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Browlift Surgery

Browlift Surgery

Browlift surgery is a form of cosmetic used to raise the eyebrows to a higher and more aesthetic position. It is also used to improve the droopy flaps of skin on the sides of your eyes and to soften the horizontal wrinkles and scowl lines on the forehead.

The browlift surgery does result in scars, mostly seen on top of the head or in front of the hairline.

Browlift surgery can be done in numerous ways, three of which are most common. If your surgeon suggests a procedure different from these, you might want to consider changing your surgeon.

The most common procedures are CORONAL LIFT, ENDOSCOPIC LIFT AND SUBCUTANEOUS LIFT.

THE CORONAL LIFT:

In this type of a lift, the surgeon makes an incision across the top of the head from ear to ear, which enables him to alter the muscles that cause horizontal wrinkles and scowl lines. In the process that follows, 1 to 2 centimeters of your scalp is removed and the rest is sewn up together. Though this sounds barbaric, it happens to be the oldest and most reliable technique in browlift.

DISADVANTAGES:

  • Numbness on the top of your head lasts for at least six months, after which the sensation returns.
  • It raises your hairline. So, in case yours is a long forehead and you do not leave your hair open, the occurrence of a surgery will be evident.

ADVANTAGES:

  • The surgery is long lasting. It will not have to be repeated with ageing, except for a few exceptions.
  • The scars are normally concealed behind the hairline, effectively hiding all evidence of a surgery. Balding men are normally advised not to use this technique.

ENDOSCOPIC LIFT:

In this type of browlift, the plastic surgeon makes four to six short one-inch incisions behind the hairline. Through this incision, the surgeon inserts an endoscope with a camera at the end, thus enabling his/her to see the layers of skin underneath without making a long incision. Through this process, most of what is achieved through coronal lift can be achieved, but with a few exceptions:

  • The surgeon can only weaken the scowl causing muscle and not directly alter the muscles that cause the horizontal wrinkles.
  • Another difference lies in the way the forehead is lifted. Unlike coronal lift, here the surgeon does not cut skin from the forehead but simply shifts it upward and backward on your skull. Therefore, the chance of a relapse is more likely.
  • Since endoscopic lifts have been performed only since 1995, the longevity of its results is yet to be known.
  • Though endoscopic lifts raise your hairline, they do not cause temporary numbness of the forehead.

SUBCUTANEOUS LIFTS:

These are the least preferred and most rarely performed of all brow lift surgeries. In this type, the surgeon makes an incision in front of the hairline. All the alterations made in a coronal lift are possible through this surgery. Since the incision is made in front of your hairline, the hairline will not move higher. The surgery also leaves a very visible scar.

Since the surgery anyway achieves what a coronal lift does, the latter not leaving a scar, the former has become quite redundant.

Before going in for the surgery and after its completion, do not forget to ask your surgeon the following questions:

  • Will there be permanent loss of hair?
  • Will there be forehead numbness?
  • Will I have a high hairline?
  • Do make sure that I do not end up with a surprised look.
  • Is there a chance of a relapse? How early or late?
  • Will my brows be asymmetrical?
  • Are there chances of forehead paralyses?

The final result of your surgery is normally seen in 2-4 weeks, while exercise can be resumed in two weeks, make-up may be worn in 3-5 days, bandages will be removed within three days and stitches within ten days.

- Vishwadha Chander

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