Brow Lift

Brow lift options include both an endoscopic lift and the traditional open brow lift to raise a heavy brow and open up the eye when blepharoplasty alone is not sufficient.

If You're Considering a Forehead Lift...

A forehead lift or "brow lift" is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad, or tired.

There are several techniques used to correct brow position depending on the hair line, the thickness of the hair, and the distance between the brow and the hairline. Dr. David Hayes, a pre-eminent plastic and cosmetic surgeon in Missoula, will explain which procedure is right for you.

If you're considering a brow lift, this will provide a basic understanding of the procedure – when it can help, how it's performed, and what results you can expect.

The Best Candidates for a Brow Lift

A brow lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.

Brow lift is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.

Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. Dr. Hayes will simply alter the incision location or perform a more conservative operation.

Complications are rare and usually minor when a brow lift is performed by a qualified facial plastic surgeon. Yet the possibility of complications must be considered. In rare cases, the nerves that control eyebrow movement may be injured on one or both sides, resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may be required to correct the problem.

Loss of sensation along or just beyond the incision line is common, especially with the classic forehead lift procedure. It is usually temporary, but may be permanent in some patients. Infection and bleeding are very rare, but are possible. You can reduce your risk of complications by closely following our instructions (both before and after surgery).

Planning Your Surgery

During your consultation, Dr. Hayes will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure, such as uncontrolled high blood pressure, blood-clotting problems, or the tendency to develop large scars. Be sure to tell him if you have had previous facial surgery, if you smoke, or if you take any drugs or medications, including aspirin or other drugs that affect clotting.

If you decide to proceed with a brow lift, Dr. Hayes will explain the surgical technique, the recommended type of anesthesia, the type of facility where the surgery will be performed, the risks, and the costs involved. Don't hesitate to ask any questions you may have, especially those regarding your expectations and concerns about the results of surgery.

To learn more, schedule a consultation today with Dr. David Hayes at the Montana Center for Facial Plastic Surgery in Missoula. Call (406) 541-7546 or request a consultation online.

Preparing For Your Surgery

We will give you specific instructions to prepare for the procedure, including guidelines on eating and drinking, smoking, and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery and your recovery proceed more smoothly.

You will need someone to drive you home following surgery and stay with you overnight.

Where Your Surgery Will Be Performed

Brow lift's are usually done in our state of the art surgical suite. They may also be done in a hospital setting.

Anesthesia Used For the Procedure

Most brow lifts are performed under twilight anesthesia. This anesthesia is a safer alternative to general anesthesia. You will be given medications to make you sleep. After you are asleep some numbing medications are given into the area that is to be operated on to completely numb the area.

You will wake up more quickly after surgery and experience fewer of the "hangover" effects of general anesthesia.

The Surgery

Most people will undergo an endoscopic brow lift. Three small incisions are made in the scalp behind the hairline so they are well hidden. An endoscope, which is a pencil-like camera device connected to a television monitor is inserted to allow a clear view of the underlying structures, the tissues are then "freed" up to allow the brow to be lifted and the eyebrows to be repositioned in more natural and youthful position.

When the lift is complete, the scalp incisions will be closed with clips and the area will be washed.

In some cases an incision will be made right at the edge of the hairline and the brow will be lifted and excess skin trimmed. The incision is then closed with very fine sutures and the resulting scar can be well hidden by your hairstyle.

After Your Surgery

You will need to keep your head elevated for several weeks following surgery to keep the swelling down. Icing the area can help prevent excessive swelling and bruising. You will be instructed how to care for your incision lines. Stitches or clips will be removed one week after surgery

You may experience some numbness and tingling in the scalp area around the incision lines, this usually disappears gradually over the next few weeks or months.

Getting Back To Normal

Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days.

Most patients are back to work or school in a week to 10 days. Vigorous physical activity should limited for several weeks, including jogging, bending, heavy housework, sex, or any activity that increases your blood pressure.

Your New Look

Most patients are pleased with the results of a brow lift, no matter which surgical method was used. Often, patients don't realize how much their sagging forehead contributed to the signs of aging until they see how much younger and more rested they appear after the lift.

Montana Center for Facial Plastic Surgery - Dr. Hayes - Facial Cosmetic Surgeon in Missoula, MT

Visit our before & after gallery to view some of our beautiful transformations.



“Dear Dr. Hayes, Thanks to you and your staff for the great care and kindness during all pre- and post-op appointments for my surgery. To you specifically, thanks for another surgery that went very well and I felt I was taken care of by THE BEST!”  
D.G. – Rhinoplasty (nose surgery ) patient