(949) 346-1279
4501 Birch Street, Suite B
Newport Beach, CA 92660

Browlift Orange County Brow Lift

BROWLIFT INTRODUCTION

Brows sag with time. Expression lines or other signs of aging in the forehead and brow region also occur and detract from a youthful appearance. A brow lift can rejuvenate the appearance of the brows and forehead. This information has been assembled to familiarize you with the facts regarding brow or forehead lift surgery. You are requested to read the following information thoroughly and to discuss any questions, which might arise with your surgeon before you proceed with the surgical procedure known as a brow lift. You are also requested to keep this information as a reference during your post-operative period. Orange County Brow LiftEspecially these days, many people feel physically and mentally vigorous and energetic long after their appearance has begun to deteriorate due to aging.

A brow lift procedure has been designed to provide you with rejuvenated brow and forehead regions. The degree of improvement achieved depends on the severity of the initial deformity and the elasticity of the patient's tissues. 

As aging progresses, skin wrinkling and loss of tone can occur in the forehead area causing sagging of the brows and resulting in a tired or sad look. This can aggravate the appearance of excess skin in the upper eyelids. Deep frown lines between the brows and transverse forehead wrinkles can also form, further compromising the appearance of the forehead region. The forehead or brow lift procedure is designed to improve these deformities, which are caused by age and heredity. 

A brow lift may be beneficial whenever you have excessive sagging of the brows or forehead/inter brow wrinkling. In a younger patient without wrinkling, the degree of improvement will be subtle, but frequently the result is extremely satisfying to the patient. 

In spite of the minimal incisions, this is considered to be an operative procedure. Contrary to popular belief and despite newspaper and magazine stories, this is not as simple as having your hair set or having a facial. Also, contrary to many of the non-medical reports, it is not possible to remove all the wrinkles from the forehead or between the brows, regardless of the treatment applied.

Regardless of how tightly the forehead skin is pulled, aging continues and drooping of the brows begins to occur immediately after the operation. No one’s brows are perfectly symmetrical before surgery. Sometimes one brow will droop more than the other, and if this occurs to a degree that is bothersome to the patient, the only solution may be to elevate the brows a second time. It is usual to see some recurrence of brow drooping within three months of the operation. You can, however, look forward to some degree of improvement permanently. Some patients may choose to have another brow lift in future years to maintain a more youthful appearance. Your surgeon always lifts your brows as much as it is safe to do but cannot control how quickly any individual will sag. Regardless of how quickly or asymmetrically you sag, each patient will be responsible for the cost of a subsequent procedure should the patient wish to repeat the operation. 

To maximize the degree of rejuvenation, many patients will choose to undergo a facelift, eyelid procedure or laser skin resurfacing at the same operative setting.

 You must realize that your surgeon will elevate the brows and sculpt the muscles in a manner to provide a natural result for your particular facial contour. The forehead lift procedure is directed toward improvement and does not remove each and every wrinkle on the forehead or between the brows. The type of skin, the age and the aging rate of each patient are factors that help determine your final result. 

A common question regarding a forehead lift is "How long will it last?" This is impossible to state for a given individual, as there are many factors involved: The age of the patient, the patient's type of skin, healing ability, changes in weight, smoking history and general health of the patient. Skin aging continues after any operation. All brows will sag again with time - this surgical procedure merely turns back the aging process; it cannot stop the "hands of time". 

Regardless of how tightly the forehead skin is pulled, aging continues and drooping of the brows begins to occur immediately after the operation. No one’s brows are perfectly symmetrical before surgery. Sometimes one brow will droop more than the other, and if this occurs to a degree that is bothersome to the patient, the only solution may be to elevate the brows a second time. It is usual to see some recurrence of brow drooping within three months of the operation. You can, however, look forward to some degree of improvement permanently. Some patients may choose to have another brow lift in future years to maintain a more youthful appearance. Your surgeon always lifts your brows as much as it is safe to do but cannot control how quickly any individual will sag. Regardless of how quickly or asymmetrically you sag, each patient will be responsible for the cost of a subsequent procedure should the patient wish to repeat the operation. 

To maximize the degree of rejuvenation, many patients will choose to undergo a facelift, eyelid procedure or laser skin resurfacing at the same operative setting.

Before&After

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After
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Brow Lift Patient 1001

47 year old female before and after a brow lift, midface lift, perioral peel and a chin implant

Before
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After
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Brow Lift Patient 1002

58 year old female before and after a brow lift, facelift, upper and lower blepharoplasty and chin augmentation

BROWLIFT PREOPERATION PREPARATION

You may visit your surgeon as many times as you wish to have all of your questions answered. At your final preoperative visit, which will take at least an hour, photographs will be taken, your final questions will be answered and you will confirm that you have understand the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for pain pills and antibiotics along with instructions for their use. Certain laboratory tests will also be required two weeks prior to surgery. If you are over the age of 50 or have had cardiac problems, you will have to obtain a cardiogram and we do not do those at our office.

