Esta información y sus vínculos no se debe considerar un consejo médico si no ha habido una consulta en persona con historia clínica y examen físico

Forehead and Eyebrow Lift


Forehead and eyebrow lift are procedures involved in the Rhytidectomy.  One of the earliest signs of aging is the drooping or lowering of the eyebrows.  With time, the eyebrows fall, tending to fall laterally.   

The descended eyebrows of the aging face have several effects. They give the appearance of a “busy”, angry, and tired face. Eyes look smaller than they really are, because a relative redundancy of upper eyelid skin is present. 

An endoscopic brow lift, also called a forehead lift, can improve all these problems and give you a younger, more refreshed look.  This procedure may return the eyebrows to their right position, correct the horizontal wrinkles on the forehead and vertical frown lines in the glabella, ( the small area between the two eyebrows and above the nose), and improve the characteristic crow´s feet. As every person is unique, Dr. Espinosa does a previous computer imaging study, to design a specific treatment according to the form and position of your eyebrows, hairline, loosing skin, and position of the wrinkles.  Remodeling, filling and regeneration techniques complete the process.  This procedure is often combined with some operations such as, upper and lower eyelid surgery, chin augmentation, jaw reencountering, and neck skin treatment, to give a more youthful appearance to the upper part of the face.  Surgery will correct drooping of eyebrows, loose skin, and give some improvement to facial lines.

For a brow lift, as a pre-operative action, the surgeon has to keep your hair out of the way. Your hair will either be gathered into sections with small rubber bands or clips, particularly in the areas of the incisions for the endoscopic tubes. No hair is lost. There is no shaving. Thanks to the endoscopic technique, the whole muscular structure is visualized, so the surgeon makes very precise incisions.

Then the muscle is suspended, excess skin is removed and eyebrows are lifted. The incisions are hidden behind your hairline. For male patients, who may have receding hairlines or insufficient hair to hide the scar, a precise resection of skin in forehead is made. Then minimal incisions are hidden over the brows or inside horizontal wrinkles. In addition, thanks to the endoscopic and laser techniques, these small incisions heal invisibly. This procedure may be performed in conjunction with an eyelid surgery or a Rhytidectomy.

Will I feel pain after surgery?

After your procedure you will be resting comfortably in the recovery room. You will be perfectly comfortable and pain free due to the long-acting local anesthesia. As hours pass by, it is possible you feel some temporary discomfort that can be controlled with pain medication. You should arrange for someone to stay with you, at least for the first night, following your discharge from our medical center. Remember that post-operative swelling, discoloration and ecchymosis in the periocular area are very common. This is part of the healing process and should not be considered a complication. Odd sensations of tightness, numbness, swelling and bruising are symptoms that subside within the first few weeks. Dr. Espinosa will be in permanent contact with you to be certain you are comfortable and that all your questions are answered.

Frequently Asked Questions - Forehead and Eyebrow Lift

Is it time for me to have a forehead and eyebrow lift?

The eyebrow lift is a facial surgery procedure typically performed on individuals above 40 years of age. Although, people that have lost a lot of weight, some particular genetic condition, or people that suffer from premature aging consider having an eyebrow lift surgery before 40´s. Dr. Espinosa believes that it is better to have a few small procedures to look great at a younger age, versus waiting until patient is much older to have a much larger surgery. The idea is that a little work done early provides a longer-lasting effect on skin appearance. Also, the patient´s recovery from surgery is better and easier.

How long will the results last?

Forehead and eyebrow lift is one of the facial rejuvenation procedures that brings more satisfying results. It is impossible to calculate the time results will last. Although, you may feel sure that this procedure smoothes the forehead, resulting in a rejuvenated, more relaxed look. In this way, you may feel the aging process slows down. Results from surgery may last 7-10 years. This may vary, depending on health and life style of the patient. Your health care, healthy diet, exercising, moderated sun exposure, and non-smoking habits can extend results in time.

How long does an eyebrow lift take?

Time in surgery room vary, depending on the kind of procedures to perform. This surgery usually takes 2 hours. After surgery the patient is gently awakened and brought into the recovery room where vital signs are carefully monitored and controlled.

