What is a Browlift?

A forehead lift, or brow lift, can relieve that same “tired” look that is treated by a facelift, except it targets a different area of the face. It alleviates those drooping eyebrows, the “hood” over your eyes, forehead furrows, and frown lines, giving the forehead and unblemished appearance. People will often underestimate the effect that a sagging forehead has on aging: patients who undergo this surgery often appear to lose years of age after this procedure.

Browlift Procedure

Innovative Midwestern plastic surgeon Dr. BYUN repairs the damage aging has on the muscles and skin in the forehead, which smooths the forehead, elevates the upper eyelids, and eliminates frown lines. This procedure can be done alone or in tandem with other procedures like a facelift or nose reshaping. Both men and women frequently receive this procedure.

Dr. BYUN will utilize three to five small incisions, each less than an inch, in the scalp to insert an endoscope (a thin, flexible optical imager) in order to examine the skin and muscles of the forehead. Once the targeted area is identified, an instrument is inserted into another incision to lift the skin while the muscles and tissue underneath are manipulated. At this point, the eyebrows can also be repositioned as desired to assist in the smoothing of the forehead by using sutures under the skin or screws behind the hairline. The incisions are then closed with stitches or clips and the area is washed to conclude the surgery. Gauze or an elastic bandage will be used to cover the forehead incisions.

Within one or two days following surgery, or whenever the bandages are removed, you can resume showering. There may be minor swelling and bruising, but these can be concealed with makeup almost immediately after the conclusion of surgery. Most of the visible signs of surgery should vanish within two to three weeks.

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

PREOPERATIVE DIAGNOSIS:

• Endoscopic browlift, bilateral
• Upper lid excess skin, bilateral

POSTOPERATIVE DIAGNOSIS:

• Endoscopic browlift, bilateral
• Upper lid excess skin, bilateral

OPERATION:

• Endoscopic browlift, bilateral
• Upper lid excess skin, bilateral

ANESTHESIA: General

OPERATIVE PROCEDURE DETAILS

After induction of general anesthesia in a supine position, the patient was prepped and draped in the usual sterile fashion. 3 mm of upper lid was marked, and this was resected after injecting that area with 3 ml of 1% Lidocaine with epinephrine. A strip of orbicularis was taken out. The medial fat pad was taken out because she had a bulging of the medial fat pad only. The left side of the upper lid was also performed by resecting 3 mm of skin, and the strip of orbicularis was taken out. The medial fat pocket was explored, and a small amount of fatty tissue was excised. Good hemostasis obtained. The skin was closed using a 6-0 Prolene. Next, four incisions were made along the hairline in a routine way. Subperiosteal dissection was undertaken with Ramirez dissector with the endoscope. Supraorbital nerves were identified and preserved throughout the case. The periosteum along the orbital rim was released, and the forehead was advanced. A small amount of corrugators was resected. Good hemostasis was obtained. The advancement forehead flap was anchored using 3-0 Vicryls to the temporalis fascia bilaterally and the subgaleal along the top of the horehead. The skin was closed using 3-0 chromic. The patient tolerated the procedure well. A bulky dressing was applied. She was extubated and transferred to the recovery room in a good standing.