Forehead / Brow Lift
A Forehead/Brow Lift is for patients whose eyebrows and forehead have fallen too low. A male’s eyebrows should be horizontal, straight and lie at the bony prominence of the orbital rim. A female’s eyebrows should be arched laterally and lie just above the orbital rim. When the eyebrows fall too low, it portrays a tired, heavy look and can contribute to excess skin on the upper eyelid. A Forehead/Brow Lift elevates the eyebrows back to their normal, natural and more youthful location.
A Forehead/Brow Lift is usually performed with an Upper Eyelid Lift (Blepharoplasty) or Facelift (Rhytidectomy). We do four different variations of a Forehead/Brow Lift, depending on the patient’s anatomy, forehead height, hairline, and severity of the problem. The types of Forehead/Brow Lifts include:
- Endoscopic which involves two or three vertical incisions placed in the hair bearing scalp
- Bi-coronal where a long incision is made from ear-to-ear in the scalp
- Anterior where an incision is made along the hairline
Direct temporal when the problem only exists in the lateral portion of the brow.
Types of Forehead/Brow Lifts, along with the risks and benefits of each, will be discussed with you at your consultation so that the best and most appropriate surgical option is chosen.
When considering a Forehead/Brow Lift, you want to not only know your surgeon but trust that they understand how you want to look and feel, and that they can help you achieve the look you desire. The consultation gives you the opportunity to get to know Dr. Layton and discuss your goals, desires and expectations with him.
In a comfortable, low stress environment, you will have an examination by Dr. Layton where he will ask you to explain the specifics of what is bothering you about your face, and forehead and eyes in particular. Together with him, both of you will examine your face to point out concerns and possible solutions. You will be fully involved in the process, which will educate you and provide you with a detailed understanding of the proposed procedure, possible risks and expectations. You will also be able to review photos of other patients that have had a Forehead/Brow Lift by Dr. Layton.
You will be given information to read and will be provided ample time to have all your questions answered by Dr. Layton. Our desire is for each patient to be fully informed and educated so that they are comfortable with their decisions and we are able to understand and exceed their expectations.
A Forehead/Brow Lift is usually performed in an accredited surgery center under general anesthesia. You will be marked by Dr. Layton before surgery and given the opportunity to ask any questions. A Forehead/Brow Lift usually takes approximately one hour to perform but if other procedures are performed at the same time, the operative time will increase accordingly. You can usually go home the day of surgery.
After the incisions are made, the skin and underlying tissue are elevated from the bone or the covering of the bone. The attachment around the bony eye sockets is released so that the forehead and brows may be elevated. They are elevated to the correct position and secured in this position. The incisions are closed with staples or stitches. Usually, no dressings are required.
Prior to the day of surgery, you will be given prescriptions for antibiotics and pain medication to take after surgery. Before discharge following surgery, you will be given an instruction sheet that will explain incision care, activity detail, medication usage and follow-up appointment scheduling. Driving is not permitted while taking pain medication.
You will have a head wrap on as a bandage. This will be removed when you are seen the day after surgery for your first follow-up visit. Another follow-up appointment is done two weeks following surgery, at which time the stitches are removed.