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Forehead & Brow Lift Surgery

Drooping or flattening of the natural arch of the eyebrows can occur as early signs of the aging process.  The eyes then appear smaller, more deep-set, sometimes having more upper eyelid fullness.  The horizontal lines which develop in the “crow's feet” region of the temple and in the forehead, along with the vertical “frown” lines appearing between the eyebrows all contribute to a stern, serious or tired look.  While correction of these problems may be achieved on a temporary basis with Botox injections, a forehead lift (brow lift) resolves these changes on a much more permanent basis for a fresher, more alert look.

Forehead Lift, Eyelid Lift and Facelift: A Winning Combination

A forehead lift may be performed alone but most commonly is performed in conjunction with eyelid surgery (blepharoplasty) and/or a facelift. It may also be combined with a mid-face cheek lift.  The goal is to gently raise the brows to a more youthful, natural position while avoiding the "over-operated" appearance

Pre-Forehead & Eyebrow Lift Consultation

During your consultation, Dr. Zemplenyi will address your forehead, brow and upper eyelid cosmetic concerns and will advise you on the various techniques available for their correction.  We wish to empower you to make an informed decision about those procedures best for you and tailored to your individual needs. Dr. Zemplenyi can perform the brow lift using various incisions and in various surgical forehead planes to best meet your specific needs.  You will understand the differences, benefits and risks of various procedures such as the endoscopic brow lift, mid-forehead lift, pre-trichial lift (in front of the hairline), coronal lift and other variations.   Additionally, non-invasive treatments with fillers and Botox may be indicated as complementary procedures.

What Shoud I Know about Forehead Lift/Brow Lift Surgery & Anesthesia?

Our goal is to perform all surgeries without patient recollection of the procedure and with the least amount of discomfort or anesthetic side-effects.  The patient's comfort and safety are paramount and complete monitoring is performed for all patients undergoing any anesthetic. Since all levels of anesthesia are available in our Medicare-certified surgical center we are able to tailor the technique to the patient's needs and wishes. 

The forehead lift (brow lift) is most commonly performed under conscious sedation anesthesia (twilight sleep) although general anesthesia may be used in a few, selected patients, especially when combined with some of the other cosmetic procedures we offer. 

Incisions are hidden behind or very close to the hairline. The endoscopically-assisted technique for elevation of the forehead tissues in the sub-periosteal plane (above the bony scalp) can be used, but Dr. Zemplenyi most most commonly performs the brow lift by freeing up the skin and soft tissues above the forehead muscle, and, by precisely tailoring the margin of skin to be excised, thus elevates the brows.  The forehead muscle is weakened in the central forehead region so that the frown lines become less evident.  Following a brow lift patients are discharged home accompanied by a responsible adult usually within 30 to 45 minutes following completion of the surgery. 

After Your Eyelid/Forehead Lift Surgery

Post-operative discomfort is quite easily controlled with prescribed narcotic medications and many patients do not feel the need to use these medications beyond the first 24 to 48 hours.  Application of ice compresses to the eyes and elevation of the head tend to decrease on swelling and bruising.  A compressive forehead dressing is removed on the first day following the operation.  Sutures in the hairline region are removed in seven to ten days.  While the amount of bruising is minimized by our modern surgical techniques, the actual amount varies depending on individual circumstances.  Most swelling and bruising occurs around the eyelids, not on the forehead itself, and tends to resolve in seven to fourteen days.  Cover-up make-up is available through our esthetician services and can be applied soon after the surgery and many patients return to work in less than one week using sun glasses to camouflage the post-operative changes.  Final cosmetic result is not achieved for about two to four months when residual changes resolve.