The browlift raises the brows to a younger position and makes the eyes look more refreshed and awake. Dr. Martin Moskovitz of The Plastic Surgery Group of New Jersey in Paramus, is committed to providing cosmetic plastic surgery services such as browlifts in a safe and effective manner.
Browlift Pre-Operative Care
Several choices need to be made about the type of browlift to be done. In patients with good skin elasticity, an endoscopic browlift can often be performed. This operation makes three to five small incisions in the hairline, then releases and pulls the brows up. Frown lines and wrinkles of the forehead and brows can also be treated through the endoscopic approach. The endoscopic browlift, however, has a limited range of effectiveness and may not be powerful enough for some patients with significant brow drooping.
When skin needs to be cut away, there are three standard approaches: a temporal browlift with two small hairline incisions; an anterior hairline browlift, with one longer hairline incision; and a coronal incision over the top of the head. At your consultation in our Paramus NJ office, we will discuss your best options for optimal outcome.
No aspirin, ibuprofen, or similar drugs should be taken within two weeks of your browlift procudure. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over-the-counter preparations and natural herbs, please call us at 201-225-1101.
Do not eat or drink anything after midnight of the night before your surgery. This includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
The Operation for Browlift
The endoscopic browlift involves three to five small incisions in the hairline through which a small camera and specialized instruments are inserted to lift the brow. Overactive forehead and brow muscles can also be removed through this approach to reduce wrinkles. Once the skin is closed there may be a small bump over the incision area which dissipates over one to two months.
The temporal browlift involves two diamond-shaped excisions placed carefully at the hairline on either side of the forehead. The skin between the excision and the brow is carefully lifted and the extra skin is cut away. Advantages of this approach are the well-hidden scars and minimal numbness of the forehead and scalp.
The anterior hairline browlift involves an incision placed along the entire hairline of the forehead. The skin of the forehead is raised in a fashion similar to a facelift and the extra skin is removed. In some cases a drain is placed to prevent collections of fluid. An advantage of this approach is that the hairline is not raised or lowered significantly. A disadvantage of this approach is a potentially noticeable scar depending on how you wear your hair and how your body tends to scar.
A coronal browlift involves an incision across the top of the head in the hair-bearing scalp. The skin from the incision forward to the brow is lifted and pulled backward. The extra skin is cut away and the wound is closed. The advantage of this approach is a sturdy and significant elevation of the brows. A disadvantage of this approach is possible raising of the hairline; therefore, it is best performed on people with low pre-operative hairlines.
Other possible disadvantages to this approach are numbness of the scalp and a potentially noticeable scar.
At the conclusion of surgery, a compressive dressing may be applied to decrease fluid collection. A cold pack may also be applied to the eyes to decrease swelling.
Browlift Post-Operative Care
In most cases, the browlift is performed in conjunction with other surgery and you can go home several hours after the surgery.
Physical exertion and lifting should be kept to a minimum for 7 to 10 days. Bruising may last for 2 to 4 weeks but can be covered with makeup.