BROW LIFT

Brow lift plastic surgery from Dr Reema Hadi in Sydney

What is a Brow Lift?

A Brow Lift, also known as a Forehead Lift or Browplasty, is a surgical procedure that aims to reposition the eyebrows by addressing changes in skin elasticity and muscle tone that may occur with age. Over time, the forehead muscles and skin can become lax, leading to a lowered brow position and the formation of creases across the forehead and between the eyebrows.

The procedure involves elevating the brow area and may also smooth horizontal forehead lines and vertical frown lines (glabellar lines), depending on individual anatomy and surgical technique.

Types of Brow Lift Procedures

Different brow lift techniques are available to address varying anatomical needs and goals. The choice of technique depends on factors such as brow position, forehead height, hairline shape, and individual preference. During consultation, your surgeon will assess your facial structure and recommend the most suitable option.

1. Traditional Brow Lift (Coronal Brow Lift)

This method involves an incision made across the top of the scalp, typically hidden within the hairline. It allows for broad adjustment of the forehead and brow area. Due to the extent of dissection, it may involve a longer recovery period and is generally more appropriate for patients with low hairlines.

2. Temporal or Limited Incision Brow Lift

This technique targets the outer portion of the brow using small incisions placed at the temples, just behind the hairline. It is often chosen for patients with mild brow descent or those seeking subtle changes in the lateral brow region.

3. Direct Brow Lift

In a direct brow lift, an incision is placed just above the eyebrows. This approach is more commonly considered in patients with pronounced brow descent and may be particularly appropriate for individuals with heavier brow tissue. The scar is placed within the upper edge of the eyebrow and is typically well-concealed in those with thicker eyebrow hair.

4. Mid-Forehead Lift (Pretrichial or Midline Brow Lift)

This technique involves incisions made at the hairline, making it suitable for individuals with forehead laxity or central brow descent. It can also be considered when preservation of the existing hairline is desired.

Am I a Candidate for a Brow Lift?

Determining suitability for a brow lift involves a comprehensive assessment by a qualified plastic surgeon. However, individuals who may be considered suitable typically include those who:

  • Have a low or descending brow position that may contribute to changes in upper facial appearance or function
  • Are concerned about deep horizontal lines across the forehead or vertical lines between the eyebrows
  • Are in good general health and do not have medical conditions that could interfere with healing or increase surgical risk
  • Have realistic expectations and a clear understanding of what the procedure may be able to achieve

During your consultation, your surgeon will assess your facial anatomy, medical history, and aesthetic concerns to determine if a brow lift is an appropriate treatment option.

Brow Lift Techniques & Post‑Operative Care

Advances in brow lift surgery have led to more measured approaches to brow position and tissue handling. Greater anatomical understanding and long‑term patient follow‑up have helped refine surgical techniques to better match individual anatomy.

General Post‑Operative Care Guidelines

Below are common recommendations used in brow lift recovery. Your surgeon will provide a customised plan based on the technique used and your individual healing response:

  • Rest & Recovery: Plan for limited activities and rest for 1 to 2 weeks. Avoid strenuous work during this period.
  • Pain Management: Some swelling and discomfort are expected after surgery. Pain relief medications will be prescribed as needed.
  • Head Elevation: Keep your head raised while resting (extra pillows or a recliner) for the first few days to help reduce swelling.
  • Cold Compresses: Applying cold compresses or ice packs may help reduce swelling and bruising. Avoid placing ice directly on the incision.
  • Dressings & Incision Care: Follow your surgeon’s instructions for wound care. Dressings and bandages are typically removed during follow‑up visits.
  • Activity Restrictions: Avoid activities that increase strain or raise blood pressure for several weeks, as advised by your surgeon.
  • Lifestyle Factors: Refrain from smoking and limit alcohol intake during recovery, as these can slow healing.
  • Nutrition & Hydration: A balanced diet and sufficient fluid intake support healing.
  • Medication Adherence: Take antibiotics or other medications exactly as prescribed.
  • Follow‑Up Appointments: Attend all scheduled check‑ups so that your surgeon can monitor healing.
  • Sun Protection: Keep incisions protected from direct sunlight. Use approved sunscreen or wear protective clothing when outdoors.
  • Healing Timeline: Swelling and bruising will generally diminish over time. Full healing might take several weeks to months depending on the extent of surgery and your individual healing process.

Bandages, Dressings & Scar Management

  • Dressings or bandages will cover the incisions initially to protect the wound and absorb any fluids.
  • In some cases, compression garments or head wraps may be used to help manage swelling.
  • If non‑dissolvable sutures are used, they are usually removed in 1 to 2 weeks.
  • Incisions must be kept clean and dry until your surgeon says they may be exposed to moisture.
  • Once healing allows, scar management options (such as silicone gels or sheets) may be recommended to help reduce the visibility of scars over time.

Potential Risks and Complications of Brow Lift Surgery

  • Infection
  • Bleeding or hematoma formation
  • Scarring that may be noticeable or thickened
  • Temporary or permanent numbness or altered sensation around the forehead or scalp
  • Hair loss or thinning around incision sites
  • Asymmetry or uneven brow position
  • Poor wound healing
  • Changes in skin sensation
  • Temporary or permanent muscle weakness affecting facial expression
  • Unsatisfactory aesthetic outcome requiring revision surgery
  • Reaction to anesthesia
  • Swelling and bruising that may persist for several weeks

It’s important to discuss these risks with your surgeon during your consultation to understand how they may apply to your individual case.

FAQs