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Brow Lift in Annapolis, Maryland

As we age, our skin and soft tissues lose elasticity. As a result, the forehead and brow area start to droop.

The sagging accentuates the signs of aging and makes us look tired, sad, or angry. A brow lift raises the eyebrow and forehead area to rejuvenate the area and create a refreshed, youthful appearance. The surgery can be performed as a standalone procedure, but it is often combined with a facelift or eyelid lift (blepharoplasty).

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What is a Brow Lift?

A brow lift, also referred to as a forehead lift or forehead rejuvenation, is a popular surgical procedure used to correct sagging or asymmetrical eyebrows by raising the forehead. The surgery is also effective for smoothing forehead lines and wrinkles, depending on the type of brow lift.

There are many different techniques for brow lifts. While results are long-lasting, they are not permanent. Your skin continues to lose elasticity as you age. Some techniques are more invasive than others, and the right choice will depend on your specific needs. The procedure is helpful for those with deep forehead lines, as well as for people with low-set brows.

Brow Lift FAQs

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  • What are the different types of brow lifts?

    Surgical brow lifts tighten the skin, reduce wrinkles, and make your eyes look larger to help you look younger. There are different types of brow lifts to consider, and the best choice will depend on the type of results that you want, as well as your hairline.

    Coronal Brow Lift

    A coronal brow lift is the longest-standing technique, and it is still used by plastic surgeons. The procedure involves a single incision that made from ear to ear along the hairline along the top of your forehead. Coronal brow lift is a good option if you have a smaller forehead. There is a risk of nerve damage with this technique that may cause facial numbness. This risk is why plastic surgeons prefer endoscopic lifts over coronal brow lifts. The technique, though, is more effective for correcting asymmetrical eyebrows, adjusting the length of the forehead, and for correcting deep frown lines.

    Endoscopic Brow Lift

    An endoscopic brow lift is the procedure that is favored by most surgeons. It is less invasive and requires only a series of small incisions. The surgeon makes four to five incisions behind the hairline. A small endoscope with a camera allows the surgeon to evaluate the forehead tissue and determine the best location for another incision. This subsequent incision is used to gently pull the skin taut and lift the forehead area. The endoscopic brow lift technique allows the surgeon to avoid the nerves that are close to the eyebrow area. Incisions are minimal, so patients experience less discomfort and have shorter recoveries. The technique also reduces the risk of numbness after the procedure.

    An endoscopic brow lift can’t be used for treating horizontal wrinkles or asymmetrical eyebrows. It is not a good option if you have skin laxity.

    Temporal Brow Lift

    Also referred to as a lateral brow lift or limited incision lift, a temporal brow lift is a technique that only targets the outer third of the eyebrows (not the full brow area). This is the area where drooping tends to be most significant as we age. The procedure is often combined with an upper eyelid lift. The same incisions may be used to lift the area between the brows to smooth out frown lines. The incisions are slightly larger than with an endoscopic lift, and they are placed immediately behind the hairline. This is a low-risk procedure with a shorter recovery time, but the results aren’t as dramatic as other techniques.

    Trans-Blepharoplasty Brow Lift

    A trans-blepharoplasty brow lift is similar to a temporal brow lift. The brow is lifted through a blepharoplasty eyelid incision. This is considered a minimally-invasive technique, and it typically requires a shorter recovery time.

    Trichophytic Brow Lift

    A trichophytic brow lift is a popular option for patients who have higher hairlines. It involves removing part of the skin in the forehead area to lift the eyebrows. The incision is made behind the hairline to camouflage the scar.

    Browpexy

    Browpexy is a relatively new technique. It is used to raise the brow slightly, and it is usually performed in conjunction with an eyelid lift. There are two types of browpexy.

    • Internal browpexy: Small incisions are made in the upper eyelid. Excess tissue and muscle is removed from the brow bone to lift the area.
    • External browpexy: The incision is made over the eyebrow and excess tissue and muscle is removed.

