The incision techniques used during a brow lift procedure depend on the severity of sagging, the skin condition, and the hairline location. There are classic incisions, which may be located on the upper eyelid, or a coronal incision, which runs from ear to ear underneath the patient’s hair. A less invasive treatment is possible with an endoscopic brow lift.
This surgical technique places the incision along the natural upper eyelid crease or the brow’s hairline. The focus is to trim away excess skin and tighten the remaining skin and underlying tissues to create a rejuvenated facial appearance. The weak tissues will be reattached to the brow bone by sutures or attached with temporary tiny hooks placed internally where the muscles will cling and heal into a new position. This treatment doesn’t resolve any issues of wrinkles on the upper forehead.
The coronal brow lift hides the scar by making an incision within the hair area. The cut is made from one ear to the other, running along a few inches above the patient’s hairline. The eyebrows are then repositioned to correct the tired, aging appearance by pulling the muscles up. With this technique, the hairline is also positioned higher. The results are typically subtle, just enough to stretch the droopy eyelids, not lifted severely enough to result in a shocked, wide-eyed look.
The use of endoscopes gives way to less invasive treatments. During an endoscopy procedure, several small incisions, no longer than an inch, are made close to the hairline. A tiny camera at the end of a thin tube will be inserted to allow the surgeon to operate via a monitor. Other tubes are inserted that will perform the necessary surgical steps to correct the cosmetic problem. Sutures are placed underneath the skin to help lessen the scars. The healing from this technique is quicker compared to the classic brow lifts.
A brow lift is performed under general anesthesia at an accredited surgical facility. It can last between 1 to 2 hours. Patients are sent home after surgery and advised to limit movement for up to 2 days. There will be some bruising and swelling that may be present on other areas of the face, such as the cheeks. Patients will be able to go back to a normal routine within a week. Strenuous activities must be avoided as it may affect healing. It is quite normal to feel as though the face is out of symmetry, but within 3-6 months, patients will see the optimized results, and look and feel younger with a rejuvenated outcome.