A browlift may be an ideal procedure for women or men who are frequently told that they look angry or tired because their eyebrows are low, they have very noticeable forehead wrinkles, and the upper eyelid skin is loose or droopy. The procedure lifts the eyebrows to a more aesthetically appealing position while at the same time helping to reduce the horizontal forehead lines and the furrows between the eyebrows. This creates a refreshed appearance in the upper part of the face. The procedure may be done alone but is also commonly combined with other facial rejuvenation procedures like facelifts and blepharoplasties (eyelid surgery).
There are several techniques that may be used to perform a browlift, as described below. The technique chosen is based on the patient’s physical characteristics and desires. Dr. Kunkel thoroughly examines patients during their consultations and listens to their specific concerns. This allows him to tailor the browlift technique to address each patient's unique attributes.
Hairline browlift: With this type of browlift an incision is made immediately behind the hairline. The forehead skin is elevated off of the underlying muscle and pulled tight. The extra skin is removed, resulting in a precise, tailored elevation of the specific areas of the eyebrows. The hairline browlift approach is becoming more popular today. The incisions are much smaller than with a coronal browlift (described below) and the elevation of the eyebrows is more tailored. The incisions are made in such a way as to allow growth of hair through the scar over several months, making the scar difficult to detect.
Endoscopic browlift: In an endoscopic browlift, three to five short incisions are made just behind the hairline. An instrument called an endoscope is then placed beneath the skin. The endoscope allows elevation of the forehead skin off of the underlying tissue. The muscles between the eyebrows are thinned, then the eyebrows are lifted to their new positions. This type of browlift may work best in women whose eyebrows are low but do not have significant looseness of the forehead skin. Women who do best with this procedure are often in their 30’s and 40’s, although some women in their 50’s and 60’s may also be candidates.
Coronal browlift: This is the "classic" browlift, very popular in the 1970's and 1980's but less commonly performed today. With a coronal browlift an incision is made behind the hairline, stretching across the top of the head from one ear to the other. The forehead skin is elevated off of the underlying tissue. This allows direct visualization and treatment of the muscles between the eyebrows. These muscles are thinned and modified to help minimize and prevent wrinkles in this area after surgery. The eyebrows are then lifted to their new positions. Excess skin is trimmed and the incision is closed with sutures. This type of browlift may work best in women who have significant looseness of the forehead skin and numerous deep wrinkles. Typically women who undergo this browlift are in their 60’s or 70’s.
With any type of browlift some swelling takes place after surgery. Bruising may also be present; it usually goes away in two or three weeks. The forehead skin may be numb temporarily. Most patients should expect to take 7 to 10 days away from their usual daily activities.
Complications are rare and usually minor but may include numbness, nerve injury, hair loss near the incision sites, visible scars, asymmetry of the results, infection, and bleeding.
If you would like more information about Browlift or to schedule an appointment, feel free to fill out our convenient contact form or call us directly at (817) 335-5200.