As time rolls on, we often need a little “lift” to restore youth and fullness to certain areas of our forehead. For patients who suffer from a tired, sad, worn, or mad look, Portland plastic surgeon Dr. Elisa Burgess offers brow lift procedures to patients at her Portland, OR area practice to open up the eyes and raise the eyebrows. There are multiple reasons people chose to undergo a brow lift, including:
- To rejuvenate the area above the eyes and to lift the brows
- To better match their outward appearance with how they feel physically or emotionally
- To restore their original facial features and make them appear more rested
- To complete an entire facial rejuvenation when combined with other facial procedures
Drooping brows, asymmetric brows, glabellar creases in between the brows, and excess skin on the upper eyelid may be signs that you have brow-related issues and are a candidate for a brow lift.
Ideal patients should also have realistic expectations for the outcome of the procedure, be relatively medically healthy, and be able to weigh the benefits and risks associated with undergoing surgery. It is recommended that you stop smoking before and after surgery.
The brow lift in Portland takes between one and two hours to perform and is often performed with a local anesthetic in conjunction with a general anesthetic. Before beginning, the face is cleaned thoroughly, and the hair is tied back behind the hairline.
The procedure involves removing or altering the muscles and tissues of the forehead that cause the furrowing or drooping, resulting in a smoother forehead. When beginning, Dr. Burgess will make a series of small incisions across the top of the head, just behind the hairline. Using an endoscopic camera and instruments, she will then lift the forehead skin and remove or alter the underlying muscles and tissues to create a smoother finish. With sutures, the brows are elevated and secured under the skin. Finally, Dr. Burgess will use stitches to close the incisions. Alternatively, if the brow droop is too great, then an open browlift is performed with a longer incision along the hairline. Dr. Burgess will evaluate you and discuss these surgical options with you before surgery.
Following the procedure, the patient will have a soft, absorbent dressing applied to the head. Within a week, the patient can shampoo their hair and may return to a normal routine after seven to ten days. The patient may experience some numbness, swelling, bruising, and pain that can be managed with medication, but often patients look worse than they feel initially.
Many times, patients have this surgery in combination with eyelid surgery in Portland, so cold compresses and eye lubricants will be necessary. For several days, the patient must keep their head elevated to reduce swelling and bruising. The patient may not be able to wear contact lenses for about two weeks and may not be able to work on a computer or read due to some swelling. See the eyelid surgery page for further instructions.
Dr. Burgess will encourage you to walk around after surgery. It is imperative to avoid any strenuous activity or heavy lifting for at least four weeks. Traveling long distances is not recommended in the first month following surgery. Ensure that you attend all scheduled exams following surgery. Scars from the procedure will be noticeable at first but will improve over the next year. Results of the procedure are not permanent as gravity and aging continue to play a role. Understand that results are not guaranteed to last a lifetime and may require future revision surgery. Exposure to the sun should be limited for several months following the procedure.
Some possible side effects of the surgery may include nerve damage, rare scarring, loss of sensation, infection, inability to fully correct the droop, and other unforeseen risks.
If you’re interested in “lifting” the appearance of your brow area, contact Dr. Burgess in her Lake Oswego office.