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As we age, our eyebrows begin to droop, which results in an angry, worried, or tired appearance. Frequently performed at the same setting with eyelid surgery and often through the same eyelid incision, brow elevation (also known as browlift or forehead lift) surgery is a way to elevate and stabilize the droopy eyebrows.
Types of browlift surgery
- Internal brow elevation (browpexy) – For patients undergoing upper eyelid blepharoplasty, the same upper eyelid incision can be used to elevate the descended brow fat and reattach it to the forehead in its original position. This elegant and effective technique removes the need for additional skin incisions and can be performed simultaneously with the upper eyelid blepharoplasty and corrugator muscle removal. An internal brow sculpting involves removing the excess upper eyelid and brow fat, in addition to repositioning.
- Corrugator muscle removal – The corrugator supercilii muscles cause wrinkles to form at the top of your nose between the eyebrows. To reduce these wrinkles, our surgeons can either weaken the muscle with Botox or remove the corrugator muscles through the same incision used for the internal brow lift or the upper eyelid blepharoplasty.
- Endoscopic forehead lift – After making a few small incisions in the scalp, the surgeon will use an endoscope (a surgical instrument with a light and camera) to view the muscles and tissues in the forehead. Using fully dissolvable sutures, undetectable to touch, the physician will lift the entire forehead and the eyebrows and also improve the crow’s feet at the outer corners of the eyelids.
Recovery from browlift surgery
Corrugator muscle removal, endoscopic forehead lift, and internal brow lifts are frequently performed simultaneously with eyelid surgery (blepharoplasty). Recovery is limited by the bruising and swelling that typically involves the eyelids and can last up to 3 weeks. However we recommend our patients to take one week off work, since in the second and third week most bruising can be covered with makeup or glasses.
Some patients will experience numbness in the central part of their forehead after corrugator muscle removal and/or endoscopic forehead lift. Numbness of the forehead will typically resolve itself in a few months. Patients will be able to shampoo their hair and wash their face with soap the day following surgery.