The eye area is especially vulnerable to the effects of aging and gravity. Some of the most common signs of an aging face are a sagging eyebrows and frown lines, which can make the face look tired or angered, and creases across the forehead. Brow lift, otherwise known as forehead lift, is specifically targeted to provide smoothness and tightness in this area. With more than 30 years of plastic surgery experience, Dr. Guyuron helps his Cleveland brow lift patients as well as those from out of state and international patients, look refreshed and youthful. Dr. Guyuron frequently shares his forehead lift techniques with other plastic surgeons internationally through lectures during symposia, courses, articles and book chapters.
During the brow lift consultation, Dr. Guyuron explores why the candidate is seeking plastic surgery and what his or her ideal outcome entails. Brow lift candidates often choose to improve one or more of the following:
- Sagging brow line
- Lines and wrinkles across the forehead
- Frown lines (vertical creases between the eyebrows)
- An older or unintentionally sad/angry appearance
- Elongated forehead
After establishing an understanding of the goal of surgery, Dr. Guyuron performs an evaluation of the candidate’s face and forehead, and inquires about his or her medical history. This is to confirm the candidate is in good health and can undergo surgery without increasing the surgical risks. Dr. Guyuron will also carefully assess the condition of the eyelids since commonly forehead and eyelid aging are present concomitantly and one condition can exacerbate the other. Dr. Guyuron will also discuss brow lift techniques and other aspects of the surgery, including anesthesia and incision placement. He may also discuss other facial plastic surgery procedures such as facelift or eyelid surgery, when indicated. He and his team will advise how the patient can prepare for their day of surgery and make arrangements for recovery.
For out-of-town patients who plan to visit Dr. Guyuron, our staff can arrange for a Skype, FaceTime or phone consultation instead of a face-to-face meeting.
Brow lift is performed on an outpatient basis. Patients will receive medications to keep them comfortable and relaxed during surgery. Dr. Guyuron first makes five incisions, each about ½ of an inch, all within the hairline. Alternatively he may suggest making a long incision along the hairline to shorten and lift the forehead at the same time. He may move, rearrange or weaken the wrinkle-causing muscles in the forehead and brow area. Then, he will lift the brow skin and remove excess, loose skin. Excess fat is also removed. For patients who need forehead shortening and the lift or shortening alone, Dr. Guyuron may make the incision at the hairline. For those who have frown lines but do not need eyebrow lift he may trim the muscles through an eyelid incision.
The length of surgery will depend on the particular case and patient. After resting in the recovery suite for a short time, patients are released to go home.
Brow lift recovery varies by patient, but typically takes two weeks. Dr. Guyuron and his staff will provide detailed post-operative instructions to speed healing as much as possible. Brow lift patients will have some bruising and swelling, but this should resolve quickly. Patients should rest as much as possible in the days after surgery, and avoid strenuous activities until Dr. Guyuron clears them. He will schedule follow-up appointments to check on the patient’s healing progress accordingly.