Peter Galpin, M.D., FACS

Kahului, HI (96732)

200 Kalepa Pl # 203

(XXX) XXX-XX00 phone

(808) 877-7480 fax

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Browlift: Frequently Asked Questions

These FAQ's are designed to help you with general information about a given procedure. They are not designed to give full detail, or take the place of informational consults with a Plastic Surgeon certified by the American Board of Plastic Surgery.

What Does A Browlift Do?

A browlift is designed to adjust the position of the eyebrows, which have a tendency to droop with age. Secondly to smooth the forehead, and lastly to "take up" some of the excess skin in the eyelids.

How Is A Browlift Done?

This is no longer an easy question to answer. Up until a few years ago, there was only one way to do a browlift, the "Coronal" browlift. In this procedure an incision is made in the hairline above the ear and taken over the top of the head to the other side. Because of this long incision, other techniques were developed. It is more common today to do either an "endoscopic" or a "temporal incision" browlift. It should be noted that all three techniques have their place depending on the goals of the patient.

Endoscopic and temporal incision browlifts both use much smaller incisions than the coronal. With the endoscopic technique you may get 2-4 incisions, whereas, with the temporal incision technique you usually have only two. An endoscopic incision may do a better lift of the central brow and a temporal incision may give more accurate placement of the lateral brow.

Does A Browlift Deal With The Lines Between My Eyebrows?

Yes. These are called "Glabellar Frown Lines," and are caused by the corrugator muscles. The only way to deal with these lines is to effect the underlying muscle action. This may be temporarily affected by "Botox" injections, but a browlift permanently removes that muscle.

I Have Heard Some People End Up With A "Surprised" Look, What Causes That?

This is due to too much elevation of the central brow. The high point of the eyebrow should be lateral (at the junction of the lateral and medial 1/3 of the brow). When the central area is elevated, relative to this point, it gives a surprised look.

I think one of the benefits of a temporal incision browlift is the accurate placement of this lateral brow.

What Are The Risks Of Surgery?

As with all risks, these should be discussed in detail with your surgeon. The main risk to this procedure is injury to the nerve which raises the eyebrow (Frontal branch of the Facial Nerve). This happens in less than 1% of cases. Additionally, there can be prolonged or permanent numbness to areas of the forehead. There can be recurrence of frown lines and differences between the two sides (asymmetries). All of these are unusual.

How Long Does It Take To Recover?

In general, from one of the less invasive techniques, recovery time is around a week. There may be some swelling after a week, but most people feel they can resume most normal activities. Numbness may take several weeks or months to resolve and there should be no aerobic activity for three weeks.

Do I Have To Have A General Anesthesia?

No. Browlifts are most commonly done with local anesthesia and sedation. This means most patients sleep through the procedure, but are not unconscious. If a patient prefers, they can have a general anesthesia, but this is usually not needed.