Brow ptosis is the drooping of the brow and typically occurs with advancing age.

Brow Lift / Forehead Lift

Reasons for surgery

As people age, the eyebrow tissue slowly droops down over the eyes. If the brow falls well below the browbone, it can cause visual impairment. Droopy brows can give a person a tired, sad, or angry look.

When severe, brow drooping may sometimes be covered by insurance. An office test called a visual field is used to demonstrate the visual blockage. Photographs are taken to document how the droopy brow is covering the eyes and pupils. Brow drooping can be repaired in a number of ways, depending on forehead skin quality, hairline, and personal preference.

What to expect after a Brow Lift

A common browlift option for severe droopy brows is to remove forehead tissue while camouflaging the incision either just above the brow, in a deep forehead wrinkle, or at the hairline. In younger people without visual impairment, or in milder cases, the incisions may be placed behind the hairline so as to keep them completely hidden.

Some types of browlift can be done with local anesthesia in the office. More involved browlifts with hidden incisions are done under sedation at an ambulatory surgery center. For office surgery, some patients may be given oral medications to help them relax. To keep bruising and swelling at a minimum, patients should stay home for 2-3 days after the procedure in order to frequently apply soft, lightweight, cold compresses.

Sleeping with the head elevated in a recliner chair also helps prevent additional swelling. It usually takes 1 to 2 weeks for bruising to disappear completely, although for some patients on blood thinners, it may take longer.

Strenuous physical activity and hot showers should be avoided for the first week in order to prevent bleeding. Sutures or scalp staples are removed at one week.

Final results can be seen as early as 3-4 weeks, but in some patients may take 3-4 months, when the swelling fully resolves and the incisions soften completely. Healing progress depends a lot upon adherence to postoperative instructions as well as individual health status. Incisions may feel numb or sensitive for a few weeks.

It is very important to avoid direct sun exposure on the incisions until all redness has faded in order to avoid a darkening of the skin, or hyperpigmentation.

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