Everything on our bodies sags with the passage of time. When it comes to our brows, the sagging of our forehead and the area above our eyebrows is unattractive and can really age the face. Beyond these unpleasantries, sagging brows can make other people think you’re either perpetually tired or perpetually mad or sad. In the extreme, sagging brows can begin to interfere with your vision.
But Dr. Cilento can put an end to the misperceptions with a brow lift. This surgery addresses your descending brows and presents a younger, more alert, energetic look.
What is a brow lift?
A brow lift focuses solely on the forehead and the brows. The goal is to reverse the sagging that has bunched the skin around the brows above the eyes. Dr. Cilento removes or alters the muscles above the eyes to smooth lines, raise the eyebrows, and bring the tissues back up. The end result is a much improved, more alert, younger look.
Who is a good candidate for a brow lift?
Most of our brow lift patients are between the ages of 40 and 60 with sagging brows and noticeable aging on their forehead skin. This surgery aims to elevate the brows, erase the lines and creases on the forehead, and eliminate any hooding that is occurring above the eyes.
Genetics can play a role in how your brows age. Some people simply are prone to more sagging and drooping in this area. And this can make people think you’re either really tired, sad, or mad most of the time. If you get asked about those things, a brow lift could be a great procedure.
How are brow lifts performed?
Dr. Cilento uses two methods for his brow lifts. He prefers the endoscopic method whenever possible, as this limits the incision length and creates a markedly easier recovery. But for some patients, this method doesn’t allow enough tissue repositioning and trimming, and a coronal method may be necessary. He will discuss which option is right for you during your consultation.
Endoscopic brow lift — The endoscope has really changed the brow lift, making this method the preferred option. Dr. Cilento makes three to five short incisions within the patient’s hairline. An endoscope, a tiny instrument with a camera on the end, is inserted into one of the incisions to provide a visual. This eliminates the need to pull away the entire brow skin from the support tissues to gain visual access. Dr. Cilento then inserts tools into the other incisions to manipulate the skin and muscles. Because of the small incisions, there is minimal scarring with an endoscopic lift.
Coronal brow lift — Prior to the development of the endoscope, a coronal brow lift was the only available option. Also known as the “traditional” brow lift, this involves a single coronal incision that runs from one ear, wraps up and around the forehead, and terminates at the other ear. The incision is hidden within the hairline. The skin is lifted away from the forehead and the underlying muscles are trimmed and repositioned as needed. If there is serious sagging, the eyebrows may be lifted.
Will a brow lift correct drooping around the eyes?
A brow lift certainly will address drooping brows above your eyes. However, it doesn’t correct drooping eyelid skin, or drooping and bags under the eyes. These are the targets of eyelid surgery, which Dr. Cilento also performs, often in conjunction with a brow lift.
Can I combine a brow lift with other procedures?
Dr. Cilento often has patients combine a brow lift with eyelid surgery to fully rejuvenate the upper third of the face. That way the sagging brows are targeted by the brow lift, but the sagging eyelid skin is also taken care of with eyelid surgery. Some patients combine a brow lift with a facelift. This is a natural combination, as well, because a brow lift targets the brows and forehead, while a facelift targets the mid and lower face and jowls.
What is recovery like after a brow lift?
Despite the tissue repositioning involved, there isn’t a lot of pain during recovery from a brow lift. Patients commonly feel slight discomfort due to the repositioning, and the forehead area will feel tight. Swelling and bruising is common, and the bruising can migrate down into your cheeks and around your eyes. This unfortunate situation usually runs its course in a week to 10 days. For the first two or three days after your surgery you’ll need to sleep with your head elevated to help with drainage.
As you would expect, traditional brow lifts create more numbness across the forehead and discomfort along the incision. This often turns to itching along the incision after it has healed, and this can last up to six months. The hair near the incision may fall out, but normal hair growth will usually builds back in within a few weeks or months.
Endoscopic brow lifts will also create numbness, but the lack of the long coronal incision will lead to far less itching.
Most patients can return to work within 10 days. Heavy lifting and vigorous exercise need to wait for about a month. You don’t want to elevate blood pressure to the face during recovery.
How long will my brow lift results last?
The improvements made by Dr. Cilento are permanent. Your transverse and frown lines on your forehead will never be as severe again. However, your brows will continue to descend with age. Your best results will be visible for 10-15 years, but your sagging will never be severe again.
Are there risks involved with a brow lift?
The risks are the same as with any surgery: excessive bleeding, poor wound healing, reaction to anesthesia, and possible infection, but these are very rare with this procedure. The main side effect is possible numbness across the forehead due to the repositioning of the tissues. This usually passes as the nerves adjust. Itching along the incision is standard, but it also passes within a few months.
Schedule A Consultation
To learn more about the brow lift procedure with Dr. Ben Cilento, call 346-413-9313.