Direct Brow Lift

The direct brow lift is a type of forehead rejuvenation surgery that is most commonly used for candidates requiring deeper, functional corrections. A direct brow lift creates incisions directly above the eyebrows for precise lifting, improving the appearance of a heavy brow that weighs down the eyelids.

at-a-glance

Direct Brow Lift

avg. recovery
10 days
permanence
Is permanent
application
Not Applicable
surgical
Yes
cost
$4000 - $7000

About the Procedure

The direct brow lift is a surgical procedure used to create a more refreshed, youthful appearance in the upper third of the face. Removing excess sagging skin around the forehead and repositioning underlying muscle and tissue creates the effect. This leads to a sizable correction of a heavy or sagging brow and restores a more youthful contour to the upper third of the face. Like the traditional midbrow lift, the incisions are made directly on the forehead for precise manipulation of muscle and skin. The price for a direct brow lift ranges from $4000-$7000 The procedure begins with marking the face as to where the incisions will be made and numbing the area with lidocaine anesthetic. This is followed by a 3-5 minute facial massage to help distribute the numbing solution. The skin is then cut, preferable in a crease right above the brow for better scar concealment. This allows for selective skin excision in the area. Dissection with scissors is then carried down until the fibers of the frontalis, or forehead, muscle are found. The regions under the superficial marks made on the skin are then excised. To prevent scarring, layer-by-layer reconstruction of the wound is advised. For the deeper layers, sutures are incorporated to bring the skin edges together without any gapping and to close the skin.

Brow lifts, through various techniques, rejuvenate the face above the eyes by removing excess sagging skin, and repositioning underlying muscles and tissues. Brow lifts can "lift" sagging brows, eliminate deep furrows and smooth the forehead area skin.

Recovery Notes

The average recovery time from a direct brow lift is about 2 weeks until the patient feels comfortable returning to normal activity, however, it may take several months for complete wound healing. Sutures are typically removed after 5-7 days and anti-tension strips will be worn for an additional week. In order to reduce swelling, keep head in an elevated position and refrain from strenuous physical activity.

Ideal Candidate

The ideal candidate for a direct brow lift is an elderly candidate with deep furrows over the brow, requires functional elevation of the brow, or has unilateral brow ptosis.

Not Recommended For

A direct brow lift is not recommended for candidates who are also looking to address concerns with either the forehead, glabella, or temples.

Side Effects

Side effects from a direct brow lift may include scarring, numbness, and altered sensation of the forehead.

Pros
  • precise brow elevation
  • lower risk of side effects
Cons
  • scarring
  • brow may descend with time
  • can distort existing forehead furrows

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