New Jersey Brow Lift
If people tell you that you look angry or sad, an aging forehead with drooping eyebrows and wrinkled forehead skin may be to blame. As we age, our skin loses its elasticity and tone. Gravity wins out, causing our forehead skin and eyebrows to sag. In addition, a lifetime of facial animation and corrugator muscle (those muscles between the eyebrows) activity causes a progressive deepening of the wrinkle lines in our forehead skin.
A brow lift accomplishes several goals:
- Raises the eyebrows to a more normal position
- Smoothes horizontal wrinkles across the forehead & between the eyebrows
- Restores a more well rested and youthful appearance
A number of options currently exist to treat the signs of aging in the forehead and eyebrows. During your initial consultation, Dr. Parker will listen to what bothers you, take a medical history, and examine your forehead and face, focusing on the areas around your eyes. He will assess your eyebrow position, upper eyelid skin excess, the wrinkles in your forehead and those between your eyebrows, and the quality of your forehead skin. Dr. Parker will review his findings with you and discuss the various treatment options available.
In considering treatment options, we first think of non-surgical options. Though temporary, neurotoxins such as BOTOX and Dysport can be used to elevate the outer aspect of the eyebrows and soften wrinkling between the eyebrows and in the forehead. We often refer to this as a “chemical brow lift.”
Fillers can be used to plump out very deep depressions in between the eyebrows if they do not completely disappear after neurotoxin injections. Fillers can also be used in conjunction with neurotoxin injections to raise the outer aspect of the eyebrows.
Discoloration and fine wrinkling of the forehead skin may be improved with skin care products, a chemical peel, or laser resurfacing. Dr. Parker and his team will discuss the details of these treatments with you, as well as their duration, at your initial consultation.
Surgical Options: the Different Types of Brow Lifts
For years, a coronal brow lift, requiring an ear-to-ear incision behind the hairline, was considered the standard procedure for brow rejuvenation. Dr. Parker and many other respected plastic surgeons have found the less invasive endoscopic brow lift to be as effective as a coronal brow lift, but with much smaller incisions.
In selected patients, the combination of a temporal brow lift with transpalpebral corrugator resection is quite satisfactory,and a lateral brow lift can be effective for patients requiring a less extensive lift. These procedures are considered “minimally invasive,” resulting in shorter scars and quicker, easier recoveries than coronal brow lifts.
Endoscopic Brow Lift
During an endoscopic brow lift, Dr. Parker will make three small incisions, each about ¾” in length, just behind your anterior hairline. This will allow him to insert a thin telescopic probe, called an endoscope, connected to a camera and television monitor. Guided by the endoscope, he will surgically separate your forehead skin from the underlying tissues. This will allow Dr. Parker to remove a significant portion of the corrugator muscles using the endoscope for optimal visualization. He will elevate your eyebrows into a more youthful position and hold them in place with sutures. The small incisions will then be closed with sutures.
Temporal Brow Lift with Transpalpebral Corrugator Resection
In those patients undergoing an upper lid blepharoplasty who have little sagging of the inner aspect of their eyebrows and only mild laxity of skin in between the eyebrows, a temporal brow lift is a very good choice. A 1½-inch incision is made in the temporal part of your scalp behind the hairline. Dr. Parker separates the temporal and forehead skin from the underlying tissues to elevate the outer aspect of your eyebrows into a more youthful position. Dr. Parker will then perform what is known as a transpalpebral corrugator resection, removing the corrugator muscles under direct vision through the upper eyelid incision (medically, this is referred to as “transpalpebral”). Removing the corrugator muscles offers a long-term solution to soften frown lines and forehead wrinkles.
Lateral Brow Lift
A lateral brow lift, otherwise known as a lateral brow pexy, can be performed during an upper lid blepharoplasty through the upper lid blepharoplasty incision. Using this approach, Dr. Parker will moderately elevate the outer aspect of your eyebrows by suspending them internally with sutures. This requires approximately 30 minutes performing in addition to your upper lid blepharoplasty procedure. It adds very little to your recovery afterwards. Lateral brow pexy should provide mild elevation of the outer aspect of your eyebrows, as shown by the patient below.
Surgery & Recovery
The brow lift procedures discussed above usually require approximately one hour to perform in our fully certified, on site ambulatory surgical facility, Surgiplex. Patients are made comfortable with monitored intravenous sedation or general anesthesia, administered by one of our board certified anesthesiologists.
Patients are typically discharged one hour after completing surgery. There is usually very little postoperative pain. Patients may shower and shampoo their hair the day after surgery. Sutures are removed within ten days. Swelling and discoloration subside within 10 to 14 days. Camouflage make-up may be applied after one week and exercise resumed in two weeks.
Our Signature Rapid Recovery Program
Most of our patients lead active lives and want to return to their routines as soon as possible after surgery. As part of our unique Rapid Recovery peri-operative program, we have tailored our surgical procedures, anesthesia, medications, and post-operative massage and skincare to minimize post-operative discomfort and accelerate recuperation. While everyone heals differently, most of our brow lift patients are ready to return to normal activities within 7-10 days. During both your consultation with Dr. Parker and in your pre-op education visit with our Nurse Educator, your anticipated recovery will be discussed in detail.