A brow lift, also known as a forehead lift corrects drooping eyebrows and improves the horizontal lines and furrows that can interfere with the vision, or make a person appear angry. Some patients opt to have a brow lift in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids.

Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. The incision location can simply be altered to minimise the scars that would normally fall behind the hairline.

The goal is to ensure a fresh, youthful appearance without the obvious look of plastic surgery – natural and subtle rejuvenation. 

Mr Olivier Amar

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What form of anaesthetic will be used?

All brow lift procedures are performed by Mr Olivier Amar as day surgery. Brow lift l surgery is performed under total intravenous anaesthesia (TIVA), a technique of anaesthesia which uses a combination of agents given exclusively via the intravenous route without the use of gas anaesthesia. This means you will sleep comfortably throughout the procedure and wake immediately afterwards with a significantly reduced likelihood of feeling groggy or nauseous. The anaesthesia will be explained to you by your anaesthetist during the preoperative consultation. Having surgery under TIVA allows you to go home the same day to rest and recuperate in comfort.

Can any other procedures be done at the same time?

A drooping brow can often be treated much earlier in life, delaying or minimising the need for surgery. This can include a combination surgical and non-surgical treatments at different stages throughout the coming years to get the desired results.

Often patients will think they need surgical to correct a dropping brow, but on assessment a good result can be achieved by using wrinkle relaxing injections and dermal fillers to relax and lift the brow, and restore volume at the temples.

WILL I HAVE OBVIOUS SCARS FOLLOWING brow LIFT SURGERY?

Brow lift surgery leaves behind minimal scarring. Incisions are usually small and are made in or on the hairline. As a result, any scars are usually very well hidden. The natural lines of the forehead can also be used to hide scars.

WHEN WILL I SEE THE RESULTS OF brow LIFT SURGERY?

You will notice a difference straight away. After two to three weeks you will see results and appreciate them after six weeks. By six months after surgery you can have a good idea of the final result and healing will be complete after a year.

What can I expect after brow lift surgery?

Initially you can expect to experience mild pain and discomfort, which can be managed by a pain killer prescription. You may experience some itching and numbness around the incision sites as you heal. You can expect some bruising and swelling in the days after brow lift surgery. Swelling may last for several weeks, but this can be treated with a cold compress and sleeping with multiple pillows may also help.

You will be asked to come in for a post-operative nurse appointment one week and two weeks after your surgery. At this point your incision sites will be reviewed, stitches removed and your preliminary healing will be assessed. You will come back at six week after surgery to be reviewed by Mr Olivier Amar.

How long do I have to wait to return to normal activities following the surgery?

Patients who undergo facial procedures usually return to normal activities after a week to ten days. I recommend patients return to gentle exercise as soon as they feel comfortable to do so – but nothing strenuous for three weeks after surgery.