No one wants to look tired, angry or unapproachable. The areas above your eyes can create a frustrated or aged appearance as the tissue becomes heavy, saggy and wrinkled. You will look naturally rejuvenated with a procedure that lifts the brow. Lifting the brow helps to “open up” the whole eye area and works well with upper eyelid surgery which removes the excess cluttered skin. To learn more, please call the Baltimore practice of board-certified plastic surgeon Dr. Ronald Schuster at 410-902-9800. In the meantime, check out our before-and-after brow lift gallery.
Brow Lift Candidates
You’ll enjoy a rejuvenated appearance after this facial procedure. Some of the signs that you are a good candidate for a brow lift are:
- Heavy, hooded eyelids
- Low, sagging brow
- Frown lines (which are vertical folds between your eyebrows also referred to as the “11s”)
- Horizontal forehead wrinkles
Afterward, furrows and lines are smoother. The sagging brow is repositioned. Muscles contributing to frown lines and sagging may be removed. The eyebrows are raised to a naturally higher position. The result is that you will look friendlier, relaxed and more youthful. For women experiencing hooded eyelids, this procedure can be especially beneficial because you’ll be able to apply eye shadow again. Many times patients think that they need upper eyelid skin removed when really lifting their brows gives a much more rejuvenated natural appearance. Puffy eyelids make it difficult to apply shadow to the surface area of the lid. Many women like the way their eye cosmetics look once they’ve had a brow lift.
Brow Lift Techniques Performed by Dr. Schuster
Dr. Schuster listens to your concerns first, then examines your facial anatomy and determines the brow lift technique that works for you. Everything is customized to you. There are two basic brow lift techniques, however there are also many variations or combinations. Brow lifts include –
- Endoscopic: An endoscope is a viewing instrument. It is a thin telescopeand camera with a light at its tip. Inserted through tiny incisions, the endoscope allows Dr. Schuster to see the surgical field up close on a monitor. Endoscopic brow lifts are minimally invasive and require a series of small slit incisions. The incisions are made within the hair behind the hairline. No hair is shaved. Endoscopic brow lifts typically carry the benefits of a faster recovery, lowered risk of numbness, hair loss and scar formation..
- Open technique: This is the technique that was developed many years ago. It uses longer incisions. The incisions originally placed within the hair have been for the most part abandoned for the endoscopic technique because of issues with hair loss and prolonged numbness. Dr. Schuster reserves and recommends the open technique for those patients who need their brow lifted and have a high forehead and hairline. In these patients the hairline can actually be lowered, which together with the brow lift gives a tremendously powerful way to rejuvenate the face. The incision in this technique is placed carefully along the anterior hairline and then extends into the hair in the temple areas.
- Combined: This technique utilizes a limited incision method and combines aspects of both procedures.
The right technique for you depends on several factors, including:
- The height of your forehead
- The location of the hairline
- The quality of the skin
- The degree of wrinkling across the forehead
- Whether any other procedures are being performed in conjunction
For the smoothest, most consistent result, many patients combine brow lifts with face lifts, eyelid surgery or other types of facial rejuvenation. That way, it’s not just the skin of the forehead that looks better, but also in better balance with the rest of your face.
Preparing for Brow Lift Surgery
In the two weeks prior to your surgical appointment, we will ask you to:
- Schedule your post-operative appointment
- Schedule your pre-op exam, including blood work and a test with your family doctor one week prior to surgery
- Arrange for a specific individual – spouse, friend, family member – to pick you up and stay with you for the first 24 hours
- Cease taking aspirin and any medications containing aspirin
- Take a multi-vitamin containing vitamins C and E, and iron (a multivitamin will support recovery)
- Notify us if you become ill or get sick with a cold
In the two days prior to surgery, we will ask you to:
- Complete any salon services you want, such as a perm or color, because you will have to wait a while after surgery to do your hair
- Set aside a scarf and sunglasses to cover up after surgery
- Prepare entertainment to enjoy during recovery, such as audio books, movie downloads, playlists, streaming subscriptions, etc.
- Shop for post-op friendly groceries like soup, juice, tea, applesauce, crackers, bagels and other light, bland foods
- Prepare meals and snacks ahead of time so you won’t have to cook
- Consider purchasing a stool softener because pain medication can cause constipation
- Get cold compresses ready to go, which could consist of a bag of frozen peas, plastic zip bags full of ice, commercial ice packs, etc.
- Pick up any prescriptions we issue and other products recommended by Dr. Schuster, such as Betadine soap
- Begin taking Arnica Montana as instructed by our staff
The evening before surgery, you should shampoo and condition your hair to remove any debris or buildup. We’ll instruct you to wash your face with Betadine soap for three full minutes, to remove germs from the surface of your skin. We’ll also want you to get a good night’s rest so your body is strong and recuperated. Don’t eat anything after midnight.