You may have blood drawn by our office nurse during your final preoperative visit, or, if you prefer, at your family doctor's office or any state licensed laboratory (e.g. Kaiser Hospital, etc.) when you are getting your cardiogram. All patients will be asked to stop smoking at least a month prior to surgery in an effort to maximize your body's ability to heal the incisions following the operation. 

All patients anticipating an elective surgical procedure are to stop taking any medication containing anti-inflammatory agents (such as ibuprofen (Advil®), all Aspirin® products, etc) as they interfere with the body’s clotting mechanism and can result in dangerous blood loss and excessive bruising. 

Patients should shampoo their hair the evening prior or on the morning of the day of surgery and cleanse the face with an MD Performance® cleanser. Absolutely nothing may be taken by mouth after midnight prior to the day of surgery (except medications prescribed by your doctors, but please mention these to the anesthesiologist in advance). 

Occasionally, your anesthesiologist will call you the night before surgery to discuss the anesthetic care plan with you. But if you miss the call or your anesthesiologist does not call you, do not worry as you will be able to discuss your anesthesia and have all your questions answered in the morning, 

At the Surgery Center prior to your procedure (Orange County Surgery Center in Newport Beach, Southern California or Tracy Surgery Center in Northern California). It is absolutely imperative that you make arrangements in advance to have someone drive you to and from the Surgery Center on the day of your operation and that a responsible adult spend the first 24 hours with you at home after surgery. Any responsible adult may take care of you on this first night, but if you are combining your brow lift with a face lift, we will help you arrange for a registered nurse to assist you on the first night. 

Please wear loose fitting clothing, which will be easy to get off and on after the operation - nothing that pulls over your head. When you arrive for your operation, please give the receptionist the name and phone number of the person who will take you home and spend the first night with you. Wear no makeup to the office the day of surgery. 

The brow lift is a cosmetic surgical procedure that is designed to replace the brow into a slightly more-elevated position and to soften the wrinkles of the forehead or between the brows by resculpting excess forehead and inter brow muscles. 

Two basic surgical approaches can be used. Your surgeon will help you decide which method is most appropriate for you. Most patients opt for an endoscopic approach, which utilizes the latest technology and tiny incisions placed behind the hairline. This approach has the advantage of precise muscle sculpting while avoiding the long traditional scar. Due to the smaller incisions, this option is particularly suited to patients with receding or thinning hairlines. Because the operation is carried out through shorter incisions, the swelling is minimized and the recovery period may be lessened. The brow elevation is maintained by absorbable devices called Endotines®, which are designed to hold your brows in the desired position until the flesh again adheres to the underlying bone. The traditional technique requires a long incision behind or at the hairline, extending from ear to ear. In all but exceptional cases, the endoscopic techniques have replaced this time-honored approach. 

Occasionally, the patient and surgeon may decide that in order to obtain the desired optimal result, additional ancillary procedures such as eyelid surgery, a facelift, laser resurfacing, or a chin implant may be required. These additional procedures will be discussed separately as they are not an actual part of the forehead lift operation. If desired, fees for these additional procedures will also be reviewed by the office staff. The brow lift procedure requires approximately an hour and a half. It will usually be performed under a deep sedative or a light general anesthetic. An anesthesiologist will be present at all times to administer your medications and to assist in monitoring all patients to ensure their safety.

BROWLIFT POST-OPERATIVE CARE

The key to minimizing bruising and expediting healing is to keep your head elevated and ice packs applied to the eye regions for the first 48 hours. The staff will instruct you in use of the ice packs. All patients will have some swelling of the forehead and some discoloration, particularly around the eyes and down the cheeks. The eyelids may swell shut for a few days. Any crusting that develops along the lash lines should be cleansed with Q-tips and peroxide. The discoloration will be most noticeable on the second and third days, and diminishes anywhere from one to six weeks after surgery. This, again, depends upon the type of skin, age, and healing ability of the patient. Most patients, with perhaps light makeup, can resume everyday tasks one or two weeks after surgery.

You may shower by the second day. It will not harm you to touch or wet the incisions and staples that you will be able to feel behind the hairline, but care must be taken not to rub the scalp and incisions vigorously; for the first month, hair should be washed by stroking the forehead and scalp in a backwards direction only, to avoid dislodging the scalp tissue from the underlying Endotines®. All lifting, straining and other vigorous activity is to be avoided until bruises have faded. The best rule of thumb is to avoid any activities that cause you discomfort and to enjoy those that do not.

