Bellevue, Seattle Forehead & Brow Lift Surgery
Drooping or flattening of the natural arch of the eyebrows can occur as early signs of the aging process. The eyes then appear smaller, more deep-set, sometimes having more upper eyelid fullness. The horizontal lines which develop in the “crow’s feet” region of the temple and in the forehead, along with the vertical “frown” lines appearing between the eyebrows all contribute to a stern, serious or tired look. While correction of these problems may be achieved on a temporary basis with Botox injections, a forehead lift (brow lift) resolves these changes for a fresher, more alert look.
Forehead Lift, Eyelid Lift and Facelift: A Winning Combination
A forehead lift may be performed alone but most commonly is performed in conjunction with eyelid surgery (blepharoplasty) and/or a facelift. It may also be combined with a mid-face cheek lift. The goal is to gently raise the brows to a more youthful, natural position while avoiding the “over-operated” appearance
Pre-Forehead & Eyebrow Lift Consultation
During your consultation, Dr. Zemplenyi will address your forehead, brow and upper eyelid cosmetic concerns and will advise you on the various techniques available for their correction. We wish to empower you to make an informed decision about those procedures best for you and tailored to your individual needs. Dr. Zemplenyi can perform the brow lift using various incisions and in various surgical forehead planes to best meet your specific needs. You will understand the differences, benefits and risks of various procedures such as the endoscopic brow lift, mid-forehead lift, pre-trichial lift (in front of the hairline), coronal lift and other variations. Additionally, non-invasive treatments with fillers and Botox may be indicated as complementary procedures.
What Shoud I Know about Forehead Lift/Brow Lift Surgery & Anesthesia?
Our goal is to perform all surgeries without patient recollection of the procedure and with the least amount of discomfort or anesthetic side-effects. The patient’s comfort and safety are paramount and complete monitoring is performed for all patients undergoing any anesthetic. Since all levels of anesthesia are available in our Medicare-certified surgical center we are able to tailor the technique to the patient’s needs and wishes.
The forehead lift (brow lift) is most commonly performed under conscious sedation anesthesia (twilight sleep) although general anesthesia may be used in a few, selected patients, especially when combined with some of the other cosmetic procedures we offer.
Incisions are hidden behind or very close to the hairline. The endoscopically-assisted technique for elevation of the forehead tissues in the sub-periosteal plane (above the bony scalp) can be used, but Dr. Zemplenyi most most commonly performs the brow lift by freeing up the skin and soft tissues above the forehead muscle, and, by precisely tailoring the margin of skin to be excised, thus elevates the brows. The forehead muscle is weakened in the central forehead region so that the frown lines become less evident. Following a brow lift patients are discharged home accompanied by a responsible adult usually within 30 to 45 minutes following completion of the surgery.
After Your Eyelid/Forehead Lift Surgery
Post-operative discomfort is quite easily controlled with prescribed narcotic medications and many patients do not feel the need to use these medications beyond the first 24 to 48 hours. Application of ice compresses to the eyes and elevation of the head tend to decrease on swelling and bruising. A compressive forehead dressing is removed on the first day following the operation. Sutures in the hairline region are removed in seven to ten days. While the amount of bruising is minimized by our modern surgical techniques, the actual amount varies depending on individual circumstances. Most swelling and bruising occurs around the eyelids, not on the forehead itself, and tends to resolve in seven to fourteen days. Cover-up make-up is available through our esthetician services and can be applied soon after the surgery and many patients return to work in less than one week using sun glasses to camouflage the post-operative changes. Final cosmetic result is not achieved for about two to four months when residual changes resolve.
Brow Lift FAQ
- What is brow lift or forehead lift?
- A brow lift is a procedure to
- raise drooping brows
- improve the visual field by raising drooping brows that cause hooding over the upper eyelids
- open up the eyes by lifting the eyebrows
- smooth out horizontal frown lines
- improve vertical wrinkles between the eyes
- Who is a candidate for a brow lift?
- Men and women concerned about forehead wrinkles or sagging brows can benefit from a forehead or brow lift. Those considering the procedure should not smoke and be physically healthy to avoid post-operative complications.
- What anesthesia is used for a brow lift?
- Brow lift or forehead lift is usually performed under IV sedation anesthesia but can be performed under general anesthesia. Oral sedation with local anesthesia can also be considered. At Bel-Red Center for Aesthetic Surgery our Bellevue and Seattle patients are given a choice of anesthesia options.
- How can I prepare for brow lift?
- Taking care of your well-being will make both the surgery and recovery easier. Thus eating a healthy diet, performing regular cardiovascular exercise, avoiding smoking and keeping weight under control will promote uncomplicated healing. If you are on blood pressure medications, your hypertension should be under good control. You need to avoid blood thinners including aspirin for about ten days prior to surgery. Herbal supplements and vitamin E should also be avoided prior to surgery to minimize the possibility of bleeding. Depending on your health status, laboratory testing and a physical examination may be indicated prior to surgery. It is also important to arrange for post-operative care with someone to pick you up after the procedure and stay with you the night following surgery.
- How is a brow lift procedure performed?
- The technique used for a forehead lift depends of several factors: the patient’s hair style, hair density, depth of frown lines, and position of hair line. A brow lift can be performed through an incision across the top of the head behind the hair line (coronal lift), at the hair line, in a furrow across the forehead or a direct brow lift above the eyelashes. The area under the skin is undermined and excess skin is excised. A brow lift can also perform as an endoscopic brow lift through small incisions within the hair line using an endoscope. If the brow lift is performed behind the hairline the incision is hidden in the hairline. Incisions at the hairline can be hidden by bangs while incisions across the forehead or above the eyebrows are hidden in natural lines and will fade with time. The incision lines can be closed with removable or absorbable sutures or with special clips. Dr. Zemplenyi tailors the procedure to patient requirements and desires to produce a natural result for larger and less tired appearing eyes.
- What is post-procedure care after a brow lift?
- Immediately after the procedure your forehead will be bandaged and wrapped to minimize bruising and swelling. There may be tightness, swelling of the forehead and bruising and swelling around the eyes. You should keep the head elevated during the recovery period to minimize on swelling. You will receive written and verbal post-operative instructions after your surgery. It is important to arrange for post-operative care with someone to pick you up after the procedure and stay with you the night following surgery. Post-operative visits will be arranged and Dr. Zemplenyi is always on call at any time after surgery for questions and concerns.
- What is the recovery time for a brow lift?
- The bruising and swelling will improve over one to two weeks. Most patients can resume work and social activities after one week with cover up make up to camouflage any remaining discoloration. Vigorous activities should be avoided for several weeks.
- How much does a brow lift cost?
- The cost of a brow lift varies with the extent of the procedure and the type of anesthesia used. The extent of the procedure depends on the amount of brow sagging, the amount of eyelid hooding and the health of the patient. At the Bel-Red Center for Aesthetic Surgery in the Seattle and Bellevue area, our normal price range for the complete brow lift package, includes professional fees, facility fees and anesthesia.
- What are the risks with facelift?
- Brow lift, like any surgery carries some risk. These include unfavorable scarring, dry eyes, facial nerve injury with resultant weakness or paralysis, numbness in the operated area, bleeding, infection, fluid accumulations, need for revision, asymmetry of result, raising of hairline. Rare sequelae, can in include deep vein thrombosis, cardiac, pulmonary and anesthetic related complications. In our certified and state-licensed surgical center patient safety and comfort are our main concerns. The risk to your general health from cosmetic surgical procedures including brow lift is very low.