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Browlift

A browlift re-positions and recontours the eyebrows so that they youthfully frame the eyes.

A browlift is a term given for many different operations that improve the appearance of your forehead, eyebrows and eyes by smoothing wrinkles, repositioning and reshaping the eyebrows and lifting heavy lids at the outer corner of the eyes. People seeking a browlift often feel they have-

  • Deep frown lines around their forehead and brows
  • Heavy upper eyelids
  • Heavy eyebrows
  • Appear tired
  • Appear older than they feel.

What to expect at your first consultation

The consultation will address your concerns about the appearance of your forehead and eyes and your goals for treatment. The consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns.

Your surgeon will help you identify the parts of your face and eyes that you like and don’t like in order to determine what operation best suits you. Your skin, facial muscles and bone structure will be analysed. Clinical photographs will be taken, and analysed with you.

A browlift is an operation of moderate duration and risk and so requires a thorough medical workup beforehand. It is important to determine if you have any medical conditions that could interfere with safe facial surgery.

If a browlift is appropriate the benefits and risks of surgery will be discussed in detail. You should consider forehead surgery carefully, and you will have the opportunity to see your surgeon in another consultation should new questions arise after your first visit.

Combination procedures

Browlift surgery is often complemented by blepharoplasty, facelift, fat grafting and injectables. A consultation with our skin care specialist regarding your skin care regimen and non-surgical rejuvenation is recommended. It can help to deal with the superficial signs of skin ageing such as dryness, pigmentation, fine lines and rosacea.

What the procedure involves

Browlift surgery is performed under a general anaesthetic and requires admission to hospital. Local anaesthetic is also used during the surgery to minimise bruising and assist in your post-operative pain control.

There are different types of browlift and all involve much more than tightening the skin. This gives the most natural and harmonious appearance to the forehead and eyebrows, rather than a tight, quizzical appearance.

There is currently a vogue to offer simple thread inlay lifts. These can be useful, but in general the duration of effect following a browlift is proportional to the extent of the original surgery.

There are three different types of browlift that are offered according to the shape of your forehead and eyebrows.

  1. A temporal browlift improves the contour of the outer part of the eyebrows and the heaviness at the outer corner of the eyes. It is often combined with a facelift and eyelid reduction procedure.
  2. For patients requiring more significant restructuring of the eyebrows and ablation of their frown lines, a coronoal browlift is performed. This involves a larger incision that passes like a headband, from one ear to the other but is hidden within your hair
  3. For patients with high or tall foreheads, the incision is placed in front of the hairline (pretrichial) so that the forehead is not further lengthened by the operation.

Our doctors are experienced in all three variations of the browlift operation and will recommend which procedure you would benefit from the most.

The skin and the frontalis muscle are elevated away from the forehead bones in order to identify the important nerves and blood vessels around the brow bone. The muscles are then relaxed in order to improve the appearance of frown lines. The muscles are then secured using strong stitches that pass to the skull bone or the tough layer over the skull bone to re-suspend drooping muscle and skin.

After the surgery

Staying in hospital for a night can make you more comfortable. Most patients are able to leave hospital within one day of surgery. Following surgery your skin will be bruised, swollen and numb. Your skin can feel tight and you may look “overdone” initially. These feelings will improve with time. It is recommended that you rest at home for at least one week after the surgery to prevent bleeding and bruising caused by movement, and to allow your wounds to settle. Patients in office occupations can return to work after this.

The fine stitches will be removed one week after surgery, leaving thin, pink scars. With time, these scars become paler.

Who should perform browlift surgery

A browlift is real surgery, and even in the most straightforward cases should be performed with sophisticated surgical technique for the safest and best results. It carries real risks, and as such should be considered carefully.

We recommend that the procedure is only ever performed in an accredited hospital. We also recommend that you carefully consider your choice of surgeon. Unfortunately doctors without surgical qualifications beyond their medical degree are allowed to perform surgery. Your surgeon should be appropriately qualified with at least a Fellowship of the Royal Australasian College of Surgeons (FRACS). FRACS is the standard qualification required in Australia to perform surgery in private and public hospitals. Members of the Australian Society of Plastic Surgeons have a FRACS and specialised training in Plastic and Reconstructive Surgery, including browlift and facial rejuvenation surgery.

Our surgeons, Dr Amira Sanki and Dr Ilias Kotronakis are fully qualified Plastic Surgeons and have both received Honours degree in their Sydney medical schools. They both have FRACS qualifications as Specialist Surgeons in Plastic and Reconstructive Surgery, and are members of the Australian Society of Plastic Surgeons. They both have extensive experience and training in browlifts, including the most advanced and up to date techniques. They are committed to giving their patients the safest and best treatment available.

Where to get more information

A consultation with a qualified Plastic Surgeon is the best place to get more advice. More information and a video presentation on face and browlift are available online at the Australian Society of Plastic Surgeons website.