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What happens during a Brow Lift?

While brow lifting is an outpatient procedure, Dr. Velargo will discuss options regarding anesthesia with you. Your sense of comfort and medical history are the most important factors in making this decision. The procedure can be performed in his office-based procedure room under oral sedation with local anesthesia only or it can be performed in an outpatient surgical facility in the community under conscious sedation or general anesthesia.

In an endoscopic brow lift, small incisions are made in the hairline, and an endoscope with a camera is inserted so that Dr. Velargo can see the movement of the surgical instruments without the need for a larger incision. The brows are tacked to their new higher position with an absorbable prong placed in the bone, and sutures or staples are used to close the incisions.

Typically, the brow depressor muscles (procerus and corrugators) are purposefully incised to help prevent post-operative brow depression. Paper tape is placed on the skin of the forehead to help hold the eyebrows in their new position during the healing process.

In a trans-blepharoplasty brow lift, the lift is performed in conjunction with an upper lid blepharoplasty. The incision used for the blepharoplasty allows access to the forehead so that the brow lift can be performed. An absorbable prong is placed in the bone just above the brow to tack it into its new higher position.

In this method as well, the brow depressor muscles (procerus and corrugators) are typically purposefully incised to help prevent post-operative brow depression. The upper lid incision is closed in the usual manner with a small suture tunneled under the skin. Paper tape is placed on the skin of the forehead to help hold the eyebrows in their new position during the healing process.

In the traditional brow lifting techniques, an incision of variable length and location is created, forehead skin is lifted, excess tissue is removed, and the muscles are tightened. The eyebrows are lifted and also reshaped, if desired. Stitches and/ or staples are used to close the incisions in a meticulous manner for minimal scarring.

In the lateral temporal brow lift, a 2-3 inch incision is created within the hair-bearing scalp above the temples. The approach for the trichophytic brow lift utilizes the same incisions as the lateral temporal brow lift but connected by another incision created at the hairline. This technique preserves and in some cases lowers the hairline.

The approach for the coronal brow lift is slightly different. It utilizes the same incisions as the lateral temporal brow lift but connects them well behind the hairline. This technique often raises the hairline. The incision for the direct brow lift is made just above the brow and is closed meticulously for the best possible scar. The mid-forehead brow lift incision is made in a deep forehead wrinkle (usually done only in men) and is also closed meticulously for the best possible scar. In most of these variations, the brow depressor muscles (procerus and corrugators) are purposefully incised to help prevent post-operative brow depression. As in the other techniques, paper tape is placed on the skin of the forehead to help hold the eyebrows in their new position during the healing process.

Read more about Brow Lift Recovery & Results →