Pretrichial Brow Lift
A pretrichial brow lift gives patients a refreshed appearance by addressing a sagging brow and excess skin. For this procedure, the incision is made in front of the hairline or just within the hairline.
Pretrichial Brow Lift
- avg. recovery
About the Procedure
The pretirichial brow lift is a surgical procedure used to create a more refreshed, youthful appearance in the upper third of the face by removing excess sagging skin around the forehead and repositioning underlying muscle and tissue. 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. As opposed to similar procedures such as the coronal brow lift or the endoscopic brow lift, the incision for a pretrichial brow lift is made in front of the hairline or just within the hairline instead of concealed within the hair. The pretrichal brow lift ranges from $4000-$7000. The incision in a pretirichial brow lift is made 2mm behind the hairline in the frontal region of the head and extends through the hair into the area by the temples. If this procedure is being coupled with a facelift, then the extension will join the upper extent of the facelift incision. The incision is deepened into the level of the deep temporal fascia, just above the face muscle. Some surgeons may weaken the forehead muscle. Through the incision fatty deposits around the eye may also be trimmed or removed. The placement of the upper eyeline can also be adjusted during this procedure. The entire flap of the forehead is then advanced upwards, and the excess is trimmed to close the incision. The eyebrow position is set with a single staple on each side. Unless there exists excessive bleeding, no drains are used.
The pretrichial brow lift rejuvenates 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.
What to Expect
A pretrichial brow lift smooths and elevates the forehead but does not raise the hairline. However, patients will have a greater likelihood of a visible scar with this method. Here is a quick guide for what to expect before, during, and after a pretrichial brow lift.
- Stop taking blood thinning medications for 2 weeks
- Do not smoke for 4 weeks before and after the surgery
- Do not drink any alcohol for 2 days
- Do not eat or drink anything 6 hours before surgery
- General or local anesthesia with sedation
- Pretrichial incision from ear to ear following the top of the head 2mm behind the hairline
- Excess skin is dissected and muscle adjustments are made
- Suture closure and bandages
Complete recovery from a pretrichial brow lift will take several months however initial wound healing will only take 10-14 days. Many patients will feel comfortable returning to work and normal activity within 2 weeks of surgery however vigorous physical activity should be avoided. The forehead may be taped or loosely wrapped in dressings after surgery and a drain may be present. Your doctor will likely remove these along with any stitches or staples at your first post-op visit.
The ideal candidate for a pretrichial brow lift has furrows or frown lines in the forehead area caused by stress, muscle activity, or inherited conditions such as a low, heavy brow or furrowed lines above the nose. This procedure is most often done on people ages 40 to 60, to reduce the visible signs of aging.
Not Recommended For
A pretrichial brow lift is not recommended for patients who have thin hair density or are actively losing hair. Patients with darker skin may have more noticeable scarring.
Side effects from a pretrichial brow lift may include scarring, swelling, hair loss, bleeding, pain, hyperesthesia, and numbness.