The look of aging can be reversed with a forehead lift, which smoothens and tightens skin to diminish the appearance of lines and wrinkles. A forehead lift corrects the appearance of frown lines, which are deep vertical furrows between the eyebrows that cause people to look worried or stressed out. Another common reason for this surgery is to correct sagging brows that hang too low and are too close to the eyes, creating an overly tired appearance. With a forehead lift, Inland Empire board-certified plastic surgeon, Dr. Ben Childers, uses small incisions to trim excessive skin and then tightens the remaining skin for a more lifted look. Incisions are usually made around the hairline or across the upper eyelid. After surgery, a patient no longer has to deal with the tired, angry, or sad look that once controlled his or her face.
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"I have been wanting to do something about the "bags" under my eyes for years, so when we moved to Upland, I was excited to see that there was a medical skin spa right near our new home. I made an appointment for a consultation just to see what they could do for me. From the second I walked in, I knew that I would be back again! First off, the little reception/waiting area is pink and feminine and beautiful and the ladies at the front desk are so welcoming and kind. Not in a fake way, but genuinely warm and friendly (which is very rare these days)! Amazing ambiance. There's an assortment of yummy beverages (including wine!) and lots of great magazines and pretty things to look at. Secondly, they listen to you! They work with your schedule to make an appointment for a (free!) consultation with the appropriate person and their hours are incredible! I'm a SAHM and can only go when my hubby is home from work (nights and weekends) so their hours really work for me! Thirdly, the consultation was incredibly informative. I spoke with a beautiful woman named Amber and she answered all my questions about my undereyes and recommended Juvederm for me: 1/4 syringe under each eye and the rest in my lips! Score!! I learned that my "bags" aren't bags at all, but the thinning of my facial features with age and time. She was patient with my hesitations and talked to me like a friend. She instantly put me at ease. I couldn't wait to make an appointment. Fourthly, on the day of my appointment, they took me back quickly and spread a numbing cream on my face, let it sit, and I was good to go! She even called Dr. Childers via FaceTime so I could ask him any questions before the procedure! Talk about customer service! I was so impressed. And finally, Amber was so great with the injections, they didn't even hurt and she would ask me to look in the mirror frequently to see the results, which were instant!! Amber really is an artist with that syringe!! I was so happy with the change. It's now the next day and I have no swelling or bruising, Amber is very skilled and knows exactly what she is doing. I am incredibly happy with how my face looks now, I look rested and youthful again, but still like myself. I cannot wait to go back and get Botox from Amber, and I plan to get touch ups as needed in the future. If anyone asks, I'm sending them your way, Sheer Beauty!! THANK YOU!!!"- E.L. / Yelp / May 13, 2017
There are several techniques that can be considered during a brow lift procedure. Some of the approaches are interchangeable with a forehead lift, but may be used to achieve different objectives.
Also known as a direct brow lift, this approach places the incision in the natural crease of the upper eyelid. Depending on the structure of the brow, an incision can also be made at the brow hairline to complete this process. Weak and sagging skin and tissue will be lifted and reattached to the brow bone. This approach does not affect the forehead and works to treat a sagging eyebrow and eyelid.
Endoscopic Brow Lift
This approach provides a subtle change in the position of the eyebrows. It uses several small (1-inch or smaller) incisions near the hairline of the forehead where an endoscope (specialized camera) is placed, and surgical tools are used to elevate the eyebrows. The stitches are located inside the incision to help minimize scarring. While this technique is a common approach, sometimes the results can be unpredictable.
Coronal Brow Lift
This approach places the incision lines several inches above the hairline of the head. These incisions are typically long, yet still hidden by the patient’s hair. This technique repositions the eyebrows by pulling them up to offer an alert and revitalized appearance. Sometimes hair will need to be removed during the incision closure process where the skin is reattached. This particular approach does offer dramatic results and in most cases actually repositions the hairline higher.
All brow lifts are performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The surgery typically takes around 2 hours to complete depending on the approach. Patients can generally return to work and resume normal activities within a few days following surgery. Patients may feel that their new facial structure is not as symmetrical as it should be, nor how they anticipated. This is a common anxiety. Facial features will settle and take on a natural look within a few weeks. It may take several months for the optimal surgical results to take effect.
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Brow Lift FAQs
Brow Lift or Facelift?
This will be discussed in detail during your initial consultation. Many times, the effects of aging take place in the forehead region alone. If wrinkles, loose skin and sagging eyebrows exist on the forehead, then a brow lift or forehead lift may be sufficient. For drooping jowls and wrinkles along the lower area of the face, then another procedure such as a full facelift may be worth consideration. Sometimes these procedures can be combined for maximum results.
Will I Look Fake?
While a brow lift produces results that allow patients to appear more awake and alert, the results are often subtle. An experienced surgeon will work within the confines of a patient’s facial structure and skin tone to create natural results that avoid a wide-eyed or hyper-alert appearance.
Can I Just use BOTOX?
No, not necessarily. BOTOX is a great non-surgical option that can improve the wrinkles and fine lines of the forehead. However, it will not lift the forehead and improve sagging and drooping features if they exist. Patients who are contemplating surgery may want to try BOTOX first and see if the results satisfy their aesthetic goals. If BOTOX proves ineffective, then a brow lift will probably help in this area.
The incisions made during a brow lift procedure are usually well-concealed once they heal. Whether they are placed in the hairline or brow line, every effort is made to keep the incisions along natural folds and hairlines so they are not visible after surgery.