Heavy, hooded brows and deep forehead furrows can leave you looking permanently tired or angry, as well as prematurely aged. A forehead lift corrects a fallen brow for a more alert, rested appearance that helps you look more youthful.
Facial rejuvenation specialist Dr. Otto Placik is a board certified plastic surgeon serving Chicago and the surrounding suburbs. In addition to brow lifts, Dr. Placik offers a full range of other facial rejuvenation procedures and med spa treatments that can help you look younger and more refreshed.
Please contact us online or call our Chicago or Arlington Heights plastic surgery offices for more information on brow lift surgery, including prices.
Dr. Otto Joseph Placik Board-Certified Plastic Surgeon
Dr. Placik is a board certified plastic surgeon in Chicago and an active member of The American Society of Plastic Surgeons. He received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery.
Although the forehead may not seem like a particularly age-affected area of the face, brow appearance and position can visibly change over time as part of the aging process. This occurs as muscles weaken and gravity continues pulling downward on skin and supportive tissues. Deep horizontal lines, a brow that seems to overshadow the eyes or a facial expression that seems to look permanently upset are all indicators that you may be a good candidate for a brow lift. A heavy or low set brow may also contribute or aggravate the appearance of redundant upper eyelid skin.
Dr. Placik takes great care to adopt a subtle approach when it comes to a forehead lift so your results look natural, never “done.” For the best outcome, Dr. Placik may recommend combining a brow lift with additional procedures like eyelid surgery to help restore a more youthful look to the eye area, or a facelift for skin laxity and advanced signs of aging through the lower face, neck and jowls.
Forehead or Brow Lift Options
A variety of different approaches are available for elevating the brow or forehead. The choice of incision will vary according to patient goals, anatomy and gender. These incisions are described below and referenced in the labeled figure.
1. The Bicoronal Lift: this is the traditional approach for brow lifting. It is highly effective but requires a long scar extending from ear to ear across the top of the scalp. The scalp is excised to create a permanent lift. The scar may be visible in certain conditions (coming out of the pool with wet parted hair). Modifications such as zig-zagging the scar may make this less noticeable. Numbness of the scalp is common. Good choice for women with a short forehead (less than 5 cm) and high hair density. The muscles responsible for frown lines and forehead wrinkles can be treated.
2. The Endoscopic Lift: this is performed through 3-5 small 1-2cm incisions placed just behind the hairline. Surgery is performed using an endoscope. No tissue is excised and these tend to be the least visible scars. Fixation is required to maintain the lift. This is generally preferred in young women or men with a short forehead or thinning hair or in men with a receding hairline. The muscles responsible for frown lines can be treated.
3. The Pretrichial (Hairline/Trichophytic) Lift: this is a zig-zag incision placed just IN FRONT of the hairline. This is used to both reduce the appearance of a long forehead (more than 5 cm) or to advance the hairline forward. This is accomplished by excising extra forehead skin (and NOT scalp). The incision is beveled in order to promote hair growth through the scar which also helps to conceal the scar. The zig-zag results in a more naturally random appearance while avoiding the more telltale straight line lift. It does not address the forehead muscles but can treat excess skin.
4. The Temporal or Short Scar Lift: This is best used to treat the flat eyebrow or sagging affecting the outer portions of the eyebrow. The incision is about 4 cm long and placed in the temporal recess (the receding portion of the hairline).
5. The Direct Brow Lift: This incision Is placed directly above the eyebrow. Skin is excised in a pattern to create the desired lift. It has the potential for the most visible scar but usually results in a fine line. It may be a preferred option in men with little or no hairline or in individuals with one sided brow ptosis (sagging) commonly associated with a nerve injury or Bell’s palsy. It is best concealed in those with prominent forehead lines, prior trauma or injury.
6. The Transblepharoplasty Browpexy: This is performed at the same time as an upper lid blepharoplasty and through the same incision. No additional scars are necessary. When performing skin removal from the upper eyelid, the eyebrow may actually be pulled downwards very slightly. To some degree this is not a lift and more a method to hold or “fix” the eyebrow in place and minimize downward traction with the blepharoplasty. Very subtle elevations can be accomplished because any excessive upwards displacement of the eyebrow will produce skin gathering above the brow. For that reason, it is considered a browpexy and not a brow Lift. It is commonly for those with an already low brow, with a receding hairline who are already planning to undergo and upper eyelid lift. The frown muscles can be resected through this approach.
The best candidates for a forehead lift are troubled by sagging brows, prominent wrinkles and frown lines or droopiness at the outer eyelids, which is also referred to as hooding. These concerns may be related to your chronological age, or may reflect a genetic predisposition toward a lower brow placement.
While a forehead lift can certainly help minimize many of the signs of aging through the brow area, sometimes a combination approach works best to deliver the most positive possible outcome. For example, a brow lift can help diminish significant frown lines, but Dr. Placik may recommend BOTOX® to enhance and maintain those results.
The decision about who the best candidates may be for a brow lift is based more on their needs and cosmetic goals than on a specific age range. Most forehead lift patients fall somewhere between age 40 and 60, although many men and women choose to adopt a proactive method toward fine lines and wrinkles using nonsurgical treatments from our med spa before committing to surgery.
The total cost of your brow lift will depend on many different variables, from the level of correction that Dr. Placik recommends to whether complementary procedures are performed during your appointment. Costs will include the fee for the anesthesiologist and the surgical center in addition to Dr. Placik’s fee. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.
Typically, a brow lift is performed on an outpatient basis, so you can plan on returning home the same day as your surgery to start your recovery. You can expect some swelling and bruising at first, although this should dissipate rapidly within the first week to 10 days. Most patients can return to work about a week after surgery, although more vigorous exercise and activities should wait until Dr. Placik gives you the go-ahead.
The risks associated with brow lift surgery are minor, and are similar to any other surgery: reactions to anesthesia, bleeding or infection, for example. Side effects like nerve damage, changes in sensation and hair loss at the incision site are all possible risks of forehead surgery although they are rarer.
Dr. Placik promises you his best possible care and attention. If you would like to schedule a private consultation to learn more about brow lift surgery, please contact us online or call us at 847-398-1660.
To meet with Dr. Placik, you can request a consultation online or call our Arlington Heights office at 847-398-1660 or our Chicago office at 312-787-5313 to schedule your appointment. We look forward to meeting with you and helping you look your very best.
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