All brow lifts options (except the endoscopic brow lift, due to advanced video equipment) can be performed in-office with local anesthesia.
What Is a Brow Lift?
A brow lift—also known as a forehead lift—can often be an excellent option for improving the appearance of deep forehead wrinkles and creases, a sagging brow, frown lines, and various other cosmetic concerns that can affect the appearance of the upper facial area. Fundamentally, a brow lift also has to do with “brow position” relative to the eye and supraorbital rim (bone felt right above the eye). As we age—men and women alike—the brow can “drop” or “fall” with time, which can cause a tired appearance around the eyes. Many times, patients assume it is only their upper eyelids, but the brow and its position are very closely interrelated with the upper eyelids. As a result, the brow and upper eyelids often have to both be addressed “together” for optimal rejuvenation throughout this periorbital area.
Early brow changes are ideally managed with neuromodulators such as BOTOX® Cosmetic, which help “soften” the muscular pull of some of the brow depressor muscles, thereby providing some “lift” to the brow position. When patients require more elevation than can be provided by injections, they may need to discuss surgical brow options. At our practice, Houston plastic surgeon James F. Boynton, MD offers several innovative approaches to brow lift, enabling him to employ the most effective option based on the patient’s unique needs and aesthetic goals. Learn more about brow lift below.
What Are the Benefits of a Brow Lift?
A brow lift can be performed to resolve numerous concerns associated with a sagging brow. Depending on your specific needs and goals, Dr. Boynton can customize treatment to help:
- Lift lax, drooping skin on the forehead
- Smooth deep wrinkles, creases, and folds
- Diminish furrows located between the eyebrows
- Elevate the eyebrows to a more natural position
- Relieve forehead muscle tension
In addition to these benefits, a forehead lift can provide an exceptional aesthetic complement to other facial procedures, such as facelift surgery and eyelid surgery. When performed in conjunction with one another, these treatments can create a more comprehensive rejuvenation of the face that appears very natural.
Male Brow Lifting vs. Female Brow Lifting
Since male and female eyebrow regions are quite different aesthetically, they have to be analyzed differently. The ideal female brow has a subtle “peak” approximately one-third of the distance from the lateral (outside) extent of the brow and its inner border. Some women use makeup and shaping of the brow hair to accentuate this, as well. In females who have more droopiness to the brow, or even a flatter brow, a lateral subcutaneous brow lift can really “pick up” the brow and further heighten and dramatically improve its appearance with a short office-based procedure.
The male brow is different and has to be addressed in a unique way since men do not ideally have an aesthetic arch to the brow. Their brows can “fall down” just as easily and needs to be approached with an aesthetic eye and complete understanding of the important gender differences with respect to the eyebrow.
How Noticeable Are Brow Lift Scars?
Among its many aesthetic benefits, brow lift surgery utilizes an approach that is designed to conceal residual scarring. All of the brow lift techniques performed by Dr. Boynton (as described above) involve incision placement in areas that are quite inconspicuous, primarily within the hairline. For patients experiencing pattern baldness, the direct brow lift technique creates incisions in the brow itself, ultimately hiding the resulting scars. In addition, most brow lift procedures utilize very small incisions, so the residual scars are often equally small. Mini-brow lift can also be a great option for balding men as it typically requires only four small 1-centimeter incisions.
How Do I Choose the Best Brow Lift Surgeon for My Needs?
As with any type of surgical procedure, one of the most important steps you will take in the brow lift treatment process is the selection of your surgeon. Narrowing down your choices among experienced plastic surgeons who have the requisite skills and abilities to successfully perform the procedure and meet your expectations requires knowing precisely what to look for and never being hesitant to ask questions. Choosing a surgeon that is certified by the American Board of Plastic Surgery (like Dr. Boynton) is vital. This distinction is indicative of the surgeon’s high level of training, education, and experience, as well as the doctor’s commitment to safety and high standards of care.
In addition, it is helpful to understand the prospective plastic surgeon’s experience with this particular treatment. For instance: Dr. Boynton is skilled with several different techniques for brow lift surgery, taking into account the patient’s desire for natural-looking results, discreet scars, and minimal recovery time.
The surgeon’s background, credentials, and proficiency with advanced techniques are all important things to consider; however, you should not discount the importance of your general feelings while you are in the presence of the surgeon you are considering. Once you are ready to schedule a consultation with a plastic surgeon and talk with them about your goals, try to evaluate the overall rapport that is being established. You should feel that the surgeon is attentive to your questions and is being thorough and honest about what you can expect. The treatment process is essentially a partnership between you and the surgeon, and determining whether you feel safe and confident in their care is imperative.
Here are some useful questions to ask your prospective brow lift surgeon:
- Is the surgery customized for my unique needs?
- Where will the procedure be performed: here in the office or at an accredited surgery center?
- Do you provide thorough follow-up care?
- May I view brow lift before-and-after photos featuring some of your patients?
- Are there alternative treatments that may offer similar results?
- What will be the overall cost of the procedure and what are your payment and financing options?
By thoroughly researching your options and meeting with the plastic surgeon in person, you can go a long way toward ensuring you are comfortable and confident that the doctor can meet – or even exceed – your expectations. Please take a look at the biography for Dr. James Boynton for more tips and information on how you can choose the best plastic surgeon for your needs and goals.