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Dr Michael Zacharia

Brow Lift

1) What exactly is a Brow Lift (FOREHEADPLASTY)?

A brow lift – also known as a foreheadplasty or a forehead lift – is a cosmetic surgery procedure intended to rejuvenate and improve a person’s appearance by correcting the shape of the eyebrows and upper eyelids, raising sagging skin while reducing wrinkles (horizontal and/or vertical) and frown lines in the skin of the forehead. This gives the face a more open, youthful look.

The skin looks refreshed and younger, especially when combined with eyebrow elevation. Some patients elect to combine these two procedures, and have them performed while also undergoing a facelift or Rhinoplasty.

2) What type of Brow Lift is suitable for me?

There are three main techniques that can be used to lift your forehead and eyebrows:

Classic Brow Lift:

The classic brow lift – also referred to as an open brow lift – involves one continuous cut that begins at the level of the ears and follows up around the hairline. Depending on where the patient’s hairline is, the professional will work to avoid a visible scar. The entire forehead is lifted and some of the forehead muscles are interrupted to reduce wrinkling. The skin is then tightened, the excess is removed and the incision is closed. The sutures are removed after approximately one week, but it may take several weeks for the swelling to subside.

Endoscopic Brow Lift:

The endoscopic lift is performed with special instruments inserted through four or five small incisions behind the hairline. Because the cuts are smaller, this procedure is less invasive than the classic lift. A telescope is inserted into one of the incisions in order to provide a view of the tissues and muscles. The tissue is then freed in order to be repositioned, removing furrows and wrinkles. Because the cuts are smaller, this procedure is less invasive than the classic lift. Patients experience minimal scarring and a shorter recovery time

Lateral Brow Lift:

A lateral brow lift – also referred to as a temporal brow lift – is a great way to elevate the outer parts of the brow and reposition the supra orbital rim. This procedure is usually quick and less invasive than a full brow lift, with a short recovery time. Excessive squinting from exposure to bright sunlight can cause the eyelid muscles to spasm, pulling the eyebrows down often hooding eyelid skin over the pupil and can lead to obstructed vision. The procedure removes the excess forehead skin and lifts the lateral eyebrow back to the normal position on the supra orbital ridge. Incisions are hidden in the eyebrows or hairline.

3) Am I a good candidate for Brow Lift surgery?

Some commonly desired outcomes for candidates considering brow lift surgery are:

  • Correcting sagging eyebrows
  • Improving a tired or sad appearance
  • Removing deep frown lines or furrows between the eyebrows
  • Correcting deep horizontal or vertical wrinkles on the forehead
  • Removing tissue that hangs down at the outer part of the eyelids

4) Do I qualify for Brow Lift surgery?

Adult candidates – whether male or female – are able to have elective brow lift surgery. A male patient’s eyebrows should sit upon or just above the brow bone, while the female brow should be well arched above the bone. Most brow lift patients are between the ages of 35 and 70 seeking a solution to unwanted furrows and deep forehead lines.

Ideal candidates for brow lift surgery should demonstrate good physical and mental health. Smokers are encouraged to quit several weeks before the procedure to avoid slow healing and potential post-procedure problems. It is also recommended that drinking alcohol is kept to a minimum before and after surgery, in order to avoid complications during surgery and reduce recovery time.

Once a candidate’s suitability for brow lift surgery has been determined, Dr. Zacharia will examine the patient’s skin, hairline and bone structure to determine the best technique to proceed with, and provide consultation to explain the proposed surgery and the variables that may affect the procedure.

5) How much does Brow Lift surgery cost?

The cost of brow lift surgery varies, depending on the patient and complexity of the procedure performed. The cost will be inclusive of fees for the physician, anaesthetic, hospital fees, and, if applicable, charges for an overnight stay.

Generally, any surgery performed purely for cosmetic reasons will not be covered by health insurance. In some cases, wherein the procedure is deemed medically necessary – such as the correction of birth defects or damage resulting from trauma – cosmetic procedures may be covered. Patients are encouraged to speak directly to their health service provider to determine the specifics of their policy and confirm insurance coverage.

Book a consultation, request a quote online, or contact the staff at Dr. Zacharia’s rooms today on (02) 9192 1600.

6) How do I prepare for Brow Lift surgery?

During the initial consultation, Dr. Zacharia will discuss the procedure with the patient in detail; outlining possible risks and limitations, the financial costs involved, the patient’s expectations and goals, and the recovery process. He will also conduct a medical examination and assist in preparing the patient both physically and mentally for brow lift surgery.

Dr. Zacharia will then provide the patient with an easy-to-read information package that explains all the required information to be aware of prior to undergoing brow lift surgery.

7) Anaesthesia procedure

Most often, endoscopic brow lifts are performed using general anaesthesia. However, in some cases, local anaesthesia with intravenous sedation may be used. Dr. Zacharia and his anaesthetist will assist each patient to make the decision regarding which type of anaesthesia is most suitable.

8) What can I expect after surgery?

Patients may feel some discomfort immediately after surgery, which can generally be controlled with pain medication, as well as temporary swelling and bruising around the eyebrows and forehead. Total recovery times vary by individual, but patients typically experience swelling and bruising for up to ten days after surgery.

9) What are the risks and complications involved in Brow Lift surgery?

No surgery is risk free, and as with all procedures there are number of potential risks and complications to consider when undergoing brow lift surgery. Understanding those risks prior to having surgery is essential.

The likelihood that complications will occur during brow lift surgery or the recovery process is very small. This is not intended to be a complete list of possible complications, but rather an overview of the most common risks associated with this kind of surgery:

  • Bleeding
  • Infection
  • Scarring
  • Problems relating to anaesthetic
  • Possible hair loss near the incision
  • NB: this is significantly reduced with the tiny incisions used in the endoscopic technique

During the initial consultation, Dr. Zacharia will answer any questions and provide detailed information regarding all possible complications involved with the surgery.

10) How long is the recovery time after surgery?

Recovery typically takes two to three weeks. Scars are usually not noticeable after enough time has passed for them to mature. In any case, scarring tends to be easily disguised in natural skin creases, by the hair, or, in persistent cases, by makeup until total healing has occurred. Patients are encouraged to consider that the aging process continues after surgery, and that some relaxation of tissues will occur during the first few weeks.

11) How long will I be off work/school?

Patients should be aware that they will not be able to return to work or other commitments for at least a week after surgery. This is also dependent on whether any potential risks or complications arise.

Within 10 days, the patient should be able to resume normal levels of activity, but limiting exposure to heat and the sun is recommended for several months after surgery.

12) Will I have visible scars after Brow Lift surgery?

Any time an incision is made in the skin, scarring will form during the healing process. Successful incision healing is dependent on several factors, including:

Surgical technique
Prevention of infection
Reduction of tension
Patient nutrition
Avoiding smoking (both before or after surgery)

Dr. Zacharia will make every effort to make any scars as inconspicuous as possible. The extent of the scars will depend on the type of brow lift elected. Scarring associated with an endoscopic brow lift the scars are quite short and inconspicuous. The classic brow lift requires an incision located in the scalp approximately 2 inches above the hairline. For those patients with high foreheads, the incision may be placed at the hairline. In either case, the incisions heal very nicely and are not noticeable.

13) When will I see the final results?

Final results should be seen within two to three weeks.

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