Brow Lift / Forehead Lift Surgery

Treatment information

Generally about the treatment

A brow lift, which is also know as a forehead lift, can re-create a more youthful and refreshing appearance for the area above the eyes. The brow lift has the purpose of removing vertical lines on the forehead between the eyebrows. It can also remove several horizontal wrinkles in the middle of the forehead, as well as raise the eyebrows. Generally speaking, it can remove the features contributing to a tired and sad appearence.

After the brow lift surgery, the patient will achieve a tighter and smoother skin, which also means getting the vigilant look back.

The operation can be done on its own, but can also be done in combination with a facelift, and/or eyelid surgery.

The procedure

There are 2 different methods for performing a brow lift. The classical method and the endoscopic method (telescope method).

The difference between the brow lift methods lies primarily in the incision that is made. With the classical method, a long arch shaped cut is made above the hairline from ear to ear, whereas with the new method (endoscopic method) 2-5 small cuts are sufficient.

With the classical method, the skin and the underlying tissue is loosened, and part of the forehead muscle is removed. Then the excess skin is cut off. Finally, the incision is sewn or stapled together.

With the endoscopic method, a telescope is inserted via the first incision, while a tiny instrument is put through the second incision. The skin of the forehead is lifted, after which the tissue and muscle is removed or shifted. Tiny sutures (threads) under the skin will hold the eyebrows in place. With the endoscopic method the surgeon will not remove any skin.

The clinics do not always state which method they use for a brow lift. For this reason, you should ask the chosen clinic, if you would like further information about the method used.

1-2 hours, depending on the extent.

Anaesthesia

A brow lift operation can be carried out ambulant, under brief admission, and under local or general anaesthesia.

Side-effects

Temporary headaches, discomfort, swelling, contusions (bruising) and numbness in the face.

With a traditional brow lift (not using the telescope) there will also be a risk of hair loss in the areas around the cuts. The patient will also experience more itching than with the telescopic method.

Risk of complications

There is a risk of damage to the nerves controlling the eyebrows. This can cause loss of the ability to raise the eyebrows, and to wrinkle the forehead. There is also the risk fo an asymmetric appearance. Bad healing, meaning unsightly and prominent scars, is also possible.

If any complications should occur during an endoscopic brow lift operation, the surgeon will be forced to change to the traditional method, resulting in big scars and a longer healing period.

You can say that there are generally more risks combined with the classical method, than with the endoscopic method.

There is a risk of side effects from the anaesthetic used, along with bleeding, poor wound healing, a poor cosmetic result, and blood accumulation.

No form of surgery is risk free, although severe complications are very rare.

Healing and recovery

Work may be resumed after 7-10 days - sometimes earlier if the endoscopic method (telescopic method) has been used.

It is advised not to start any energetic physical activities, including jogging, demanding housework, and sex for several weeks.

The contusions will disappear completely after 2-3 weeks. In addition, the patient should avoid intense sunlight for several months.

Duration of the result

A lift of the forehead (brow lift) does not give a permanent result, but usually has an effect for 5-10 years.