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Another name for brow lift is
forehead lift.
Dr. Chartchai observes that, for
older people wishing a more youthful appearance,
the problem may lie with the eyebrows,
especially at the outer ends closer to the temple,
not with the eyelids. It's the furled and drooping
brows that make for an old-looking face, and often
make it look severe and mean.
The effects of aging usually cannot
be completely reversed with a brow lift alone because
there are other components involved such as changes
in subcutaneous fat and in the muscles in and around
the forehead. But the brow lift does much to re-create
a youthful and pleasing appearance, giving a brighter,
more refined look to the eyes and entire face.
What do you want to change?
It is important that you have a clear idea of
what you want changed when you go for a consultation.
The least favorite thing any plastic surgeon wants
to hear is What do you think I need done?
When you look in the mirror, are
you unhappy with forehead wrinkles, especially when
you frown or make other facial expressions? Are
you bothered by deep wrinkles or furrows across
your forehead or deep creases between your brows?
Is the excess skin and fat above or below your eyes
so bad that your vision is compromised?
Look in a mirror and identify
what bothers you. Be specific. It is helpful to
break up the forehead region into 4 parts: 1) forehead
2) lateral (outside) brow 3) medial (inside) brow
4) upper eyelids. Evaluate each one of these areas
individually as this is what Dr. Chartchai will
do when he examines you. Some of these parts are
independent of the brow lift but may need work so
that overall the face remains in balance and harmony.
Procedure
There are different types of brow lifts. During
consultation in his Bangkok office, Dr. Chartchai
will observe and examine you, and discuss your options
to help you choose the one that is best for you.
Dr. Chartchai is experienced in
the major brow lifting techniques: the minimal incision
brow lift; the endoscopic
brow lift; the brow lift through an upper eyelid
incision; and the open or traditional
brow lift. Excellent results can be achieved
with each method provided the right method is selected.
Dr. Chartchai will discuss with you the most appropriate
technique for you and choose what is best for the
outcome you want.
- The minimal incision
(short scar) brow lift is a very effective way
to obtain the desired elevation of the lateral
brow and crows feet area with only a small incision
within the hairline or just above the hairline.
- The endoscopic brow lift
is almost the exact same as the minimal incision
brow lift except Dr. Chartchai uses an endoscope.
The endoscope helps him visualize the dissection,
what needs to be lifted, and what muscle needs
to be severed to eradicate the frown lines. The
incisions are within the scalp.
- The brow lift through an upper eyelid,
is best performed at the same time as an upper
blepharoplasty. During this procedure, the
corrugator muscle is severed and fat may be redistributed
or removed. This type of brow lift does not raise
the brows as much as the others but it is an effective
way to get rid of the "furrows" without making
another incision.
- The open (coronal) brow lift
involves a very long incision usually within the
scalp but may be done at the hairline. It is useful
when there is a significant amount of loose skin
within the forehead and the eyebrows have descended
a great deal. This type of brow lift, if not carefully
and circumspectly done, can result in a wide-eyed
look or excessively large forehead.
Often, a brow lift is performed
in conjunction with other facial cosmetic procedures
such as eyelid
surgery and facelift.
Recovery time
Most people are able to return to work 2 weeks after
surgery. Bruising may exist for up to 2 weeks. If
you are returning to a strenuous job, you may have
to wait as long as 4 weeks before returning to work.
Possible complications
The most common complication across the nation is
inadequate elevation of the eyebrow. Other possible
complications, unique to brow lifting, are injury
to the sensory nerve that innervates the scalp and
skin of the forehead, asymmetry between the 2 brows,
and hair loss around the incision.
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