Brow Lift (Surgical) In Wreyland

Detailed discussions regarding the reasons for wanting a brow lift and your suitability for this type of surgery are very important at this stage. You surgeon should also discuss the differences between the two types of surgical technique used – endoscopic or the open (sometimes known as coronal) browlift. The differences between these are discussed below.

Make sure that you obtain as much information as necessary to enable you to make a fully informed choice about which you feel confident and happy.

It may be that a brow lift is not the most suitable procedure for you, or that you may need further additional procedures to achieve the results that you desire. Such extra procedures may include eyelid surgery, for example.

Your surgeon should also take a medical history, to ensure that there are no reasons why you shouldn’t have this operation. You would also normally be asked to sign a consent form at this time, which means that you have understood the potential benefits and risks associated with a brow lift.

Photographs will most likely be taken by the practitioner for a “before and after” comparison later. Importantly, this will also point out any oddities in your face such as differently shaped eyebrows or that one eye is lower than the other. Most people do not have identical eyebrow positions and shapes, and the surgeon will want to stress any obvious differences before you undergo an operation.

The surgeon may also wish to write to your GP giving details of the operation so that if there are any problems associated with surgery in the short or long-term, your doctor is aware of the procedure and can help you with the recovery.

Anaesthesia

Brow lifts can be performed under a general anaesthetic, but for this procedure, many surgeons use a local anaesthetic along with a sedative to make you drowsy, so that you remain awake but feel very little discomfort.

Please take into account that a general anaesthetic carries some potential risks; this should be clearly explained to you by the surgeon.

The operation

If you make a decision to go ahead with a brow lift, the actual procedure may take place in an outpatient surgical clinic, or in a hospital where you can recover overnight. The entire operation should take between 1 and 2 hours.

Although there are different brow lift operations, the two main options that are used are the original open technique and an endoscopic brow lift. The most suitable procedure for you depends on the structure of your face, the condition of your skin, and your hairline, in order to decide where the surgeon’s incisions should be made.

Open technique

Your head does not need to be shaved for this procedure. Usually, an incision in the forehead running from ear to ear may be placed either on or slightly behind the natural hairline. An incision on the natural hairline generally heals more easily and has the advantage of lowering the hairline. The disadvantage could be noticeable scarring. Another option is to place the incision within the creases in the middle of the forehead. This is normally used in men with deep forehead lines, especially if they have a higher hairline owing to baldness.

After the cut is made, the skin of the forehead is lifted away from the tissues of the face so that it can be removed and the muscles of the forehead can be reduced or released. The eyebrows may also be raised and excess skin trimmed away. The cut is then closed with stitches or clips. Some surgeons do not use any dressings, while others choose to cover the wound with gauze padding and wrap the head in an elastic bandage.

Endoscopic brow lift

In an endoscopic brow lift, rather than making one long incision across the top of the forehead, your surgeon will make between three and five scalp incisions of less than an inch in length in the forehead. An endoscope, which is a small tube with a camera on the end connected to a monitor, is inserted through one of the incisions allowing the surgeon to have a clear view of the tissues beneath the skin. Muscles and underlying tissues are removed or slackened and the eyebrows may also be lifted and secured into their higher position by stitches beneath the surface of the skin or by temporary screws placed behind the hairline. Finally, the incisions are closed with stitches or clips and, depending on your surgeon’s individual preference, gauze and dressings may also be used.

Most bruising will disappear within two weeks. You will also experience some numbness in the facial area, which may be present for several weeks or longer.

As with any operation, there are risks or side effects associated with a brow lift or endoscopic browlift, such as reactions to anaesthetic, bleeding, haematoma, asymmetry (i.e. eyes or eyebrows not being perfectly symmetrical with each other) and nerve damage. Haematomas are collections of blood under the skin and, if small, can be absorbed back into the skin naturally over several days. Drainage may be required for larger haematomas.

There is also a chance that you might suffer headaches if your stitches are rather tight but this is only a temporary discomfort.

Injury to the nerves that control facial muscles is usually only temporary, lasting a few weeks to a few months, but can sometimes result in permanent numbness to some areas of the face.

There is a remote possibility that the nerves that control eyebrow movement may be damaged on one or both sides, which results in an inability to raise the eyebrows or wrinkle the forehead. Additional surgery may be required to correct this problem.

Infections after the operation, although rare, can occur.

Some hair loss may occur around the original incisions. Occasionally this can be permanent; usually it is not.

Operation scars are permanent, but they fade over time and are usually hardly noticeable, as they are often hidden either by your hair or the natural creases in your skin. Occasionally, however, scar tissue may widen and become thicker in the healing phase making it more noticeable.

Patients who have any problems associated with healing of their skin, or who have a history of keloid (raised, red, angry) scars are, however, generally poor candidates for this kind of cosmetic surgery.

As a result, your surgeon may not recommend this procedure or may caution you that scars could be raised and very visible.

However certain regions do make special cases, and we would always recommend that you visit your General Practitioner before embarking upon a cosmetic procedure involving surgery. As well as their advice and guidance they may also be able to refer you to a local NHS Hospital who can treat you.

The NHS has set out the following guidelines on how to get cosmetic surgery through the NHS:

"To qualify for surgery on the NHS you must meet specific criteria as set out by your local health authority. The NHS will not pay for surgery for cosmetic reasons alone. Reconstructive and cosmetic surgery to correct, or improve, congenital abnormalities and injuries will usually be carried out free of charge.

NHS reconstructive surgery is performed by plastic surgeons who have had extensive training and belong to the British Association of Plastic Reconstructive and Aesthetic Surgeons. Surgeons who carry out cosmetic surgery through the NHS also belong to the British Association of Aesthetic Plastic Surgeons.

To receive cosmetic surgery from the NHS, you will normally need a referral from your GP. You will have a consultation with a plastic surgeon and an assessment by a psychiatrist, or psychologist. It will then be decided whether there is enough social, psychological, or physical benefit to be gained to justify surgery."

A brow lift can produce very pleasing results by reducing forehead creases, raising eyebrows and reducing hooding over the eyes in an area of the face that can show early signs of ageing for some people. In short, you should have a refreshed, open-eyed expression to your face after this treatment which will make you look younger. These results can last for between 5 and 10 years.

If your main concern is loose upper eyelid skin, alternative or additional eyelid surgery may also be recommended.

It is important to note, however, that the surface of the skin is not changed by a forehead lift. Although the skin may be tightened, scars, age spots, fine lines and creases will soon return to their original state, and other procedures may need to be considered such as botulinum toxin (Botox®) injections or chemical peels if you want the surface of your skin to be improved.