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Patients who desire a brow lift may have noticed the effects of age, gravity, exposure to sunlight, and the stresses of life all taking their toll on a person's face. Muscles and other tissues may slowly begin to droop, causing the patient to look tired or sad. Such factors may affect an individual's confidence, leading them to seek their own brow lift. A brow lift can help such individuals restore youthful vibrance and energy to the face. The effects of time are virtually undone to restore an individual's face and to remove many of the effects of time and aging. Plastic surgeons accomplish such effects by removing a portion of and tightening the muscles and other tissues that are causing the skin to droop. This not only helps to restore the physical appearance of the patient, but also restores self-confidence and respect to the patient. A brow lift is a very individualized procedure in which your goals should be realistically determined and discussed with your physician. Together you will determine what specific procedures will be performed. A brow lift is often performed in conjunction with other procedures such as a face lift, nose job, or eye surgery. Once your goals have been determined you will set a date for this procedure and will be given instructions about how to prepare. When the date for your brow lift has arrived, you should plan on the surgery taking several hours or more depending on which procedures you are having performed. There is no set procedure for how a brow lift is performed as each individual's brow is different and may have different requirements. Plastic surgeons use either the classic method or the endoscopic method to tighten the brow. While these procedures differ slightly, both involve incisions placed in the hairline so they will be less visible. The surgeon will bring the brow skin upward and remove the excess tissues that previously caused drooping. The brow line is then set in place and secured so that it can heal. All procedures are performed with anesthesia to minimize any discomfort or pain. Recovery will usually require a few days before the patient is moving and a week to ten days should be allowed before returning to work. The endoscopic procedure usually has a quicker recovery time and less negative consequences than the classic method. Discuss with your cosmetic surgeon which procedure is best for you. A limited incision/endoscopic browlift is performed by making three to four one centimeter long incisions are made across the head within the hairline. With a small lighted scope the muscles of the forehead can be repositioned and elevated. This elevated area is then fixated with devices which then will reabsorb as the area heals. A coronal browlift is used when there is excess sagging skin, an incision is made along the crown of the head, and allows the underlying muscles to be repositioned and redraped, and the excess skin trimmed. A temporal/lateral browlift is done by making a small incision is placed in the lateral hairline to elevate the tail of the brow. Often times this is indicated for restoration of the lateral arch of the brow. Through this incision the tail of the brow is elevated to create a higher curve to the arch.
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