It’s all about your forehead. “Like a perfect frame can set off a beautiful picture, eye brows can off set beautiful eyes and a beautiful face.” -Dr. Jonathan Kulbersh
Eyebrows are rich in expressive information and convey a multitude of feelings shown through facial expressions. Through subtle motions, the eyebrows convey a myriad of emotions in the human experience, such as contentment, joy, excitement, disappointment, fear and exhaustion. As we age, eyebrows sag and deep creases begin to develop between and above the brows that can convey a sense of anger or frustration. Droopy eyebrows can make eyes appear darkened or deep-set, which can hide your natural beauty.
The utmost care must be taken when refining these areas through brow lift procedures. Charlotte facial plastic surgeon Dr. Jonathan Kulbersh can help you restore a natural and refreshed appearance to the eyebrows through forehead and brow lift surgery.
Who is a Good Candidate for a Brow Lift?
A forehead lift is most commonly performed in patients that appear tired between the ages of 35 and 70 years old. Some patients may have inherited conditions, such as a low, heavy brow or furrowed lines above the nose. With these conditions, a brow lift can achieve a more alert and refreshed look. To be considered for a brow lift in Charlotte, patients must be in good health and be medically cleared for surgery.
What is a Forehead Lift? What is a Brow Lift?
A forehead and brow lift are different names for the same procedure. A forehead lift elevates a saggy brow line and eliminates frown lines between the eyes. A brow lift can be done for cosmetic and functional reasons, may enhance the appearance of the eyes and boost self-confidence. If drooping eyebrows limit your ability to open your eyes, then a brow lift in coordination with an upper eyelid lift may be preformed to restore normal vision. In these cases, the patient undergoes a simple test by an ophthalmologist to document the effects of vision of the heavy eyebrow. These procedures will be covered under insurance.
Patients often want a brow lift because they feel that their sagging brows portray a facial expression of anger or depression. A negative facial appearance may cause people to respond and interact with you differently, which can affect mood and self-confidence. A brow lift helps patients portray true emotions on their outward appearance, mentally enhances self-confidence, and sharpens the natural beauty of the eye.
The Basics of an Endoscopic Brow Lift
How is a Brow Lift Performed?
Dr. Kulbersh was trained in Beverly Hills with two renowned oculoplastic (eye plastic surgery) surgeons. The advanced techniques employed in Beverly Hills are now available for Dr. Kulbersh’s patients in the Carolinas. There are many procedures to raise the brow and Dr. Kulbersh employs at least four different techniques depending on the patient’s goals, including:
- One centimeter incision brow lift
- Direct brow lift
- Endoscopic brow lift
- Coronal brow lift
One Centimeter Incision Brow Lift
The one-centimeter incision brow lift is the most minimally invasive and offers the easiest recovery of the various brow lift procedures. It can be done under local anesthesia in the office and is a wonderful option for a patient that cannot tolerate the recovery of an invasive brow procedure.
A one-centimeter incision is made in the upper eyebrow hairs where the lift is going to occur. A special suture is used to lift the skin, muscle, and fat in order to elevate and stabilize the brow. The incision is closed meticulously and the scar done carefully so as to be nearly invisible.
The recovery for this technique is just one day of rest and requires cleaning of the incision with warm soapy water after 24 hours. The sutures are removed in 5-7 days.
This brow lift is a great option for both men and women as the results are subtle and extremely natural looking. This lift is not for patients seeking a dramatic lift or an entire lift of the brow. It is best for subtle elevation of the brow on the lateral side of the face (the side closer to the temples). Dr. Kulbersh designed this procedure with his mentor, Dr. Guy Massry, an oculoplastic surgeon in Beverly Hills. Dr. Kulbersh is the only surgeon in the area performing this type of minimally invasive brow lifting.
