With an endoscopic brow lift, the surgeon makes four small incisions behind the hairline. Through these incisions, the surgeon releases the tissues of the brow and scalp. The brows may be carefully shaped and re-positioned in order to rejuvenate the upper eyelids and eliminate wrinkling of the brow itself. Through the endoscopic brow lift approach, muscles of the lower forehead may weaken, causing dramatic reduction in the wrinkles of the lower forehead. An endoscopic brow lift may also dramatically improve the appearance of crow’s feet.
At times, other approaches to the brow lift are indicated. For the patient with a very high hairline, the surgeon may lower the hairline at the same time the brows are raised. With this procedure, the surgeon makes an incision at the hairline and may remove a small strip of forehead skin. The surgeon may combine the two approaches for ideal repositioning of the brows.
Brow lifts are performed under IV sedation augmented with local anesthesia. Sutures or staples close incisions, and a compression dressing is sometimes placed on the forehead. Bruising may occur in and around the eyes and can last from seven to ten days.
Patients may use makeup to camouflage bruising at approximately four days. Sutures are removed at five to seven days, and swelling slowly resolves over one to three weeks. Occasionally, there is a temporary numbness to the forehead which may last from two to four weeks. Ice packs will help for the first 24 hours, and it is important to minimize vigorous physical activity for approximately four days following surgery.
You will receive a surgical quote and any clearance forms required at your consultation. Should you decide to proceed, we will connect you with our patient care coordinator, Shannon Jones. At this time, you will select a procedure date and pay a $500.00 non-refundable booking fee to reserve this date. Once the surgery date is set, we schedule a pre-operative appointment two weeks prior to surgery.
At your pre-op, you will have ample time to discuss your upcoming procedure in great detail and have all your questions answered. You will bring the required clearance forms to this visit unless we have already received them. We will review all pre- and post-operative care, prescribed medications, and any provisions we may give you for use pre- and post-surgery. You will review and sign the consent for surgery, and the balance will be due at the conclusion of this appointment.
It is vitally important to avoid all blood thinning medications/supplements for two weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). Generally, you may take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E, multi vitamins, and omega 3 fatty acids (fish oil and flax seed oil.) You will be given a complete list of medications/supplements to avoid at your pre-op. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.
We want you back to your normal routine as quickly as possible, so in addition to avoiding blood thinners, we provide our surgical patients with a supply of Arnica Montana and Vitamin K cream which are both clinically proven to help reduce bruising and swelling. Vitamin K cream applied to your skin two weeks before surgery tends to reduce bruising. Arnica Montana is a homeopathic herb that helps to reduce swelling and bruising. We also have a laser called the V Beam Perfecta that aids in speeding up stubborn bruising! It targets the pigment in the bruise, causing it to break up and dissipate much faster than on its own. We encourage surgery patients to take advantage of this laser treatment at no charge as often as you want while the bruising is still present. We will also go over surgery specific tips at your pre-op that can help speed up the down time!