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.
Eye brow correction