Eyelid & Brow Lift

As people age, the skin and soft tissues in the forehead lose elasticity, causing the brows to droop and the space between the lashes and eyebrows to shrink - leading to a tired, sad, or even angry expression.

A brow lift repositions your eyebrows to their natural height, instantly revitalising your appearance. For patients whose lateral eyebrows fall below the upper bone of the eye, the brow lift can also be performed during upper eyelid surgery. This involves adjusting the lateral part of the eyebrow through a small incision on the inner side or directly above the eyebrow, resulting in an elevated position that provides a more youthful and refreshed appearance.

A brow lift is an ideal choice for those with low or sagging brows, especially if it impacts the look of your upper eyelids, offering a refreshed, rejuvenated look you'll love.

Brow Lift Surgery Procedures: A Step-by-Step Guide

• 1. Preoperative Assessment
  The process begins with a detailed consultation with an experienced surgeon. During this appointment, the surgeon reviews the patient’s medical history, performs a physical examination, and evaluates the patient's eyelid anatomy and skin quality.
  
  Our surgeon then assesses the degree of eyelid drooping, puffiness, excess skin, and muscle laxity to determine the most appropriate surgical approach.
  Preoperative instructions will be provided, which may include avoiding certain medications or supplements, fasting, putting a stop to habits such as smoking or drinking, to reduce the risk of bleeding and promote healing.
• 2. Anaesthesia
  On the day of surgery, the patient is taken to the operating room. A brow lift is typically performed under general anaesthesia, ensuring the patient is asleep and pain-free during the procedure.
  
  In some cases, local anaesthesia with sedation may be used.

• 3. Marking and Incision Planning
  Before the surgery begins, the surgeon makes precise markings on the forehead and brow area to guide the placement of incisions and ensure symmetry.
  
  The type of brow lift technique used will determine the location and size of the incisions. Common brow lift techniques include:
  
  
  • Endoscopic Brow Lift: This minimally invasive technique uses several small incisions hidden in the hairline. A small camera (endoscope) is inserted through these incisions to guide the surgeon in repositioning the brow tissues.
  • Coronal Brow Lift: This technique involves a longer incision made across the top of the scalp, either behind or within the hairline. The coronal lift allows for significant brow repositioning and is suitable for patients with more severe sagging.
  • Temporal (Limited Incision) Brow Lift: This technique involves smaller incisions near the temples, allowing for a more targeted lift of the outer portion of the brow.
  • Direct Brow Lift: This technique involves incisions made directly above the brow, typically reserved for patients with specific needs, such as those with significant asymmetry or medical conditions like facial paralysis.
    

• 4. Incision and Tissue Repositioning
  Once the incisions are made, the surgeon lifts and repositions the underlying tissues of the brow and forehead. Depending on the technique used, the surgeon may release the brow’s underlying muscles, smooth forehead wrinkles, and elevate the brow to a more youthful and aesthetically pleasing position.
  
  For endoscopic brow lifts, specialised instruments are used to carefully adjust the muscles and tissue through the small incisions while viewing the area with the endoscope.
• 5. Removing Excess Skin and Tissue
  After repositioning the brow and forehead tissues, the surgeon may remove any excess skin to ensure a smooth and natural-looking contour.
  
  In coronal brow lifts, more significant amounts of skin may be removed, while in endoscopic brow lifts, the procedure focuses more on repositioning without significant skin removal.
• 6. Closing the Incisions
  After the tissue repositioning and any necessary skin removal, the incisions are carefully closed with sutures or surgical staples.
  
  For endoscopic and temporal brow lifts, the incisions are small and are typically hidden within the hairline. In coronal brow lifts, the incision may be larger but is also hidden in the hair-bearing scalp to minimise visible scarring.
• 7. Application of Dressings and Cold Compresses
  Once the incisions are closed, the surgeon applies sterile dressings to the forehead and brow area to protect the incision sites and promote healing.
  
  Some patients may be fitted with a soft compression bandage to reduce swelling and support the newly repositioned brow.
• 8. Brow Lift Postoperative Care and Recovery
  After surgery, the patient is taken to a recovery area where they are monitored until fully awake and stable. Brow lifts are typically an outpatient procedure, allowing patients to go home the same day if there are no complications.
  
  Patients are provided with detailed postoperative care instructions, including how to care for the incision sites, manage pain, and use cold compresses to minimise swelling and bruising.
  
  Pain is usually mild to moderate and can be managed with prescribed pain medications. Swelling and bruising around the eyes and forehead are common in the first week but will gradually subside.
  
  Follow-up consultations are scheduled within the first week after surgery to monitor healing, remove sutures (if non-dissolvable), and assess for any complications such as infection, excessive swelling, or bleeding.
  
  Additional follow-up consultations may be scheduled over the next few weeks to ensure optimal healing and results.
  
  
  
  As with any surgery, Brow lifts carry potential risks and complications, including infection, bleeding, scarring, changes in skin sensation, temporary or permanent numbness, and asymmetry. In rare cases, there may be hair loss around the incision sites or difficulty moving the forehead muscles. Most complications are rare and can be minimised by following the surgeon’s postoperative care instructions closely.