A properly performed brow lift should not result in a surprised look. It should result in an overall natural and more alert appearance.
A brow lift should last several years. It will depend on the patient and their skin characteristics.
During the course of a brow lift, it is possible to disrupt the muscles that cause the wrinkles between the eyes. Unfortunately, this function cannot be completely eliminated. By weakening it, however, the deep wrinkles are often improved, but probably never erased.
A brow lift will improve the wrinkles in the forehead. In many cases, however, it may not completely eliminate them, but it should significantly improve their appearance.
There are several different ways to perform a brow lift. The oldest and most established method is to make an incision from one ear across the top of the head to the other. The brow is then disconnected from the underlying bone. The muscles between the eyes are then weakened. The brow is then pulled back and a strip of scalp is removed. Once the two edges are brought back together, the brow has been lifted.
An endoscopic brow lift is done with much smaller incisions. Typically, there are three to five small incisions, each approximately three-quarters of an inch long. These are all in the hair-bearing scalp. Through these small incisions, an endoscope is placed and the disconnection of the scalp from the bone is accomplished while viewing the structures on a video monitor receiving the picture from the endoscope. The nerves that need to be preserved are well visualized during this procedure and greater precision in avoiding them and disrupting the muscles between the eyes can be accomplished. The small incisions eliminate the need for long incisions across the top of the scalp and the removal of the strip of scalp. Sometimes, the removal of the strip will leave a small area of baldness. Removal of the strip of scalp normally disrupts the sensory nerves that begin at the brow level and travel up the head and back across the scalp. Usually a portion of the scalp behind the incision is numb. The endoscopic forehead lift does not require this incision, therefore numbness is less likely.
Normally, patients do not complain of significant discomfort after the brow lift. Occasionally, they describe symptoms of a headache, which are normally short-lived. Any discomfort is normally well handled by the postoperative pain management prescribed by your surgeon.
In preparation for the surgical procedure, it is important to follow the preoperative instructions given to you by your surgeon. Your preparation will vary slightly depending on the procedure to be performed.