Brow Lift New York City

What is it? A brow lift is a procedure performed to elevate your eyebrows and remove excess skin. Temporary brow lifts can be achieved using Botox, or, for a much longer-term solution, we can perform a surgical brow lift.

Expectations: Eyebrows are an expressive part of your face, and they play a major role in conveying your mood to others. Sometimes, however, they can droop excessively, so you may look unintentionally tired, sad, or angry. A brow lift can correct such problems and, in the process, remove furrows, creases, and wrinkles from your face, thus giving your face a brighter appearance.

Brow Lift Procedure Details: Brow lifts are performed in a hospital or in an ambulatory surgery center on an outpatient basis. The procedure typically lasts between two and three hours. Local and/or general anesthesia is used.

A pre-op plan will be carefully created for you, and may include changes in diet and other habits that impact your health. You will be asked to fast the night prior to surgery, and may be asked not to take certain medications, refrain from common activities, or stop certain habits.

The results from your brow lift surgery can last between five and seven years. We will create a post-op plan specifically for you so you can enjoy the results of your surgery without complications. This plan may require a change of lifestyle—reducing sun exposure and eliminating smoking, for instance.

Here are some examples of brow lift procedures we can do. Remember, your situation is unique, and we will thoroughly analyze the best procedure for you. During consultation, we will explain in detail the advantages and disadvantages inherent with each of these procedures, answering any questions or concerns you may have.

Coronal Brow Lift
This procedure is ideal if you want to raise your hairline and increase the height of your forehead. An incision is made behind your hairline across the top of the scalp from ear to ear. The skin of your forehead is then lifted and overlapping skin is removed, heightening your hairline. We can also weaken muscles to reduce contractions that cause wrinkles.

Scarring
Scarring from the incision for a coronal brow lift is hidden within the hair.

Hairline Brow Lift
Unlike a coronal brow lift, this procedure is ideal if you wish to lower a high or receding hairline. In this procedure, we remove skin below your hairline, then your forehead skin is pulled down and sutured to the original incision line.

Scarring
For this procedure, an incision is made where your hairline begins, so scarring may be visible. However, your hair can easily be styled to cover the scar.

Endoscopic Brow Lift
This procedure involves making four to six small incisions behind your hairline, then we use a camera and other special instruments to reposition your skin and brows, moving back your hairline and elevating your forehead.

Scarring
Since the incisions for this procedure are very small and made behind your hairline, no scarring will be visible.

Recovery: Pain following brow lift surgery should be minimal, and we will prescribe medication for you as appropriate. Itching or numbness may also occur where the incision was made. Bruising and swelling can last around three weeks. You’ll be able to resume normal activities in four to six weeks.

Please call us to set up a consultation.

212-644-4416


Choosing a Brow Lift

A brow lift is a surgical procedure that restores a more youthful look to your eyes and forehead. Patients who choose a brow lift want to smooth the vertical wrinkles on their forehead. They also want to reduce the creasing (“frown lines”) between their eyes and the hooding of their upper eyelids. After a brow lift, patients look younger and more rested.

Am I a Good Candidate for a Brow Lift?

You are a good candidate for a brow lift if you are bothered by wrinkle lines across your forehead, frown lines between your eyes, the hooding of your upper eyelids or the low position of your eyebrows. Many patients feel that their brow and forehead make them look older, tired or angry. Brow lift candidates must be in good health, live in New York City (or be willing to travel), and be motivated to follow Dr. Cangello’s pre-operative and post-operative instructions.

Good candidates must also have realistic expectations for the surgery. While a brow lift will provide a more youthful look to your eyes and forehead, it will not change the appearance of the lower part of your face. Dr. Cangello will explain the results that you can expect from your brow lift and may suggest additional procedures (such as a facelift or neck lift) to achieve your desired results.

The Consultation: Creating Your Plastic Surgery Plan

Your brow lift journey begins with a consultation with Dr. David Cangello in our New York City office. Dr. Cangello will discuss your medical history and the results that you want from your brow lift. For your surgery to proceed safely, you need to be honest about your allergies, medications, personal habits, and previous surgical procedures.

