Brow lift

Overview

All brow lifts work by repositioning the skin and muscle of the forehead to pull the eyelids up and then disconnect some of the connections between the skin and muscle, particularly around the central forehead to reduce the wrinkling effect of the muscles.

The effect is to open the eyes, lift the eyebrows into a more youthful position and reduce the wrinkling of the forehead.

See women section for further examples

Click here for Brow Lift FAQs

 

Open brow lift just above the eyebrows.
browlift-5

 

Brow Lift FAQs

Different Types of Browlift Surgery

Standard Coronal browlift

This operation is good for people who don’t have a high brow and lifts the brow skin and muscle. The incision is across the top of the head in the hairline. This operation takes about 1 ½ hours and is normally performed under general anaesthetic. It requires a long incision, which leaves a scar in the hair which some people will not like.

Pretricial (or hairline) browlift

This operation is useful if the brow is high. The incision is just at the forehead hairline. This operation takes about 1 ½ hours and is normally performed under general anaesthetic. This is good for people with a high hairline and while the scar is long its position at the junction of the brow skin and hairline means it is normally not very visible.

Endoscopic browlift

This operation is done through five small cuts behind the hairline. The operation uses an endoscope (operating telescope) to minimise the scarring. This takes about 2 ½ hours and is performed under general anaesthetic. This has the least visible scarring, but requires a longer anaesthetic.

The Operation and hospital stay Brow Lift

The operation is performed under a general anaesthetic and when you return to the ward you will have a bandage on your head. Your will go home the next day and I ask that the bandage stays on for 2-3 days. After the bandage comes off you will have antibiotic ointment to put on the wounds.

What can go wrong with Brow Lift

I feel it is important that anyone having surgery with me is aware of the possible negative sides of surgery and understands the small but real risks. The following paragraphs cover what happens when things occasionally don’t go as expected.

Like all surgery there are risks of complications whoever does your surgery. It is important you are aware that many of the problems you may get after your surgery, if they are treated promptly, have no obvious effect on the final outcome.

All browlift operations have a risk of (in order that they may occur):
• Bleeding: this may lead to more extensive bruising and swelling, but is unlikely to affect the final result. It is uncommon. There is a very remote possibility that the bleeding may require a return to the operating theatre. The chance of this being necessary is about 2%.
• Infection: there is a very small risk of wound infection which would be expected to respond readily to antibiotics.
• Opening of the wound line: This is uncommon. If it is a small area it will probably heal without treatment without causing any ill effect on the result. If a more significant part of the wound has opened this may require repairing under some local anaesthetic. Again the final result should be unaffected.
• Numbness over the forehead and hair. The skin feels numb after the operation. This should gradually recover over 6-8 weeks but some persistent numbness is possible.
• Scar: the scar is normally very hard to see, but in some people (2%) bad scars can form which can require further treatment, although it is not uncommon for the scars to become slightly more visible for a while around the 6 -10 week mark. Treatment is available if this is troublesome. Scars in the hair can be surrounded with scalp skin with reduced hair density.
• Weakness of the forehead. This is not common and recovers spontaneously in most cases.
• Asymmetry: While at the end of the operation your brow is symmetrical during the period of settling some slight asymmetry may appear. This is normally invisible to other people, however if it is significant correction can be performed.
• There is a very small risk of seroma (fluid collection under the skin) this is normally treated by removing the fluid with a syringe and needle in clinic, occasionally further surgery can be required.
• As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost.
• All operations can result in long term discomfort.
• All operations have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)

After Brow Lift

Expect to feel washed out for a few days after the surgery and to tire quickly although you will return to your normal energy levels in a few weeks.

Standard browlifts use absorbable sutures and staples, The hairline browlifts have stitches which need to be removed and the endoscopic lifts have staples to take out.

Expect some bruising and swelling in the first post-operative period. This may last 3-4 weeks but after the first week make-up can be worn and the swelling should be acceptable.

What to expect from Brow Lift

Browlift surgery makes an immediate and dramatic difference, although it may take around 2 weeks for the bruising to settle and 4 weeks for the swelling to be nearly gone. Significant bruising or swelling is unusual. There may be some discomfort for a few days. Normally 4-6 weeks after the surgery, there is very little swelling or evidence of recent surgery. It may even be quicker than this. The results should be evident for around 5 years and longer in some people.

Cost of Brow Lift Surgery

-from £4180
This includes all required follow-up and in the unlikely event you require further treatment due to post-operative problems any further treatment is also included

(prices updated Feb 2018)

What to bring to hospital

If you would like, bring a family member or friend. Bring some easy to put on bed wear, preferably with front buttons and your own clothes and toiletries and something to pass the time like books, puzzles or some music . The rooms have televisions and there is free Wi-fi.

What to look out for after you have gone home

Before you come into hospital, you will get a package that contains a set of post-operative instructions and a thermometer.

Watch out for redness, swelling, pain, discharge, opening of the wound, fevers, sweating and shaking. Whatch to see if your temperature is above 37.2C and you feel unwell or it is above 37.6C.

If any of the above are seen or any of the information of the instruction sheet call the numbers on the instruction sheet or the hospital you had your operation.

Things to Avoid

The following are medications or herbal medicines to avoid before surgery.

Please disclose all medications (including self prescribed and herbal and vitamin supplements) during the consultation. The following increase the risk of post operative problems.

Roacutane or other vitamin A skin preparations / aspirin / steroids / warfarin / clopidogrel / Brufen / alka-seltzer / Fish oil / Flagyl / anti-rheumatics-arthritics / blood thinners eg persantin / St John’s Wort / Aloe vera / Cimetidine / Vitamin E (>600mg/day) / Vitamin C (>1000mg/day) / alfalfa / arnica / bromelain / calendula / celery / chamomile / cloves / Evening primrose / garlic / ginger / ginko / goji berries / licorice / meadowsweet / diabetes medication / blood pressure medication / diuretics

Most fruit and pickles have aspirin like chemicals in them so avoid large quantities in the two weeks before surgery.

Please remember that if you have any questions or concerns to ask during one of your consultations. Writing questions down is sometimes helpful.

Driving

Normally you can re-start driving at around 2 weeks. You are fit to drive if you feel you are fit. I recommend you have someone take you to an industrial zone or supermarket car park late at night so you can attempt driving without risk to others. If you find you can drive without problems you are safe to go out on the road

Work

Depending on how physical the work you do is, you can start working from between 1 and 3 weeks.

If in doubt remember you can always ask for advice.

Exercise

At home rest is necessary for one week and any strenuous activity, bending, and lifting etc. is to be avoided. You can shower once your dressings are reduced after your first appointment.

Physical exercise more than a gentle walk should be avoided for the first least 3 weeks and then only undertaken if comfortable. After 3 weeks I allow swimming and cycling and more vigorous walking. After 6 weeks you can, if it is comfortable, return to full activities.