Are you tired of deep creases across your forehead? Do you see a lot of excess tissue in your upper eyelids? A brow lift from Houston facial plastic surgeon Dr. Raghu Athré tightens and refreshes your natural appearance.
About Brow Lifts
The eyebrows frame the eyes and help shape the overall look of the face. Since the eyes are one of the most important focal points of the face, aging in the region of the eyes ages the entire face as well.
Underneath the skin of the forehead is a tissue layer and a muscle layer. The muscle layer, or the frontalis muscle, holds the brows up. This muscle is used when we squint or when we exhibit a look of surprise. The tissue layer is made up of a matrix of collagen and elastin, which gives the forehead its youthful fullness.
A well planned and executed brow lift procedure will account for both the tissue and muscle layer. The goal is to subtly elevate the brows, smooth the forehead skin, and achieve an appearance that looks naturally more youthful.
As we grow older, the eyebrows gently start to fall, creating a look of thickness around the upper eyelid. Forehead wrinkles and deep wrinkles between the eyebrows can begin to form. The skin around the forehead can appear rough with uneven texture and color. A simple procedure called a brow lift can be performed to bring the brows near to their youthful, natural position.
Read the Transcript
Now, so far we’ve talked about upper one-third facial rejuvenation, including brow lift and blepharoplasty. Let’s dive in a little bit more detail into these categories, brow lift.
So what actually happens here? So when we look at this area, we’ve got, and again, go in terms of anatomy, we have our skin, underneath the skin is a muscle right here. And that muscle is called a frontalis muscle. That frontalis muscle is important for lifting these brows up, for me doing that. So as I’m doing that, that frontalis muscle is essentially contracting and lifting my brows up.
There are other brow elevators, but for the most part, it’s the frontalis muscle. Now, if you look at a baby or someone very young, almost no one has lines in this region. Over time, what happens is that muscle and all the tissues as they fall, that brow tends to come down. As that brow is coming down, this sends a signal to our brain to pick them up, pick them up, pick them up. As we continually pick them up, we end up developing lines in this area.
Now, some patients in the early process of that spectrum will say, Hey, I got lines in this area. What can I do? You can give them a little bit of Botox to make the lines go away. Now, the Botox or Dysport, dealer’s choice, is really a Band-Aid type of cure. It’s not fixing the problem. It’s really covering up the symptom, which is the line.
Now, as that process goes down the road and the patient’s brow ptosis becomes more severe, you’re going to need to do something more than Botox. Because if you just inject Botox to make these lines go away, you’re actually going to make the problem even worse because now that muscle that’s lifting the brows up can’t work, so their brows get even lower.
So there’s a whole lot of different types of brow lifts. Going in order, there is a direct brow lift where there’s an incision that’s done right in the eyebrow line. There’s a mid-forehead brow lift where incisions are made right in one of these deep creases. There’s a trichophytic brow lift where the incision is made right in the hairline. There’s a bicoronal brow lift where the incision is made like a halo from ear to ear. Then there’s an endoscopic brow lift where the incisions are made are tiny incisions inside the hairline. And then there’s sub variations of those.
Most of the time, what I like to do is a combination endoscopic temporal brow lift. I smash those together and that’s most of the time what I do. The temporal brow lift is made in an incision right along the hairline right in here, inside the first couple of rows of hair. That way I can dissect down to here and lift the corner of that brow up. So most women like the corner of the brow to be lifted up so they have a little bit of angulation to the brow and that’s done through that incision.
Yet almost everybody also needs a little bit of the medial elevation and that’s done through a tiny incision back here in the scalp. The reason why I like this combo brow lift, it gives the best durability and long term viability with the best cosmetic outcome. Some of the other procedures, like a direct brow lift or a trichophytic brow lift, do tend to have a scar for a significant period of time. It eventually fades away, but takes quite a while for that to happen. So this is my rationale. This is what I like to do. So if you come in and you have aging in the upper one third of the face and I see that you’re a candidate for brow lift, most likely I’m going to recommend doing a combination endoscopic with the temporal brow lift.
Non-Surgical Approaches to Brow Rejuvenation
The primary nonsurgical therapy addressing aging of the brows is BOTOX®. BOTOX can be used to address mild aging of the brows and forehead wrinkles by relaxing the frontalis muscle. If injected carefully, BOTOX can relax the forehead lines and elevate the brows slightly for up to 3 to 4 months per injection. BOTOX cannot be used to treat moderate or severe brow aging.
Surgical Brow Lift Process
Before a brow lift consultation in Houston at Athré Facial Plastics, patients will be asked to bring in a picture of themselves at age 20-25. This picture serves as a benchmark to customize the correct procedure to achieve the desired results. Functional, anatomical, and aesthetic goals are all reviewed to ensure a positive result. In some cases, eyelid surgery may also be performed to further “open up” the eye area.
Immediately prior to the procedure, the amount of brow lifting and the arch and contour of the eyebrow are specifically marked on the forehead. The procedure itself is normally done under general anesthesia and takes approximately 45 minutes to an hour.
The procedure elevates the brow by lifting the tissue and the muscle. Several brow lift techniques exist, such as the coronal brow lift, endoscopic brow lift, direct brow lift, and many others. The choice of technique is tailored to each patient after taking into consideration the patient’s anatomy, gender, natural brow shape, and background.
Brow Lift Recovery and Results
Patients are allowed to go home the same day. Incision sites are unnoticeable within about a week, and patients can return to full normal activity near the 5 to 7 day mark. Swelling should dissipate in a few weeks and your best results may take several months to completely reveal themselves.
Brow Lift FAQs
How much does a brow lift procedure cost?
A brow lift starts at $5,000.
How long do brow lifts last?
The results of a brow lift last up to 10 years.
Are brow lifts painful?
Brow lifts are performed under general anesthesia, but post-surgery sites may seem tight or slightly uncomfortable as they heal.
Do brow lifts change your eye shape?
After a brow lift, your upper eyelid may be opened up a bit, but your eye shape will not change.
How long is the recovery period after a brow lift?
Oftentimes patients can expect to go back to work within a week after a brow lift.
“Couldn’t be any more pleased! I came in with a mindset of what I was expecting and they surpassed my expectations! His staff made me feel so comfortable along the way. Dr. Athre was so kind and makes sure you know what’s going on during the procedure. To anyone contemplating a procedure, go in for a consult and just do it!”