your face is one-of-a-kind, your browlift procedure needs to
be fully customized to address your unique needs. Dr. Monteiro
will create an individualized approach to correct the effects
of aging on your face. His techniques can refresh your look
and soften wrinkles without appearing tight or unnatural.
Please ask Dr.
Monteiro about anything you don't understand.
If you are considering
forehead lift or "browlift" is a procedure that restores
a more youthful, refreshed look to the area above the eyes.
The procedure corrects drooping brows and improves the horizontal
lines and furrows that can make a person appear angry, sad
a browlift, the muscles and tissues that cause the furrowing
or drooping are removed or altered to smooth the forehead, raise
the eyebrows and minimize frown lines. Your surgeon may use the
conventional surgical method, in which the incision is hidden
just behind the hairline; or it may be performed with the use
of an endoscope, a viewing instrument that allows the procedure
to be performed with minimal incisions. Both techniques yield
similar results -- smoother forehead skin and a more youthful
a browlift is done in conjunction with a facelift, eyelid
surgery, or nose
The best candidates for a browlift/forehead
forehead lift is most commonly performed in the 40-60 age range
to minimize the visible effects of aging. However, it can also
help people of any age who have developed furrows or frown lines
due to stress or muscle activity. Individuals with inherited
conditions, such as a low, heavy brow or furrowed lines above
the nose can achieve a more alert and refreshed look with this
lift is often performed in conjunction with a facelift to provide
a smoother overall look to the face. Eyelid
surgery (blepharoplasty) may also be performed at the same
time as a forehead lift, especially if a patient has significant
skin overhang in the upper eyelids. Sometimes, patients who believe
they need upper-eyelid surgery find that a forehead lift better
meets their surgical goals.
who are bald, who have a receding hairline, or who have had
previous upper-eyelid surgery may still be good
candidates for forehead lift. For these
patients, endoscopy may
be used to perform a brow lift, minimizing scar lines.The surgeon
will simply alter the incision location or perform a more conservative
a forehead lift can enhance your appearance and your self-confidence,
but it won't necessarily change your looks to match your ideal
or cause other people to treat you differently. Before you
decide to have surgery, think carefully about your expectations
discuss them in detail with Dr.
browlift can smooth the forehead, raise
the upper eyelids, and minimize the frown
lines that come with aging.
and lower eyelid-lift or
a facelift is
performed with a browlift
to inprove the overall cosmetic
All surgery carries some uncertainty and risk.
are rare in a browlift and are usually minor when a forehead
lift is performed by a qualified plastic surgeon. In
rare cases, the nerves that control eyebrow movement may be
injured on one or both sides, resulting in a loss of ability
the eyebrows or wrinkle the forehead. Additional surgery may
be required to correct the problem.
For some patients, particulary those individuals who are bald, or have
thin hair, endoscopy may
be used to perform a brow lift, minimizing scar lines.
of a broad scar is also a rare complication. This may be treated
surgically by removing the wide scar tissue so a new, thinner
scar may result. Also, in some patients, hair loss may occur
along the scar edges. Loss of sensation along or just beyond
the incision line is common, especially with the classic forehead
lift procedure. It is usually temporary, but may be permanent
in some patients. Infection and bleeding are very rare, but are
possibilities. If a complication should occur during an endoscopic forehead
lift, your surgeon may have to abandon the endoscopic approach
and switch to the conventional, open procedure, which will result
in a more extensive scar and a longer recovery period. To
date, such complications are rare - estimated at less than 1
percent of all endoscopy procedures.
Planning your surgery
a better understanding of how a forehead lift might change your
appearance, look into a mirror and place the palms of your hands
at the outer edges of your eyes, above your eyebrows. Then gently
draw the skin up to raise the brow and the forehead area. That
is approximately what a forehead lift would do for you.
your consultation, Dr.
discuss your goals for the surgery and ask you about certain
medical conditions that could cause problems during or after
the procedure, such as uncontrolled high blood pressure, blood-clotting
problems, or the tendency to develop large scars. Be
sure to tell the doctor if you have had previous facial surgery,
if you smoke, or if you take any drugs or medications - including
aspirin, certain vitamins, or other drugs that affect clotting.
you decide to proceed with a browlift/forehead lift, Dr.
explain the surgical technique, the recommended type of anesthesia,
the type of facility where the surgery will be performed, the
risks and the costs involved. Don't hesitate to ask your doctor
any questions you may have, especially those regarding your expectations
and concerns about the results of surgery.
Preparing for your surgery...
give you specific instructions to prepare for the procedure,
including guidelines on eating and drinking, smoking, and taking
and avoiding certain vitamins and medications. Carefully following
these instructions will help your surgery and your recovery
proceed more smoothly. If
your hair is very short, you may wish to let it grow out before
surgery, so that it's long enough to hide the scars while they
your forehead lift is done in an outpatient facility or in the
hospital, you should arrange for someone to drive you home after
your surgery, and to help you out for a day or two.
