A brow lift pulls the skin on the forehead upwards to create a firmer and lifted appearance. Skin laxity naturally increases as we age. Our muscles lose their tone, resulting in sagging skin on the forehead and drooping brows. Also known as a forehead lift, this procedure can iron out wrinkles and excess skin while elevating the brows. This surgery is most suitable for candidates whose brows are lower. Results are dramatic but not permanent as the skin continues to age and lose elasticity over time.
There are a few available techniques, and some may be more invasive than others. The surgeon will choose their method based on the patient's forehead length and hairline shape. In general, the procedure requires only a few incisions where the skin will be lifted. The operation takes around 1-2 hours and is performed under general anesthetic.
The traditional technique is the Coronal method. This technique uses just one incision that runs through the scalp within the hair or at the hairline depending on the length of the brow, reaching from one ear to the other. Through this incision, the surgeon will pull the tissues and skin while possibly also removing muscles causing deep wrinkles. They finish by suturing the skin to its new position. This method lengthens or shortens the forehead and is best for asymmetrical brows.
The Endoscopic technique is much less invasive. It requires 4-5 incisions made behind the hairline. First, a micro camera is inserted into the incision to navigate and view the site. The surgeon will then pull the forehead tissues upwards. They secure them in place with sutures or tacks before applying some gauze and bandages. This technique has a faster recovery period but is not suitable for significant wrinkling and asymmetrical brows.
The Temporal lift is a technique used to target the outer areas of the brows. This method is usually done in conjunction with eyelid surgery using the same incisions behind the hairline. While the healing time is much faster, it may not have as dramatic results. Browpexy is only used for modest lifting and cannot treat severe droopy brows. During this procedure, the surgeon makes incisions in the crease of the upper eyelid or just over the brow.
The Midbrow and direct technique is the least common method as it usually leaves a large scar. The incision is made right on the forehead, where excess skin is removed. This technique is mainly used on patients with severe cases or facial paralysis.
There are also non-surgical methods available to lift the brows temporarily. Botox injections relax the muscles in the forehead, which creates a lifted look. Results will last 3-4 months.
Thread lift is another minimally invasive option. During this treatment, the professionals insert thin, temporary sutures along the temples or hairline. These pull on the skin to create a lifted effect. The threads will naturally dissolve after 3-6 months.