Forehead Lift
The ideal brow position for the average woman is slightly higher than the bony ridge above the eye. For men, it should be at about the level of the bony ridge. The forehead sags as part of the normal aging process, often pushing the eyelid skin downward. As a result some patients develop a prominent skin fold outside the corner of the eyes and bunching of tissue at the base of the nose. Fresno surgeon Dr Peter Truong is Fellowship-trained in Ophthalmic Plastic Surgery and is an unequalled expert in eyelid and forehead surgery.
Endoscopic Forehead lift
The forehead is most often lifted by making a hairline incision and removing excess forehead skin, but the best way to lift the brow is endoscopically. Small incisions are made above the hairline to give access to the forehead (similar to laparoscopic abdominal surgery). The forehead is loosened, shifted up, and tacked down. Nothing is removed. The incisions are small so healing is very quick.
Browlift
There are different types of browlifts where only the brows are elevated and not the entire forehead. The most common one I perform is a midforehead browlift where a one inch incision is made above each brow in an existing forehead crease. The muscle under the brow is tacked up with permanent sutures. This type of incision heals much better than an incision at the upper edge of the brow. Some surgeons lift the brow through an eyelid incision but this type of browlift has resulted in inconsistent lifts in my hands.
Combined with Upper Eyelid Blepharoplasty
Sagging brows often accompany eyelid drooping. I often perform forehead lifts with upper lid blepharoplasty to achieve optimal result. This does not significantly change the recovery process.
Recovery
There may be swelling and/or bruising. About 80% will be gone within 5 to 7 days. Discomfort is minimal and requires pain medications for a few days.
Insurance coverage
In the severest cases, your insurance may pay for a browlift if we can show that the brow sagging is causing visual field loss.
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