Browlift:

Can turn back the clock by restoring a youthful appearance. Gently lifting up the brow will correct the tired and sad appearance that often accompanies the aging process.

A brow lift or forehead lift reverses the effects of gravity and tightens the soft tissues of the forehead to restore a more youthful contour to your forehead skin, upper eyelids and eyebrows. There are various brow-lift methods, which involve different length incisions in different locations and, sometimes, an endoscope.

A youthful brow at rest is positioned above the orbital rim, with a gradual arch laterally, and the lateral end or ‘tail’ of the brow located higher than the medial end. As one ages, it is common for the brow to assume a flat or horizontal position.
You may also need blepharoplasty (eyelid surgery), as a forehead lift does not improve baggy eyelids or crow’s feet.

You are a good candidate for a brow lift :

-If the outside of your brow sags, resulting in a sad expression.
-The central portion of your brow hangs down, making you look angry
-If you are a female and you are unable to apply makeup on the upper eyelid, because the surface area has been obscured by drooping tissues as you have aged.
-If you gently lift the skin above your eyebrow into a pleasing position and it eliminates most of the excess skin in your upper eyelid, a brow lift may be right for you.

After surgery, your eyebrows will be elevated and forehead will be  smooth, resulting in a refreshed appearance.

Procedure:

Brow-lift procedures have evolved from open techniques to more complex short incision and endoscopic techniques. A brow lift usually involves incisions in the hair-bearing scalp, but sometimes incisions are made in the forehead and/or the upper eyelids.

Open brow lift:  a long incision is made across the forehead, either around the hairline or in one of the creases of the forehead, and the skin is lifted away from the underlying tissues. Then any excess skin is removed , and the brow is stitched into its new position. Other names sometimes used to describe open brow lift include classic, coronal or trichophytic brow lift.

The type of brow lift you undergo will be based on your facial features and aesthetic preferences. The goal of Dr Audi is to help you achieve the most beautiful and natural-looking results, as well as to make your surgical experience as easy and comfortable as possible.

After removing excess tissue, skin, and muscle, Dr Paul will close the incision with stitches or staples. Your hair and face will be washed so the scalp skin does not get irritated.

The treated area will be wrapped with a sterile padding and an elastic bandage to prevent bleeding and swelling (edema). You will have sutures and a dressing on your forehead for the first few days after surgery.

Recovery after your brow lift

We may suggest icing or cold packs around the eyes for forty-eight hours to reduce the swelling.
It is best to sleep with your back and head elevated for approximately five to seven days.
You will likely be asked to come back to the office a day or two after surgery to evaluate your healing.
Pain is typically not a significant problem in brow lifts. There is, however, some discomfort and tightness from ear to ear across the top of the head and brow. Most patients describe their forehead as feeling tight and somewhat numb the night of surgery. You will be provided with pain medications should you need them.
Drains are usually not needed in the brow area when doing a brow lift.
Temporary bruising, swelling, and numbness are common the first night after surgery. Maximum swelling occurs forty-eight to seventy-two hours post-surgery and begins to subside on the fourth or fifth postoperative day.Your sutures or staples will be removed approximately one week after surgery.

You may be able to return to work within a week and to full activity within a few weeks, but you must avoid heavy lifting or straining during this time.
Sensation in your scalp may be temporarily reduced. The feeling will begin to return over the first few weeks after surgery and your scalp will begin to feel ‘itchy’ as the nerves reawaken. Total numbness behind the incision in an open brow lift will usually persist for nine to twelve months post-surgery, sometimes longer in rare instances.

Usually, you can expect the final result from surgery to be evident after six months.

Two types of Brow Lift:

Coronal or open brow lift: a single incision on the top of the scalp with the advent of botulinum this procedure is done less and less nowadays.

The mannequin lift or the temporal brow lift: a 4 cm incision done inside the hair over the temporal area. The skin of the temporal area will reposition the brow and give a sharp crisp look to the periorbital area.