The eyebrows are one of the most striking parts of your face.  It would not be an exaggeration to say that they convey our emotions and feelings as much as a smile does.  Be it frown, alert, relaxed or calm, our eyebrows express our emotions automatically and organically.  A furrowed eyebrow displays anger, worry or intensity anda fallen brow denotes youaretired.Women’s brows are generally higher, thinner and arched to peak above the outside corner of the eye.The skin below the eyebrow typically lies above the top of the bony eye socket where an underlying fat pad softens and hides the eye socket.The eyebrow aesthetically frames the eye and the skin below the brow lends the eyes the correct size and attention.Men have lower, flatter brows with much less skin visible beneath the eyebrow.


As we age, the brows move down and get droopy.  As skin and soft tissues lose elasticity, the distance between the eyebrows and eyelashes also shortens.This is called brow ptosis.  It is very evident at the end of the brow where the brow tapers to the temple.  It is the area where the forehead muscle that lifts the brow is weakest.  This leads to noticeable hooding at the outside corner of your eyelids, paving the way for wrinkles known as crow’s feet.  Heredity and sun exposure are other factors that may lead to brow ptosis.Frail brows can make you look tired, angry or sad.


What is brow lift?

A brow lift is a cosmetic procedure to raise the sagging brows.  A brow lift provides shape, size and support to the forehead, brow and the area around the eyes by raising the soft tissue and skin of the forehead and brow.  You can think of a brow lift if you have a low, sagging brow or brow asymmetry.  It can be done as a single surgery or clubbed with other facial procedures such as eyelid surgery (blepharoplasty) or a face-lift.A brow lift can raise the eyebrows and restore a refreshed, more pleasing appearance.  It corrects skin-sagging of the forehead, upper eyelids, and eyebrows.  Brow lift is also known as forehead lift or forehead rejuvenation.


Types of brow lift:

Commonly, there are six brow lift procedures.  They are the following.

  • Open coronal or classic
  • Endoscopic
  • Direct approach
  • Transpalpebral
  • Lateral approach
  • Toxins-botox


Classic lift:The classic lift involves one continuous cut beginning at the level of your ears and going up around your hair line. Depending on where your hair line is, the surgeon will work to avoid a visible scar.


Endoscopic lift:The surgeon makes a few shorter cuts in your scalp.  S/He will insert a scope – a small camera on the end of a thin tube – into one of the cuts and use another device inserted in another cut to make the necessary changes.


Direct Incision:In the Direct Incision brow lift procedure, the forehead skin directly above the eyebrows is removed. With this procedure, patients can have beautifully shaped eyebrows with just a few days of recovery period.


Transpalpebral brow lift:Also called the combined-access brow lift is a limited incision technique. It allows safe direct visualization of anatomic structures compared to the endoscopic technique.


Lateral brow lift:The modified lateral brow lift is a hybrid technique which incorporates features of an endoscopic brow lift and open coronal brow lift.


Botox brow lift:Botox brow lift particularly treats the frown lines between your brows. It also elevates the height of your brows using BOTOX injections.


Preparing for brow lift:

First you should consult a facial plastic surgeon or a plastic surgeon.  During the consultation you should discuss your expectations as to why you want a brow lift and what you are hoping for in terms of appearance after the procedure.  The surgeon will thoroughly review your medical history.  Have a frank discussion with your surgeon regarding your past and current medical conditions and any medications that you are taking, if any.  The surgeon will carry out a physical exam that includes examination and measurement of different parts of your face with your eyes open and closed.  Photographs of your face may also be taken before the procedure for medical records.


Post procedure:

In order to lessen swelling, your brow might be loosely wrapped after the procedure.  A drain tube might be placed to drain the excess blood or fluid.  Your surgeon will give you clear-cut instructions on how to take care of the incisions.  Your recovery may vary depending on which procedure you have undergone.  You might probably have swelling and bruising even in parts of your face that wasn’t operated on, including your cheeks and eyes.  Numbness and tingling are common after the procedure and these will ease over time.  There may be itching for a few months around the site of the incision.


Tips for faster healing:

  • Rest with your head elevated to ease swelling
  • Take pain medications(as per surgeon’s recommendation)
  • Apply cold compresses to relieve swelling
  • Avoid exposing your incisions to excessive pressure or motion


Keep these things handy at home when you reach home after the brow lift:

  • Plenty of ice
  • Plastic freezer bags to hold the ice
  • Pillows as you will have to keep your head elevated for a period of time
  • Ointment for the incision area (as persurgeon’s recommendation)


Most people can return to work in a fortnight post procedure.  Avoid heavy lifting, igorous exercise or other activity for the first few weeks after surgery.


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