    As part of browpexy, the brow tissue is secured in place with sutures. Scarring is minimal, and a browpexy offers a significantly more affordable alternative to other brow lift techniques.

  • What can I expect from the surgery?

    Your surgeon recommends the best brow lift technique based on your facial structure and your aesthetic goals. Factors that are considered include any asymmetry in the brow area, depth of horizontal lines, forehead height, and your hair color and type.

    All brow lift techniques involve incisions and lifting the skin, although the size and location of the incisions vary. Therefore, you are sedated for the duration of the surgery. Most brow lift techniques take under two hours. You go home the same day after a short time in recovery, but you will need someone to drive you home.

  • What is the recovery period like?

    After brow lift surgery, you will need to take approximately two weeks off from work to recover. The pain associated with a brow lift is typically minimal. Your surgeon may recommend non-prescription pain medication or prescribe a pain medication.

    Expect to have some swelling and bruising. Your surgeon may recommend using cold compresses to manage the swelling. You may have bandages over the area that your surgeon may remove after one to two days. The sutures may be dissolvable, or you may need to return to the surgeon’s office to have them removed approximately seven to ten days after the surgery.

    While you are healing, keep your head elevated. Avoid moving around too much for the first week. Avoid exercise for the first month.

    Recovery from a brow lift takes approximately two to three weeks. As the incisions heal, you will see scars start to develop. Initially, the scars will be slightly pink. Over the next 12 months, the scars will change to closely match the natural color of your skin. Once the area is completely healed, the scars are slightly darker than the surrounding skin, yet barely noticeable due to the location.

    You will see the initial results of your brow lift immediately after the surgery. The skin will be slightly tight due to swelling, so the results may look a bit too dramatic. After a few weeks, the tissues relax and swelling subsides. This is when you can start to see the final results of the surgery.

    If you have had a coronal lift, you may experience some numbness on your scalp for a few months.

  • How long does a forehead lift last?

    An endoscopic browlift lasts approximately five years or less. The results of an endo-temporal lift may last five to seven years. Coronal brow lift surgery offers the longest-lasting results of more than ten years. Your skin continues to age, even after a brow lift. You may need a secondary brow lift to maintain the results. Your surgeon explains how you can maximize the longevity of the procedure.

  • Are there any risks?

    The risks involved with a forehead lift are considered low. There may be some visible scarring, temporary or permanent numbness, brow asymmetry, and hair loss at the incision site. Brow asymmetry typically resolves during the initial healing period. Other potential side effects include hematoma, nausea and vomiting from the anesthesia, and higher risk of infection or nerve damage.

  • What is the best age for a brow lift?

    Most people opt for a brow lift between the age of 40 and 65. The procedure is also performed on younger patients who have heavy brows or pronounced furrowing between the brows.

  • What is the cost of a brow lift?

    In MD the average cost of a forehead lift is approximately $4,000. The total cost depends on the cosmetic surgeon you choose, the technique, fees for the anesthesia and medical facilities, and other factors. Brow lifts are elective cosmetic procedures; therefore, the cost is not covered by health insurance. Because of this, many people consider the cost of the surgery as a high priority when choosing a plastic surgeon. While finding an affordable option is important, balance quality of care and results with the cost.

  • Are there alternatives to a brow lift?

    Brow lifts are performed in conjunction with an upper eyelid lift and/or a facelift to maximize the anti-aging benefits of the surgery. You may save money by having these procedures in the same surgical appointment, but the downtime and recovery will be longer.

    Botox® is an alternative to a brow lift. The injections work by temporarily relaxing the muscles that cause lines in the forehead and eye area. The results are more subtle than a brow lift and last only four to six months. Your plastic surgeon may determine that your lines and wrinkles are too severe for Botox® injections and recommend a brow lift to correct a sagging brow and forehead area.

Patient Testimonials

Read real reviews from the Anzolo community

5.0
Nov 22, 2024

For a long time, I have avoided asking my mirror... “mirror, mirror who is prettier than I?”. I was afraid of the answer. I absolutely had no self-confidence that my mirror was going to be able to identify any beauty on me. By age 46 I had the privilege to become a mother. Motherhood was a such blessing for my soul and a huge sacrifice for my body. My high risk pregnancy and a C-session made my belly look ugly and VERY undesirable. My face was full of wrinkles and looked 10 years older!

