What kind of anesthesia is used for brow lifting?Īll brow lift techniques can be done under general anesthesia, and most can be done under local with twilight anesthesia. Non-surgical brow lift with neurotoxins take only minutes to perform. Trichophytic brow lifts take between two and two and a half hours. Temporal brow lifts and trans-blepharoplasty brow lifts take about 90 minutes. How long does brow lifting take?Įndoscopic brow lifts take about two hours to perform. These approaches are now reserved for patients with severe eyebrow asymmetries resulting from facial nerve paralysis or trauma. Two other brow lift techniques, the mid-forehead brow lift and the direct brow lift, have fallen out of favor because of the unseemly scars that may result from the incisions used. This technique is best for the younger patient with only early eyebrow descent. However, the effect is very mild and temporary. To achieve the lift, the orbicularis oculi muscles (that create crow’s feet) and the procerus and corrugator muscles (that create the 11’s between the eyebrows) are injected. The muscles that pull the eyebrow down are weakened so the net effect is a brow elevation. The lateral brows can also be lifted slightly using neurotoxin injection techniques. Non-Surgical Brow Lift Using Neurotoxin (Botox, Dysport) Healing times are also short with this minimally invasive technique. The forehead is released from below through this approach, then suture fixated up via a short ½ inch incision behind the upper hairline. The brow is elevated via a standard upper blepharoplasty eyelid incision in the upper eyelid crease. Trans-Blepharoplasty Brow LiftĪ modification of the temporal brow lift, the trans-blepharoplasty brow lift, also effectively addresses the lateral brow. Compared to other brow lift types, the temporal lift yields less dramatic results, but also has less risk and shorter healing times. The temporal brow lift helps reverse this and is often combined with an upper blepharoplasty. The lateral brow is the portion that descends first as we age, creating heaviness to the upper eyelid.
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Temporal Brow LiftĪ lateral brow lift (commonly referred to as a “temporal brow lift”) is a less extensive brow lift technique that only addresses the outer one-third portion of the eyebrows rather than the full brow area. With this modification the muscles of the glabella (the “11’s” between the eyes treated typically with Botox) cannot be cut to lessen the creases there, but otherwise the results are the same as with the camera and endoscope. Many surgeons incorporate the same techniques as were initially described in endoscopic brow lifts to perform the same dissection without a camera or endoscope. Since incisions are minimal, endoscopic lift patients typically experience less pain, shorter recovery periods and no numbness of the scalp. The camera allows the surgeon to safely identify any nerves close to the eyebrows and protect them during the surgery. During an endoscopic brow lift a small endoscope is used, often attached to a camera, to enable the surgeon to view and dissect the tissue of the forehead. This type of brow lift has become the procedure of choice for most surgeons as it only requires small, less invasive incisions. The incision is performed so that hair will grow right through it, camouflaging it. The procedure uses an incision made just behind the hairline.
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This type of brow lift, commonly used for patients with higher hairlines, removes a portion of forehead skin (rather than raising the hairline) to elevate the eyebrows. However, they can sometimes cause permanent numbness from behind the incision to the vertex of the scalp, and so has fallen out of favor for less invasive techniques.
Coronal lifts are ideal for individuals with smaller foreheads who are also interested in lifting their hairline. The oldest used brow lift technique, a coronal lift (sometimes referred to as an “open brow lift”) involves a single incision made from ear to ear that is placed across the forehead. View Brow Lift Photo Gallery Coronal Brow Lift
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