Your Surgery Day
Don’t eat or drink anything before surgery. It’s very important not to smoke the day of surgery, if you are a smoker. You’ll again wash your face with Betadine for three minutes. Don’t wear any makeup, lipstick, jewelry, wigs, hairpins or hairpieces. Wear loose, comfy clothes.
Brow Lift Recovery
We provide full, typed aftercare instructions as well as contact information for any concerns or issues. Instructions will include:
- Don’t lift anything or bend over
- Keep your head elevated at all times
- Avoid turning your head from side to side
- Get out of bed and move around every couple of hours during the day
- Eat a liquid diet after surgery for the rest of the day – incorporate light, bland, soft foods the next day
- Move your face gently when you smile, talk, chew or yawn for a few days
You’ll return to the office to have bandages and stitches removed. Dr. Schuster will check in to see how you are healing and answer your questions. You can shower after bandages are removed. Don’t use any hairsprays, gels or other products in your hair. You may wash your face with a bland, gentle cleanser. Moisturizing your face is okay at this point, but keep lotion and cream away from the incisions.
Resume activities gradually and gently after two weeks have passed. Most exercise will need to be delayed for four weeks. Wear sunscreen to protect your skin, which is always a good idea but especially after surgery when the skin is sensitive.
Expect swelling and bruising. Bruises begin to fade after seven days. Swelling begins to subside after two weeks, which continues for up to three months. Scars are red at first but will fade over time. Your scalp may be numb for several weeks and up to nine months.
Results of brow lift surgery are lasting. This procedure turns back the clock on the signs of aging and can easily be combined with other facial rejuvenation for a complete look.
Why Have a Brow Lift?
Most people who are interested in a brow lift are unhappy with the way aging or major weight loss has caused their forehead area to descend. As the tissue sags, wrinkles will form across the forehead and the eyebrows will be pushed down, causing puffy and hooded upper eyelids. The reason to have a brow lift is to raise all of this tissue upward so that the upper third of your face is rejuvenated.
Another reason to have a brow lift is because surgery is most likely the only option for lifting the brow. Once the skin and supportive tissue have begun to sag, no amount of dieting, skin care, or facial exercises will be able to reverse the situation. Surgical intervention is really the only way to turn back the hands of time in these situations.
Does a Brow Lift Affect the Ability to Move My Forehead?
The natural expressiveness and movement of your forehead is not typically affected by a brow lift. You may experience limited movement in the first week after surgery, as the skin heals, but everything should be back to normal after a week or two. The brow lift procedure does not generally modify any of the muscles you use when you move your forehead. Patients are pleased with the natural, subtle rejuvenation that a brow lift provides. Dr. Schuster never performs surgery that leaves a patient with a frozen, over-pulled look.
What Are the Risks of a Brow Lift?
Like any surgical procedure, a brow lift does carry with it the risk of certain complications. Dr. Schuster will discuss these risks with you in-depth during your consultation, as well as steps you can take to mitigate the risks. Some of the most typical include infection, uneven results, poor reaction to anesthesia, and other surgical complications.
When choosing a plastic surgeon to perform your brow lift, it’s important to look for the right qualifications. Dr. Schuster is a board-certified plastic surgeon who has been performing brow lifts for many years. He is Chief of the Plastic Surgery Division at Northwest Hospital Center and has undergone extensive training in his field. You can rely on Dr. Schuster to do everything he can to prevent surgical risks and ensure a great result.
Can I Combine a Brow Lift with Other Procedures?
Yes, it is often possible to combine a brow lift with other surgical procedures in a single appointment. Eyelid surgery is commonly performed at the same time to achieve optimal results. It’s possible to include a facelift in some cases. You’ll need to discuss your wishes with Dr. Schuster so he can determine if combining procedures will be safe and effective for you.
Can I Get a Brow Lift at Any Age?
Most brow lift patients fall in the 40-70 age range. Patients younger than that range may not yet need a brow lift. Instead, it’s possible BOTOX Cosmetic, Dysport, or facial fillers will achieve the smoother skin these patients are interested in. Having said that, it’s not impossible that someone in their 30s could benefit from a brow lift. A consultation is needed to know for sure.
People older than 70 are not disqualified from brow lift candidacy merely because of their age. If you fall into this age group, Dr. Schuster will first want to discuss your concerns, examine your face and facial skin, as well as set reasonable expectations for the results. He will review your health history to make sure there aren’t any concerns about undergoing surgery.
When Can I Wear Makeup or Contact Lenses After Brow Lift Surgery?
You should wait 10-14 days after surgery before wearing makeup on your eyelids or forehead. You should wait two weeks before wearing contact lenses.
Schedule a Consultation Today
If you are interested in brow lift surgery to rejuvenate your face, please contact our office at 410-902-9800. Dr. Ronald Schuster is a board-certified plastic surgeon in Baltimore, Maryland. Our patients visit us from our city and across the surrounding areas, including Owings Mills and Towson. We also provide a virtual consultation if you live elsewhere but would like to consider Dr. Schuster as your plastic surgeon.
*Individual results may vary