My stomach after pregnancy never looked flat and even after 2 years post pregnancy my belly had a similar size to what it was while I was pregnant. It affected my self esteem and made me depressed.

After 2 years of much struggle I had an appointment with DR James Edward Chapell. Then, he explained to me that I had Diastasis Recti which is the muscle separation of my abs. For this reason it had a hard time coming back together, it caused me a pooch in my stomach and it looked similar to a hernia. I absolutely hated my body! After Dr Chappell’s diagnosis I felt motivated to do the tummy tuck surgery and I also decided to see Dr Bryan Ambro to explore the possibility to have facelift surgery. I just felt confident and willing for the first time to treat myself as priority.

Now, one year later I see myself writing this evaluation because I want the world to know how happy I am with my decision. There is no regret. Dr Chapell and Dr Ambro have changed my life and they gave me back my self confidence and self esteem!

I am no longer afraid to have a conversation with my mirror! And, the best of it my mirror would never lie! I am 51 years old. Honestly, I look much younger now. I can confidently say that I am an attractive lady. And, I could not achieve this results without this great clinical team.

I want to motivate ALL ladies reading my testimony to invest in themselves. It was the best decision I had done in my whole life! Words can’t describe my gratitude to this great team: Dr Chapell, Dr. Ambro, Kim (permanent make-up specialist). All the staff at Annapolis Plastic Surgery are absolutely wonderful people there are amazing professionals. You will feel cared for all the way. When you make the choice to have them as your caring professional team, there is no way you can be disappointed. They have changed my life and gave back to my face a confident smile. I have been blessed and I wish you would also experience my blessings!

Worship Songs Johnson on Bryan Ambro, MD via Google Reviews

5.0
Nov 22, 2024

Talk about getting a load off my chest, it is now gone thanks to Dr. Chappell and his wonderful team. Being 4' 10" with a DDD to E cup as well the bras I needed to support my large breasts exasperated my back, shoulder and reflux issues. I was desperate for relief, and after consulting with 4 different plastic surgeons, I made a well informed and researched decision to go with Dr. Chappell. He understood from the start, that this was not about cosmetic appearances but about pain relief which I am already enjoying but he also gave me the most lovely, perky size B/C breasts I could of ever had hoped for. Because I am only 8 days out of surgery, there is still some expected swelling so we won't know the final results for probably 2 more weeks to a month but they feel and look just fine to me now. The pressure on my shoulders from the bra straps is gone even though I've been in a bra 24/7 since surgery. I went into surgery with horrible back pain which raised my blood pressure ,which lnturn, gave me a terrible headache all because I had to go off my prescription anti-inflammatory back meds a week before surgery. When I arrived for surgery, I was in such sorry shape that the concerned receptionist, wonderful pre-op/post-op nurse and vigilant anesthesiologist asked me if I wanted to reschedule. All I could think of was put that IV in me and put me out of my misery... and it worked. When I woke up, I was pain free and felt wonderful. I can honestly say I have not experienced anything close to pain since the surgery anywhere in my body, including of course my chest. At no time during the past week did I even come close to needing pain meds. Be advised I do have a high pain threshhold. I received a call from Dr. Chappell later that afternoon to ask how I was doing and if I had any questions. During the first 4 days after surgery, when a question would arise, I would call the office and speak to one of the warm and caring front desk staff who would quickly check with the doctor and come back with a clear and concise response. I called numerous times with questions/concerns and did a number of pop-ins leading up to the surgery
but no one in that office ever made me feel like I was a bother. Communication is so important and Dr. Chappell and his team get an A+ for this, interpersonal skills, professionalsim but above all, surgical knowledge, experience and expertise. I've got the breasts to prove it.

Marla Weisenberg on Bryan Ambro, MD via Google Reviews