As we age, fullness may develop in the skin of the upper eyelids causing the appearance of sadness, anger or tiredness. This may be associated with a descent or drooping of the eyebrows. A browlift provides the opportunity to improve the position of the eyelids and the eyebrows and in doing so the overall appearance of the face.
A browlift can effectively rejuvenate the appearance of individuals that have drooping eyelids or frown lines. Common results of a browlift involve the fading or disappearance of raised eyelids, lines on the forehead and a more energetic and youthful appearance overall.
Most individuals considering a browlift are between the ages of 40 and 50, with eyelids and brow lines that have started to sag and creases or wrinkles begin to form on the forehead. Hereditary can sometimes make these issues a problem for people in their 20s and 30s and in these particular situations a browlift can be extremely helpful.
Anyone considering a browlift should have a good understanding of what the browlift procedure can and cannot achieve. Following a detailed discussion with Dr Paul Quinn, some patients decide that a browlift administered combined with other procedures (like eyelid surgery or a facelift will provide optimal results.
The procedure can also provide effective treatment for the following cosmetic issues:
Advances in surgery, including the use of endoscopes, has increased the popularity of browlift surgery reducing discomfort, scarring and recovery time.
A series of four or five 1-1½ cm long incisions are carefully placed within the hair-bearing skin of the scalp to gain access. Small telescopes (endoscopes) attached to miniature television cameras are then used in conjunction with specially designed instruments to allow the forehead to be elevated from the underlying bone and the release of soft tissues down to the level of the eyebrows.
The skin of the forehead and eyebrows can then be lifted and held in place with a series of stitches attached to the bone.
Often after this type of operation, direct surgery on the upper eyelids becomes unnecessary.
The operation is usually administered as a day case procedure, but an overnight stay in the hospital can be arranged.
Dressings and stitches will be used immediately following surgery and patients are advised to rest with their head and shoulders raised for the first seven to ten days after the operation.
It is common to experience some swelling in the region of the surgery but this usually subsides within a few days, and a return to work is possible after two to three weeks.
A bruised, swollen and tender forehead is normal after your browlift surgery and should decrease in around 10 days. Besides pressure bandages, there may also be thin drains in place to get rid of excess fluid and blood. Dr Quinn will provide you with instructions for dealing with these until they are taken out. He will also give you information on antibiotics, painkillers and what kinds of activities are allowed — follow these instructions very carefully. You can expect to be groggy from the anaesthesia for one to two days; sleep is a good remedy and will help in the healing process. Your first post surgery visit and bandage change could come as soon as the day following your surgery.
The results of a brow lift start to show as the swelling subsides. Full results should be visible within a few months.
There are risks with any surgery, which is why it is vital that you follow the instructions provided to you by your surgeon. With a brow lift, there is a chance of hematoma (blood clots), excessive scarring, numbness, infection and hyperpigmentation caused by the bruising.
The results from a browlift are semi-permanent. Following your surgery, you will look more relaxed and younger for many years. The results of less invasive brow lifts, such as the endoscopic technique, will not last as long as more traditional or coronal techniques.
It is important to remember that as you age, your brows will continue to sag; however, another browlift in the future is always an option.