Direct Browlift

General Information

Brow ptosis is very common in the general population, increasing steadily in prevalence for those older than 50 years. It is even more common in the population of patients interested in blepharoplasty or having dermatochalasis.

Several factors contribute to the appearance of the aging forehead and brow. These include changes in the quality of the skin, loss of tissue support, and forehead and glabellar furrows related to action of the underlying facial muscles. The lateral eyebrow segment usually becomes ptotic before the medial segment does because less structural support exists in this area. The absence of the frontalis muscle lateral to the temporal fusion line allows the brow and preseptal fat pads to slide over the temporalis fascial plane and push the lateral eyebrow segment downward. With an increasingly medial temporal line, less lateral eyebrow support is available from the frontalis muscle. The final brow position depends on the dynamics between the frontalis muscle pulling the brow up and the descending temporal soft tissue dragging it down.

Brow ptosis may be asymmetric, the brows being unequal or uneven. Sexual variations in brow appearance and configuration should be considered. Females generally have brows that are more arched and above the level of the supraorbital rim. Brow fat pads may be more prominent in men and in both sexes may become diffusely or segmentally ptotic.

A Direct Browlift is a surgical procedure which can improve the appearance of the brow and forehead area. The area is given a rejuvenated, more youthful appearance rather than appearing angry or tired

Ideal candidate        

-          Excess fatty deposits that appear as puffiness in the area above the eye

-          Drooping or sagging brow that may impair vision

-          Excess skin and fine wrinkles in the area between the eyebrows

How is Direct Browlifts performed?

Direct Browlifts is performed in an operating theatre under local or general anesthesia. The surgery takes 60–90 minutes. Incisions are carefully made just above the eyebrows in order to conceal any scars in the hair of the eyebrow. In this way, any scarring will be invisible, as it will be “hidden” within the hair. After the incision is made, excess skin is removed in order to lift the brow.

The incisions are typically closed using non-absorbable suture.

After Brow Lift– Post-operational Course

After the operation, You will probably feel discomfort, swelling, heaviness, and numbness in the areas where surgery was performed. You will probably feel tired, sleepy and suffer from pain especially in 1–3 days after the surgery. You will be given some painkillers, tablets for reducing the swelling and antibiotics.

You might also feel unhappy after a few days. This is normal and is caused due to the stress, lack of patience with the healing problems, more pain than you expected.

During the first few days after the operation, it is necessary to sleep strictly on the back so as to prevent swelling on one side or, as the case may be, larger post-operational bruises. Your hair can be washed gently 7days after the operation. Contact lenses may be worn in 1 week. The  stitches, need to be removed in 5 - 7 days after the surgery.

The speed of the healing is individual. Swellings and bruises clear up over 10–14 days. After the operation places with decreased sensitivity can temporarily occur on the skin.

After two weeks you can go back to everyday activities. You should avoid prolonged exposure to the sun for at least 2 months after treatment. Final result is seen in 4-6 weeks.

Risk

All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia.

The decision to have a browlift is extremely personal and you‘ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.