Drooping eyebrows, frown lines and hood like skin over the eyes can make us look much older than we feel. Whether caused by age or heredity, a brow lift can improve appearance and help you to appear alert and more youthful.
Forehead Lift Procedure
There are many types of brow lifts – open, endoscopic, transblepharoplasty (through the eyelid lift incision) and transbleph endotine. These procedures can be performed under general anesthesia or local anesthesia with intravenous sedation.
Open or coronal brow lifts are rarely performed by Paul LoVerme, MD. This procedure was the first type of brow lift and was Dr. LoVerme’s preferred procedure to rejuvenize the forehead until less invasive procedures were developed. This procedure is still occasionally used in women with very droopy eyebrows and deep frown lines.
Dr. LoVerme was an early adapter of the endoscopic brow lift in 1995. 3 small incisions are made just behind the hairline. An endoscope (small tube with a camera) is inserted and forehead tissues are released and elevated. The corrugator (frown line) muscle may be removed and the forehead is elevated without removing any skin from the scalp. The small incision allows faster healing. Forehead and brow lifts may be performed alone, or along with other procedures such as a facelift or eyelid surgery.
The transblepharoplasty brow lift is performed in conjunction with an eyelid lift. An incision is made in the upper eyelid to remove skin and through that same incision Dr. LoVerme can gain access to the corrugator (frown line) muscle and under direct vision a portion of the muscle is removed. This helps to relieve the downward and inner pull of the frowning muscle and allows the forhead muscles to elevate the brow. If the lateral brow is significantly sagging, an absorbable fixation device called an endotine is inserted to elevate the brow and hold it in place until it heals in this rejuvenated position. By the time that the endotine absorbs, the brow is fixed in its new position.
Forehead Lift Recovery
Most patients are back to their normal routine within a few days, and back to work within one to two weeks. Strenuous exertion, which increases your blood pressure, should be avoided for about a month, along with prolonged exposure to heat or the sun.