Dr. Robert Mirabile
         Dr. Vivian Hsu

Brow Lift

sculptAre you beginning to notice that your brow has become lower, causing more forehead wrinkles and an angry or tired facial expression? Is your vision partially impaired by your brow?

Do you seem to have excess skin of your upper eyelids?

If these things are true you should consider getting a brow lift.

The brow lift procedure is typically performed on people from the age of 40-65, in order to rejuvenate the forehead and area around the eyes, and reduce the signs of aging.

The brow lift procedure may be right for you if you feel that your expression lines or other age related wrinkles in the region of the brow are excessive or unsightly.

The brow lift can:

  • Remove or reduce the small horizontal line or wrinkles on the forehead, or the vertical ‘frown lines’ located on the upper bridge of the nose, between the eyes
  • Lift a sinking brow that is drooping over the upper eyelid
  • Lift the eyebrows back to a position on the brow that opens the eyelids and makes the eyes seem more alert

Procedures that are typically performed in conjunction with brow lift surgery:

  • Eyelid rejuvenation, to restore aged eyes
  • A complete facelift to reverse the effects of age and sun damage in the areas between the eyes and the chin

Types of brow lifts that are available:

Coronal brow lift: This procedure involves making an incision on the hairline from ear to ear. The forehead is then lifted to its new position. The extra skin is removed and the scalp and the lifted forehead are sewn together. Some muscles will be purposely weakened so there will be less horizontal forehead lines. Because nerves are involved in the area surrounding the incision, the patient may experience itching and numbness after the surgery.

Hairline brow lift: This technique is used for someone with a vertically large forehead. Dr. Mirabile and Dr. Hsu will place an incision at the hairline. The incision is performed in that area so that the hairline is not pulled back, but pulled forward. This allows the forehead to become more proportional in its vertical dimension. This procedure helps to erase horizontal creases in the forehead and raises the brow. A scar may be visible on the hairline, but usually an incision in this area hides very well.

Endoscopic brow lift: Dr. Mirabile and Dr. Hsu will make four to six very small incisions behind the hairline using endoscope with a camera at its end. He will then shift the skin backwards on the head to lift the skin on the forehead. The muscle tissue will be thinned between the eyebrows to minimize vertical forehead lines. The forehead skin is lifted and stitches are then placed so that the skin is anchored in its new position.

Lateral brow lift: Incisions will be made in the hairline above each lateral brow. Removing skin and tightening the muscles in the area allows lateral brow elevation. The incisions left by this surgery usually hide very well.

To prepare for your brow lift: Dr. Mirabile and Dr. Hsu will ask you to stop smoking for three weeks before and after your surgery. Patients should avoid medications, such as aspirin, which act as blood thinners, as these may cause increased bleeding.

A brow lift takes about one to three hours, and the results are long lasting.

What to Expect After the Surgery

For about ten days after the surgery the patient should have some swelling and bruising of the forehead, cheek area and eyes. Patients should keep their head elevated and apply a cold compress to reduce swelling. The bandages placed after surgery should be removed in one to three days. Sutures are removed about ten days after surgery. The patient may begin light exercise at two weeks. Full strenuous activity occurs at six weeks.

Patients should have someone with them to take them home and to stay with them the night after their surgery.

Schedule a Consultation

If you have been considering brow lift surgery, you owe it to yourself to seek treatment from a qualified plastic surgeon in Chester County / Montgomery County. Dr. Mirabile and Dr. Hsu have 38 years of combined experience in cosmetic surgery and are skilled brow lift, facelift, eyelid surgery and rhinoplasty surgeons. Contact their practice today at 610-272-8821 to schedule a consultation. Dr. Mirabile and Dr. Hsu gladly treat patients from throughout Montgomery, Bucks, Chester and Delaware Counties.

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