Brow Lift in Salt Lake City, UT


Brow Lift Overview

The brow lift procedure can take many forms, but all are designed to return the position of the eyebrows to a more youthful position. In the process we are always very conscious of the unappealing appearance of over elevating the eyebrows.

Nearly every woman over the age of 30-35 will have some degree of eyebrow ptosis (lowering of the eyebrows). Men over the age of 40 will also start to see this change. Once the eyebrow is below the bony rim of the eye socket in a male, it is considered “too low.” The ideal position in a woman is just above the eye socket.

As the eyebrow position settles lower, an angry or tired look can result. Patients will often complain that their friends and co-workers comment that they look less friendly and rested. Also, horizontal lines may also develop in the forehead skin, furthering increasing the aged appearance.

Dr. Brzowski frequently combines brow lift procedures with procedures designed to address other complaints often voice by patients desiring a brow lift. These are eyelid surgery (blepharoplasty) and face lift. Blepharoplasty is a valuable procedure to consider when undergoing a brow lift because of the effect on the eyelids of the brow laxity. Typically patients with a low position of the eyebrows will see loose skin of the upper eyelid in particular. This excess is magnified by the downward pressure applied to the skin by the eyebrow, and elevating the eyebrow will help tighten this skin in a manner similar to raising the window shade. The skin that is left behind after properly re-positioning the eyebrow is removed during the blepharoplasty.

Several approaches to elevating the eyebrow are possible, and Dr. Brzowski is experienced in each of them. The traditional coronal browlift involves creating an incision across the crown of the patient’s head, and has the potential for the most tightening and the most improvement in the horizontal lines. We are also able to weaken the muscles between the eyebrows that cause the vertical wrinkles. This approach does have the most risk of scarring and numbness in the skin of the scalp behind the scar, but these are usually reasonable risks, and the scar is very tolerable, even in bald men.

Another open technique is the hairline browlift. It is similar to the coronal browlift, but the incision is made at the forehead hairline. This procedure is best used in patients with a high forehead who are at risk from having their hairline move further backwards with other techniques. Risks are similar to the coronal browlift. Despite the forward location of the scar, it does typically blend quite well with the hairline.

The next technique involves the use of endoscopic equipment. Several small incisions are made in the hairline and through these and endoscope is inserted to quide elevation of the eyebrows. In this procedure, Dr. Brzowski is able to significantly weaken the muscles between the eyebrows that cause the vertical wrinkles, while simultaneously elevating the brows into a more desirable location. This procedure has a lower risk from scars, problems with nerve irritation, and over elevation of the eyebrows.

A transblepharolplasty approach permits us to raise the eyebrows into a more youthful location by using the incision that has been created to perform an upper eyelid blepharoplasty. The advantage is that no additional scars are created, and that a more desirable position of the eyebrows is achieved. An absorbable device is used to hold the eyebrows in the chosen location, further enhancing the durability of the results. The primary disadvantages are that the forehead lines are not improved, and the amount of elevation of the eyebrows is less than other techniques. Also, this technique will not eliminate the wrinkles between the eyebrows. However, we are able to use this incision to improve the wrinkles, but we must make a special effort to destroy the muscles between the eyebrows, and this extra effort will result in some additional expense.

The last technique is the temporal approach. In this method we make a short incision in the hair above and slightly forward of the ears, and the tail end on the eyebrow is pulled upward. The incision is well hidden in this area, but the correction of the eyebrow position is only at the end of the eyebrow. Because quite a few patients have a problem in this area alone and do not need an overall upward elevation of the eyebrow, it is an appropriate choice for many.

Brow Lift Recovery Period

Most patients will recover quite quickly from the procedure. The most typical limiting issues are headache type of discomfort, and bruising and swelling which may last for a week or more. Nearly every patient is back to routine activities and desk work within 1-2 weeks. It is advised to avoid strenuous activity and dropping your head below the level of your heart for at least 72 hours to minimize the bruising and swelling.

Risk of Brow Lift Surgery

As with any operation, there are risks of bleeding, poor healing, infection, dissatisfaction with the results, and complications from the anesthetic such as blood clots and etc. Certain behaviors around the time of your surgery can influence your risks of problems such as smoking and failing to follow instructions regarding wound care and activities. Specifically, smokers are required to discontinue smoking a minimum of 3 weeks prior to surgery and not resume smoking until proper healing as been verified.

In addition, the browlift might not lift your brows as much as you’d like, or it can lift them too much. And of course, it is possible that you may have an unevenness in the position of the eyebrows when comparing sides. Also, the eyebrow position will not remain in the elevated location permanently. Gravity and aging will continue to take their toll on things, and a gradual recurrence of the sagging will occur, hopefully many years later.

Lastly, it is possible for the procedure to result in some hair loss near the incisions, numbness in the scalp, and a temporary or permanent inability to raise the eyebrow(s). This latter problem could be the result of stretching or bruising of the nerves that go to the eyebrow muscles. If these nerves are more severely injured, then a permanent problem would occur.

Learn More about Brow Lift Surgery

If you feel that a brow lift might be right for you, schedule a private consultation with Dr. Brzowski to discuss your desires.