Brow Lift

If the appearance of your brow is causing you to appear tired, sad or angry, you may be a good candidate for a brow lift. The placement of the brow can be affected by aging, gravity and repeated movement of the underlying facial muscles. Most brow lift patients range in age from their 40s to their 60s, though the procedure can be performed for those younger or older than this age range. Those who feel most positive about the results of their brow lift start with good physical and mental health and maintain realistic expectations. Although it will not address wrinkles or sagging elsewhere on the face or neck area, a brow lift will help diminish the evidence of aging in the brow area.

Dr. Castellano will determine the best technique to use based on age, correction needed and the degree of vision obstruction (if any), as well as the structure of the forehead itself and placement of the natural hairline. There are three common techniques Dr. Castellano uses for brow lifts in Tampa:

• Endoscopic Brow Lift

  An endoscopic brow lift requires Dr. Castellano to place four small incisions in the hairline. An endoscope (small surgical camera) is inserted through the incisions and is used to release the brow from the underlying bone and suspend it with sutures. After the underlying tissue has been repositioned and trimmed, the four small incisions are then sutured or clamped closed.

• Mid Forehead Lift

  During a mid forehead lift, Dr. Castellano will remove a small area of excess skin on the forehead in order to realign the remaining skin. Incisions are hidden within existing forehead wrinkles, and designed to disappear after healing. This procedure works best on patients with a long brow line.

• Pretrichial Brow Lift

  In a pretrichial brow lift, Dr. Castellano elevates the brow and forehead area through an incision which is placed just inside the hairline. The brow is suspended with internal sutures, and excess skin is removed for a smooth outer appearance.

After the surgery, a dressing will be applied to any larger incisions. Swelling and bruising are both very common following a brow lift, and may be relieved using ice packs and by keeping the head elevated even while you are asleep. Healing times vary according to which technique is used; endoscopic surgery often has a faster healing time because it is less invasive. However, other methods may be able to deliver more comprehensive results.

To diminish signs of aging in the rest of the face and neck, a facelift also may be indicated. For less advanced aging treatment, laser skin resurfacing and other nonsurgical cosmetic procedures like BOTOX® Cosmetic and injectable fillers may be an option.