Brow Lift Mobile, AL

(Forehead Lift)

Every year more than 40,000 men and women have a brow lift, which is also known as a forehead lift. A brow lift or forehead lift is designed for people who have wrinkles, lines and loose skin involving the forehead and brow. As the brows fall over time or if genetics have left you with brows in a lowered than desired position, a brow lift may be the answer. Dr. Proffitt may recommend a brow lift when a patient exhibits:

  • Frown lines
  • Drooping or low set brow
  • Crow’s feet
  • Horizontal lines and furrows
  • Loose upper eyelid skin that cannot be completely corrected with a blepharoplasty

A Brow Lift may be combined with a blepharoplasty. A consultation is necessary to determine if a brow lift is right for you. Your consultation with Dr. Proffitt will include watching a DVD from the ASPS (American Society of Plastic Surgery) on brow lifts, and a thorough examination that also incorporates a detailed history. You will also be able to view before and after photos.

Will Insurance Pay for a Brow Lift?

A brow lift is considered a cosmetic procedure and therefore not covered by insurance.

How is a Brow Lift Performed?

Dr. Proffitt may use one of three different techniques.

  • Coronal

A coronal brow lift involves an incision in the scalp behind the hairline. The skin of the forehead and brow are released so they can be elevated to a more youthful position. The underlying muscles are also removed to help smooth the wrinkles.

  • Endoscopic

An endoscopic brow lift is less invasive and utilizes 5 small incisions just behind the hairline. This method leaves fewer scars than a coronal lift. Special endoscopic equipment is necessary.

  • Frontal Hairline Incision

A hairline approach is a similar to the coronal but the incision is along the hairline. This approach is best for persons with a high forehead who don’t want their hairline raised higher.

All techniques raise the brows, smooth wrinkles and frequently elevate the upper eyelid skin as well. Dr. Proffitt usually takes 1 to 1 1/2 hours complete a brow lift.

Where is the Surgery Performed?

Dr. Proffitt performs brow lifts at an outpatient surgery center under either local or general anesthesia. Anesthesia is administered under the direct supervision of a board certified anesthesiologist.

What is the Recovery Time?

You should expect bruising and swelling in the forehead and the eyes which usually subsides after one week. Sutures are removed at one week and most normal activities can be resumed at this time. Any strenuous activities should wait for 3 weeks.

Risks

Bruising and swelling usually resolve in 1-3 weeks. Asymmetry and weakness of forehead musculature may occur but is usually temporary. Numbness of forehead and scalp also may be a temporary sequelae.

What Will My Results Be?

A more youthful appearance with a smooth forehead and brow. You may also have less sagging or loose skin of the upper eyelid.

Scheduling Your Brow Lift in Mobile

When you’re ready to discuss brow lift surgery with a board certified plastic surgeon, contact the Mobile, AL plastic surgery practice of Dr. Randy Proffitt. Call 251-344-0322 to inquire about an appointment. You can also use our online email form to reach our friendly and helpful staff.

More information about brow lift surgery – By Dr. Randy Proffitt

A brow lift, commonly called a forehead lift, is an operation which can greatly improve a patient’s appearance. As we all get older, our brows and upper eyelids tend to fall and cause us to look tired or aged. Frequently, people will come in and ask if there is a way to remove the excess skin from their upper eyelids. This may be because other people tell them they look tired or older, or it may even be causing visual impairment. In the past, most people would proceed with a blepharoplasty or an upper eyelid lift, when in fact the problem is just a little bit higher than that and involves descent of the brow tissue. Some people may need both of these procedures. In order to make sure we are correcting the right issue we have to look at both the forehead and the upper eyelids.

A brow lift is indicated for those people who have low set brows. Sometimes this can be congenital (you are born with it), it runs in families, or is a result of aging. The forehead has fallen down such that brows start encroaching on the upper eyelid literally pushing it down. If when you look in the mirror the first thing you do is to raise your eyebrows to make your eyes look better, then you may indeed need a brow lift.

What is a brow lift? A brow lift essentially does just that; it raises the brows. There are several techniques that have evolved over the years, and some have specific indications when and where you use them. My preferred technique is to do a brow lift using an endoscope. This involves making 3 to 5 incisions behind the hairline and doing all the dissection by watching a TV monitor and using a camera on an instruments through these small incisions. The skin and underlying tissue is loosened from the forehead and brow region, and then all that tissue is lifted and anchored in one of several ways. I like to anchor the tissue to the bone of the skull so that it has something solid to keep it in place. There are techniques where you can use a screw which goes into the outer layer of the skull and these screws can either be permanent or dissolvable screws.

Before the advent of endoscopy, a coronal brow lift was very popular and occasionally is still used today. This involves an incision across the top of the scalp from ear to ear. This allows an open technique where all the forehead tissue and the brows can be released, and then pulled back. Some of the scalp is excised and then it is sewn in place. This has the effect of causing some numbness in the scalp area as well as a long scar, which if someone has thin hair, may be noticeable. It also raises the hairline. Even with an endoscopic brow lift, sometimes the hairline may be raised. For those people who have a high forehead, this may not be desirable. In those instances, a hairline incision can be made so that the hairline after the procedure is left in its original place or sometimes even slightly lower. This is at the expense of having a scar which may be a little more visible. As a general rule, depending on how the patient wears their hair, the scar is alternative.

A much older brow lift technique includes a direct incision just above the brow to elevate the brow, but again, this leaves a scar right in the forehead, even though it is close to the brow area, it sometimes can be visible. One of the newer techniques is to do a brow lift through the eyelid or blepharoplasty incision. This technique is still in the developmental stages.

Besides raising the eyebrows themselves to a more desirable or youthful appearance, one of the goals of a brow lift is to remove some of the muscles, which cause frowning and lines between the eyebrows in the middle of the forehead. These are called the corrugator muscles, and when somebody frowns or even at rest, they may be visible and make people have an angry or a stern appearance.

How is the surgery done? In general, this procedure is done either under local anesthesia with heavy sedation or under general anesthesia. It generally takes me 1 to 1-1/2 hours to do the procedure from start to finish. Either staples or sutures are placed in the incisions behind the hairline and are removed in 1 week. At no time does this surgery require shaving of the scalp, which is a common misconception. Patients generally have gauze wrapped around their head for the first 24 hours or so, after which they can shampoo their hair and wear it normally.