What is the recovery time from eyebrow lift?

Most patients are able to go back to normal activity quickly. However, this will depend on the individual patient. You must schedule your surgery, so you have proper time to recovery. It may take 5-8 days to go back to normal life. Remember that odd sensations of tightness, numbness, swelling and bruising are symptoms that subside within the first few weeks. Give yourself enough time to recuperate. Dr. Espinosa will check your bandages 24 hours following surgery. Bandages and sutures will be removed 1-8 day after surgery. Avoid strenuous activity and rest as much as possible

What kind of anesthesia will be used during the surgery?

During your initial consultation, Dr. Espinosa will carefully analyze the type of anesthesia according to your procedure. Most eyebrow lift procedures are performed under general anesthesia or light sleep sedation, where you are lightly asleep and entirely unaware of the surgery. Both types of anesthesia are secure, you do not feel anything during surgery and you wake up quickly and comfortably, feeling no pain and experiencing no anxiousness. You will be carefully monitored by your anesthesiologist during and after surgery.

Dr. Espinosa´s special instructions:

Instructions before surgery:

  • Avoid taking Aspirin (acetyl salicylic acid) or anti-inflammatory medicines.
  • Stop smoking at least one month before your surgery.
  • Inform your surgeon about drug allergies, medical treatments, and current medications.
  • Always have realistic expectations about the results of surgery.

Instructions after surgery:

  • Before you leave the medical center, make sure you have your surgeon’s prescription, medical certification, and date of your first post-operative visit to the office.

  • Your diet has no restrictions.

  • Although patients refer minimal pain, they are discharged with post-operative analgesia. If you have severe pain, inform Dr. Espinosa immediately.

  • Avoid taking Aspirin (acetyl salicylic acid) or anti-inflammatory medicines.

  • Keep head elevated during your recovery. Sleep on your back with your head elevated at least for the first 8 days. It is necessary to sleep strictly on your back so as to prevent swelling on one side or any complication. Sleep on two pillows to keep head elevated or use a wedge-shaped foam pillow. You must sleep face up.

  • You should be able to read or watch television after surgery.

  • Do not wear any facial makeup or eye makeup for the first two weeks.

  • Avoid strenuous activity, including exercise and sex. Do not carry or lift heavy objects for 3 weeks. Light aerobic exercise is allowed just 3 weeks following surgery. Return to normal aerobic exercise after 6 weeks. Although, Dr. Espinosa will observe your recovery and will let you know when you can resume your usual physical activities.

  • Lifting heavy things, animals or children may affect the area of surgery. You must avoid any activity that increases risk of hitting.

  • Excessive exposure to sun in the first 3 weeks after surgery may result in prolonged facial swelling and injury to the skin. Thereafter, you should always protect your skin with a strong sun-screen. Exposure to sun should be limited for the first 2-3 months or skin discoloration may occur. You must be protected under an umbrella or a hat. Try to keep out of the sun as much as possible.

  • You can resume gradually your normal daily activities in about 15 days, as long as, you do not expose to drastic changes in temperature. Avoid prolonged exposure to extremely cold temperatures.

  • It is normal to feel sensations of tightness and itching during the first days of recovery. These symptoms will subside within the first weeks.

  • You may gently shampoo your hair 72 hours after surgery, avoiding any strong rubbing or combing trauma to the incision in the hair and around ear. Do not blow dry at least 5 days after surgery. Postpone any planned permanent or hair coloring for 4 weeks following surgery.

  • Time for removing remaining sutures may vary, depending on the type of procedure and the skin conditions. Your surgeon will decide the right moment to remove your sutures.

  • Your forehead will be slightly numb for several weeks. Sensation will return as healing progresses.

The information provided here is not a substitute for a consultation. Please, do not hesitate to communicate with us if you are concerned about something you consider significant. Your post-operative appointment is really important. Remember, success of surgery depends very much upon post-operative care. It is crucial that you follow your surgeon’s instructions.

Forehead and Eyebrow Lift

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