Most patients are pleasantly surprised to discover the relatively mild degree of post-operative discomfort. The patient is requested to call the office if the discomfort is not readily quelled by the pain pills, or if significant bleeding appears around the incisions. The scalp staples will be removed seven to ten days post-operatively.

Before&After

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After
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Brow Lift Patient 1003

60 year old female before and after a brow lift, midface lift and lower eyelid blepharoplasty

Before
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After
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Brow Lift Patient 1005

49 year old female before and after a brow lift, midface lift, upper and lower blepharoplasty and a rhinoplasty

BROWLIFT POSSIBLE COMPLICATIONS AND SCARS

Every activity in life, whether driving automobiles or having surgery, is associated with risk. The following inherent risks must be understood and assumed by the patient if we are to proceed with this surgery. Although complications and bad results are extremely uncommon from this type of operation, they do sometimes occur. Your doctor cannot guarantee a favorable result from the operation you are considering, but every effort will be made to provide you with the best result possible. Some of the possible complications from this operation include: the possibility of permanently noticeable scarring and hair loss, infection, bleeding, unequal discoloration and swelling of the forehead, abnormal contour, nerve damage causing temporary or permanent loss of feeling in the forehead

and weakness of portions or all of the forehead, permanent changes in sensation, such as chronic itchiness, personality changes and mental difficulties following the operation which might occur even when the operation has been a success, and allergic or other bad reactions to one or more of the medications used during or after the operation. Some of the complications of this operation can cause the need for further touch-up surgery. Some of the complications can cause prolonged healing, hair loss, unsightly and painful scars, and permanent deformity and inconvenience. It must be stressed that it is common for the brows to be asymmetrical before surgery and for one brow to sag more than the other and for asymmetry to be present after surgery. 

Complications after aesthetic surgery, without question, are seen much more frequently in smokers, and you are urged not to smoke the month prior to surgery and for three weeks after the operation to minimize the likelihood of such complications. There are also other very rare potential complications from this operation in addition to the ones that have been mentioned, but it is not possible to advise you of every conceivable complication. Complications after any type of cosmetic surgery are relatively rare and most patients end up with a very satisfactory result. The purpose of this information is not to frighten you, but to insure that your decision to have this operation is not made in ignorance of the potential risks of cosmetic operations on the brow/forehead.

Scars

The surgical scars are permanent; however, the incisions are placed so that they are barely discernable on normal visual observation, barring complications, which rarely may include thick and/or painful scars. If this problem occurs, treatment by excision may be indicated, but it may impossible to improve an unsightly scar.

SOCIAL ACTIVITY AND MAKEUP

All social activity should be limited while you have visible bruises. Strenuous exercise should be avoided until you feel comfortable doing so and until all visible bruising subsides. Cosmetics may be applied over the skin of the forehead, eyes and cheeks immediately after the operation. The office aesthetician will not only be able to assist you with makeup application to hide bruising, but also to give you guidance regarding skin care after you have healed.

SHAMPOO AND HAIR COLORING, SHOWERS AND BATHS

Coiffure procedures may usually be carried out two weeks after the procedure, unless instructed otherwise by your surgeon. As mentioned earlier, hair should be washed by stroking the forehead and scalp in a backwards direction only, to avoid dislodging the scalp tissue from the underlying Endotines®, for the first month. Care must be employed when drying the hair during the first few months while you will not have normal scalp sensation; the low heat setting should be used on the hair dryer during this time to avoid inadvertent damage to the scalp or hair. The head must be kept dry initially. By the second day, the patient will be encouraged to begin showering and shampooing normally, but care must be taken to only stoke the hair in a backwards direction and not to rub the screws or incisions too vigorously.

FEES

Fees will be discussed freely in advance by the office staff. Naturally, additional fees will be required if the patient desires ancillary procedures such as face, eyelid, chin or nasal surgery at the same time. In compliance with suggestions adopted by the American Society of Plastic Surgeons®, it is customary for the patient to pay all fees for cosmetic surgery prior to the desired operation. This insures that the patient is sincere in her motivation and can afford the surgery, thus creating a better patient/physician relationship. A non-refundable deposit will be required to secure your desired surgery date. The remainder of the fees must be paid prior to the surgery, usually by the time of the preoperative visit, but no later than two weeks before surgery.

Additional fees are also required for laboratory tests, surgical facility fees, and the anesthesiologist. If additional surgical procedures become necessary, additional facility, laboratory, anesthesia, and professional fees will be incurred. The surgical facility and anesthesiologist fees quoted will be based on our best faith estimate; the final fee may vary as these fees are based on surgical time, and it is not always possible to predict exactly how long a procedure will take to complete.

It is important that you understand that the patient is responsible for all costs associated with all secondary surgical procedures or for the treatment of any complications that may arise as a result of this elective surgery.

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Individual results may vary

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