BROWLIFT
Surgery entails repositioning the muscles of the forehead, thus raising the brow line. The elevated muscles may be secured with undetectable permanent sutures, tiny titanium tacks or an internal device that looks like a piece of Velcro. The results of a browlift act like a permanent form of Botox. A browlift can be performed with one of two incisions options:

Limited incisions are appropriate when there is no excess, sagging skin. Three to four one-centimeter long incisions are made across the head within the hairline. Alternatively, longer incisions at each temple and possibly an incision on the inside of the upper eyelid crease may be considered. Laser resurfacing of the forehead at the time of the browlift can tighten the skin and erase expression lines.

A coronal incision is used where excess sagging skin is an issue. An incision is made inside the hairline across the crown of the head or at the hairline, depending on the height of the hairline. Once the underlying muscle corrections are made, the skin is redraped and any excess is trimmed away.

The facts
If you're considering a browlift, begin by consulting with a board-certified plastic surgeon or facial plastic surgeon. The most important thing beyond credentials is the experience of the doctor you choose.

Browlifts are very safe in well-trained hands, and the outcomes can be very natural, but there are a few cautions. Smokers need to stop before and after surgery. Also, if you have thinning hair or a receding hairline, make certain the doctor you choose has experience with these conditions. Following a browlift, slight asymmetry in the position of your brows is normal. If you have had a coronal incision, your hairline may change slightly. Both of these conditions are likely to only be noticeable to you. In addition, temporary, minor hair loss is possible at the incision sites.

The view on browlift surgery
Browlift surgery is an outpatient procedure performed with local anesthesia and sedation or general anesthesia. Your head may be lightly wrapped or in a compression garment for a day or two following your surgery. Sleep with your head elevated for a few days following surgery to reduce swelling; cool compresses will help with the discomfort and any headaches you may experience. Within seven to 14 days after browlift surgery, the stitches or staples used to close your incisions will be removed. A browlift is permanent, although you will continue to age. As an added bonus, you might also find that headaches are a thing of the past, because the muscles that cause them can no longer constrict.