Endoscopic Brow Lift
For patients needing a more robust lift or lifting of the entire brow, an endoscopic browlift is typically the surgery of choice. The endoscopic brow lift has been perfected over the past 15 years. A few small incisions are placed in the hairline, the forehead skin and eyebrows are elevated, and then lifted from these incisions.
After surgery, a small drain is left in place for 1-2 days and a dressing is applied to the forehead. The sutures or staples placed in the hairline are removed after 5-7 days. The procedure may minimally elevate the hairline.
Direct Brow Lift
In rare instances, Dr. Jonathan Kulbersh will perform a direct brow lift, which entails removing the tissues just above the brow to raise it. This is only done in cases when the brow has fallen so much that it has inhibited vision in the eye. The direct brow lift is rarely done solely for cosmetic reasons. It is best performed in older males with deep creases in the forehead where the incision can be hidden. In Dr. Kulbersh’s hands, this procedure is only used to help improve vision in the eye.
Coronal Brow Lift
The coronal brow lift is an older technique to raise the brow and consequently it is the most invasive. It requires an incision across the entire scalp from ear to ear either in the hairline or just in front of the hairline. A strip of tissue is removed across the entire length of the incision to elevate the brow. The incision is made in the hairline if the patient can tolerate rising of the hairline. If the hairline cannot be raised because of a large forehead, then the incision can be made just in front of the hairline. All incisions are meticulously closed to reduce the visibility of a scar.
Patients will typically require 7-10 days of downtime and may have a drain in place for 1-2 days. Dr. Kulbersh rarely recommends this type of brow lift except for the most severe depressed brow.
Regardless of the technique used for a forehead and brow lift, most patients are pleased with the results and their eyebrow shapes. An eyebrow lift is a great procedure to rejuvenate the face and illuminate the eyes.
Browlift Frequently Asked Questions
Q: What is browlift recovery like?
A: You will experience swelling and bruising for about 10 days following your surgery. You should keep your head elevated and use a cold compress to reduce the swelling for 1-2 weeks after surgery. You can return to work or your daily activities once your bandages have been removed, typically 1-3 days after the browlift.
Q: Will I have scars from my forehead lift?
A: Dr. Kulbersh is extremely skilled in forehead lift surgery and is able to make incisions in areas that will prevent a scar from being visible. In most cases scars from brow lift surgery are well hidden and will not be noticed.
Q: When will I see the full results of my browlift?
A: Generally patients see the final results of their browlift after about 1 month. Results are gradual because it takes time for the body to heal and for all of the swelling to subside.
Q: Can a browlift be performed with other anti-aging treatments?
A: Yes. A brow lift is often performed in conjunction with other procedures such as a facelift, necklift, comfort minilift, and eyelid lift (blepharoplasty) for full facial rejuvenation. Sometimes patients who believe they need upper-eyelid surgery for drooping eyelids find that a forehead lift better meets their surgical goals.
Q: What is the difference between a brow lift and a forehead lift?
A: There is no difference. These are just two different terms for the same surgery, and may be used interchangeably.
Q: Is a brow lift covered by insurance?
A: Insurance will not cover the cost of a brow lift or forehead lift if it is performed purely for cosmetic reasons. However, if the surgery was necessary to improve a sagging forehead or eyebrow drooping that interferes with your vision, your insurance might cover part or all of the cost of a forehead lift. It is the patient’s responsibility to check with their insurance carrier for information about the degree of coverage.
Q: Can a browlift fix my asymmetric brows?
A: Asymmetric brows have multiple causes including differences in muscle tone and the eye socket. In brows that are asymmetric due to differences in muscle tone, Botox, Dysport, or Xeomin may improve symmetry. In patients that have differences in the eyesockets, surgical procedures can improve asymmetric brows. Patients seeking absolute symmetry of the brows should be forewarned that it is difficult to achieve, but if they are looking for a significant improvement there are reliable options.
If you are considering a brow lift in Charlotte, call (704) 842-3644 to schedule a consultation with Dr. Kulbersh.
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