Where your surgery will be performed?
forehead lift is usually done in Dr. Monteiro's office-based facility;
however, it is occasionally done in the hospital.
Types of anesthesia
facelifts are performed under local anesthesia, combined with
a sedative to make you drowsy. You'll be awake but relaxed, and
your face will be insensitive to pain. (However, you may feel
some tugging or occasional discomfort.) Dr.
Monteiro may choose to administer a general anesthesia. In
that case, you'll sleep through the operation.
help you decide which surgical approach will
best achieve your cosmetic goals: the classic
or "open" method,
or the endoscopic forehead lift. Make sure you
understand the technique that your surgeon recommends
and why he
or she feels it is best for you.
classic brow/forehead lift: Before the operation
begins, your hair will be tied with rubber bands on either
side of the incision line. Your head will not be shaved,
but hair that is growing directly in front of the incision
line may need to be trimmed. For most patients, a coronal
incision will be used. It follows a headphone-like pattern,
starting at about ear level and running across the top
of the forehead and down the other side of the head. The
incision is usually made well behind the hairline so that
the scar won't be visible. Working through the incision,
the skin of the forehead is carefully lifted so that the
underlying tissue can be removed and the muscles of the
forehead can be altered or released. The eyebrows may also
be elevated and excess skin at the incision point will
be trimmed away to help create a smoother, more youthful
your hairline is high or receding, the incision may be placed
just at the hairline, to avoid adding even more height to the
forehead. In patients who are bald or losing hair, a mid-scalp
incision that follows the natural pattern of the skull bones
is sometimes recommended. By wearing your hair down on your forehead,
most such scars become relatively inconspicuous. Special planning
is sometimes necessary for concealing the scar in male patients,
whose hairstyles often don't lend themselves as well to incision
you are bald or have thinning hair, Dr. Monteiro may recommend
a mid-scalp incision so the resulting scar follows the natural
junction of two bones in your skull and is less conspicuous.
In preparation for a forehead lift, the hair is
tied back with rubber bands in front of and behind
the incision area. An incision is usually made
across the top of the head, just behind the hairline.
Forehead skin is gently lifted and portions of facial
muscle and excess skin are removed.
The incision is then closed with stitches or clips.
incision is then closed with stitches or clips. Your face and
hair will be washed to prevent irritation and the rubber bands
will be removed from your hair. Although some plastic surgeons
do not use any dressings, your doctor may choose to cover the
incision with gauze padding and wrap the head in an elastic bandage.
endoscopic brow/forehead lift:
Typically, an endoscopic forehead lift requires the same preparation
steps as the traditional procedure: the hair is tied back and trimmed
behind the hairline where the incisions will be made.
rather than making one long coronal incision, your surgeon will
make three, four or five short scalp incisions, each less than
an inch in length. An endoscope, which is a pencil-like camera
device connected to a television monitor, is inserted through
one of the incisions, allowing the surgeon to have a clear view
of the muscles and tissues beneath the skin. Using another instrument
inserted through a different incision, the forehead skin is lifted
and the muscles and underlying tissues are removed or altered
to produce a smoother appearance. The eyebrows may also be lifted
and secured into their higher position by sutures beneath the
skin's surface or by temporary fixation screws placed behind
the lift is complete, the scalp incisions will be closed with
stitches or clips and the area will be washed. Gauze and an elastic
bandage may also be used, depending on your surgeon's preference.
After your surgery...
immediate post-operative experience for a patient who has had a classic
forehead lift may differ significantly from a patient who had the
procedure performed endoscopically.
back to normal...!
you should be up and about in a day or two, plan on taking
it easy for at least the first week after surgery. You should
able to shower and shampoo your hair within two days, or as
soon as the bandage is removed. Most
patients are back to work or school in a week to 10 days. Endoscopic
patients may feel ready to return even sooner. Vigorous physical
activity should limited for several weeks, including jogging,
bending, heavy housework, sex, or any activity that increases
your blood pressure. Prolonged exposure to heat or sun should
be limited for several months.
of the visible signs of surgery should fade completely within
about three weeks. Minor swelling and bruising can be concealed
with special camouflage makeup. You may feel a bit tired and
let down at first, but your energy level will increase as you
begin to look and feel better. Dr.
Monteiro can answer any questions you may have during your
patients are pleased with the results of a forehead lift, no
matter which surgical method was used. Often, patients don't
realize how much their sagging forehead contributed to the signs
of aging until they see how much younger and more rested they
appear after the lift.
forehead lift can smooth the forehead, raise
the upper eyelids, and minimize the frown lines
that come with aging.
a browlift/forehead life doesn't
stop the clock...but
it can minimize the appearance
of aging for years.