Dr. Cangello will conduct a physical examination. He will be looking at your bone structure, skin quality (in terms of elasticity and presence of aging lines/wrinkles), your hairline, the position of your eyebrows, and whether or not you have hooding of the upper eyelid skin as a result of low eyebrow position. These factors will enable Dr. Cangello to design a surgical plan that will create a more youthful and refreshed contour for your brows and forehead.

After the examination, Dr. Cangello will let you know if a brow lift will create the youthful look that you desire. In some cases, he may also recommend additional procedures such as upper and/or lower blepharoplasty (eyelid surgery), Botox injections or a facelift.

Preparing For a Brow Lift

Dr. Cangello is committed to achieving the best results possible. During your initial consultation, he will create a pre-operative plan for you to follow. This plan is designed for your unique needs, to make sure that you have the best outcome possible. Your pre-op plan may include changes in diet and other habits that impact your health. You will be advised to avoid ANY nicotine-containing products for at least two to four weeks before and after surgery. Pre-operative medical clearance by your physician (or Dr. Cangello can provide a referral) will need to be obtained prior to surgery to ensure that you are medically fit to undergo the procedure.

Dr. Cangello will also give you instructions for the days before your surgery. These include stopping certain medications and supplements. You will also be told not to eat beginning at midnight on the day of your surgery.

Finally, Dr. Cangello will explain your post-operative plan. He will give you prescriptions to fill prior to surgery and ask you to find someone to drive you home following surgery.

Where Will the Surgery Be Performed?

Your brow lift surgery will be performed at Dr. Cangello’s New York City office. He has a fully accredited (AAASF) state-of-the-art operating room on-site. You are encouraged to ask for a tour of the operating facility when you come in for your consultation. Alternatively, if you have a preference for having your surgery in a hospital setting, Dr. Cangello can perform the surgery at Manhattan Eye Ear and Throat Hospital (MEETH).

Types of Anesthesia

Brow lift surgery generally takes one to two hours. It may be performed using general anesthesia or using local anesthetic with IV sedation. In either case, you will not feel any pain or remember the surgery.

Brow Lift Surgery Techniques

Direct Excision Brow Lift:

This is the least invasive form of brow lift surgery. As such is requires minimal downtime and can be done under local anesthesia alone. With this procedure, skin of the forehead is excised directly above the eyebrow on each side. When the skin is closed the eyebrow is pulled upward. The scar is hidden along the entire length of the upper edge of the eyebrow.

Internal Browpexy:

This type of brow lift is done through the same incision used for upper eyelid blepharoplasty in the upper eyelid skin crease and can be done concomitantly with or without upper eyelid surgery. This procedure is best suited for patients who need elevation of the lateral half of the eyebrow and who are not looking to surgically improve wrinkles of the forehead or glabella (between the eyebrows).

Coronal Brow Lift:

This procedure requires an incision behind the hairline or at the hairline and is best suited for patients who need elevation of the entire brow. This type of brow lift can also accomplish reducing fine lines of the forehead and glabella (frown lines between the eyebrows). When the incision is made at the hairline the height of an overly elongated forehead can also be reduced.

Scarring is always a concern. Dr. Cangello will do his best to ensure that scars are hidden within your hairline or the natural contours of your face. Dr. Cangello also pays meticulous attention to detail of all skin closure which also contributes to minimizing the appearance of scars.

The Recovery Process

You will wake up with a surgical dressing over your incisions and possibly a small drainage tube. Your brows and forehead may feel tight, bruised or swollen. Although most patients do not experience much pain after a brow lift, Dr. Cangello will prescribe pain medication to keep you comfortable. You will be instructed to take it easy for a few days and to keep your head elevated when you are lying down.

Surgical dressings and drainage tubes (if they are used) are removed within one or two days. Your sutures will be removed within five to ten days. You should be able to return to work within ten days. You should be able to return to normal activity after two weeks. Although the results of your brow lift should be obvious immediately after surgery, it may take a few months for the swelling to disappear and for scars to fade.

Please call our New York City office at 212-644-4416 to set up a consultation and learn how you can benefit from a brow lift.

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