What is a browlift?

Browlift is a surgical procedure that re-suspends the skin and soft tissue of the shutterstock_232611751forehead and upper eyes.  It  can also address the vertical and horizontal wrinkles of the forehead. It is often performed in conjunction with a blepharoplasty.

What does browlifting involve?

Browlift can be performed in several ways.  They all involve undermining the skin of the forehead and re-suspending it superiorly.  It can be performed through a direct browlift, which simply involves excising a crescent of tissue above the eyebrow.  It can also be performed through a pretrichial, or hairline incision. Another method is a coronal incision located behind the hairline.  There are also more minimally invasive techniques such as minimal incision or endoscopic browlifts.  As these techniques can result in different scars, and alter the hairline, a plastic surgeon will have to determine what type of browlift is most appropriate for each specific patient.

Who is a good candidate for browlift?

A normal eyebrow is located slightly above the bony prominence above the eye in women, and at the bony prominence in men.  Browlift is a great technique for those patients whose brows have fallen below these levels.  Often people think that they have drooping eyelids when in fact it is the brow that is low.

Who is a poor candidate for a browlift?

Browlift will not be performed in prior or present smokers.  The procedure relies on a good blood supply to the very thin facial flaps.  The blood supply in smokers is permanently altered, putting them at excess risk for complication.

What are some of the risks of browlift?

Please refer to the following form published by the American Society of Plastic Surgeons (ASPS)

Brow_Lift-ASPS

Will I need to be admitted to the hospital for a browlift?

No, browlift is an outpatient procedure for which you will go home the same day.

What is the typical postoperative course?

Day 1
• Keep dressings clean and dry
• Sleep on at least 2 pillows for 1-2 weeks after surgery to improve swelling
• May ice-20 minutes on/20 minutes off
• No heavy lifting or straining

Day 2-7
• You may now shower. Tape may be in place over your incision. This tape is to remain in place until removed by your surgeon
• No heavy lifting or straining

Day 7 to 1 month
• You may slowly resume normal activities
• No straining or heavy lifting
• You may discontinue sleeping on 2 pillows
• You may now wear make up

1 month+
• No restrictions as you gradually recover

Driving?

You may drive when you are off narcotics and feel confident to control the car, even in an emergency.  Most patients are able to drive within 1 week.

Time off of Work? Restrictions?

This is dependant on the type of work you perform.  Many patients will require 1-2 weeks.  Avoid straining or heavy lifting for 1 month.