Question:
My eyebrows look very uneven. I’d like to get a brow lift to correct some aging signs but will it also correct the unevenness?

Answer:
A brow lift can definitely be used to improve the symmetry of brows that are currently asymmetric and I certainly take that into account during the procedure so that we create a very nice aesthetic improvement not only in the brow shape but in also in their symmetry.

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Question:
I’d like to have my brow lift performed with local anesthesia. Can this be combined with sedation?

Answer:
Though I personally perform my brow lifts using an endoscopic technique and in the past have always had patients undergo general anesthesia, there is certainly no reason that a brow lift cannot be performed using local anesthetic especially with IV sedation.  There are other forms of brow lifts such as a mid-forehead lift or a trans-blepharoplasty brow lift that can easily be performed either using strictly local anesthetic or local anesthetic with some IV sedation.

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Question:
If I pull up on the top of my forehead, it makes my eyebrows too arched so I look surprised. How do you avoid this when performing a brow lift?

Answer:
I would have to evaluate your particular anatomy to determine exactly why you are looking surprised when your eyebrows are pulled, but you may be just pulling the central portion of it creating more of an arch that gives you a surprised look. Yet, during a brow lift, the most important portion of that procedure is the actual release of the attachments of the brow to the bone around the eye.  Once the brow is released the entire brow will come up as a unit or if we desire we can change the shape of the brow slightly by elevating the outer portion or the inner portion independent of the other.  This would be performed in patients who have eyebrows that are tilted slightly and in these patients we can significantly improve the overall appearance by simply changing the shape of the brow as opposed to strictly elevating the brow.  Again, this is highly customized for each individual and, in fact, many individuals have asymmetric brows where one brow is lower than the other and we will take that into account as well during the procedure to try to make more symmetry in the upper third of their face.

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Question:
Does the brow lift have any significant impact on your physical activity? Can I get back to at least light exercise soon after my surgery?

Answer:
Most patients that undergo an endoscopic brow lift have a relatively short recovery time and I have even been told by many patients that they could have gone to work the next day.  Having said that, I certainly do not expect very many patients to be able to go to work that quickly, but certainly most everybody is looking fine and feeling well within a week of the procedure.  Regarding physical activity, I just recommend that patients use common sense and do not overdo it immediately after surgery.  I typically recommend waiting at least a few days to a week before starting physical activity again and then starting up lightly and slowly increasing your activity over the second week.

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Question: I know eyelid surgery is sometimes performed for medical reasons if sagging upper eyelids interfered with vision. Is this ever true for browlift surgery?

Answer: Occasionally a patient will have such low-set brows that a standard blepharoplasty alone is not going to be able to completely improve their visual deficit.  In that case, a browlift in conjunction with the blepharoplasty may be covered by insurance though frequently it can be difficult to get the insurance company to pay for that treatment.

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