Brow Lift or Coronal Lift

What is a Forehead Lift?

A forehead lift is a way of elevating the eyebrows and all of the forehead structures. This procedure is designed to correct multiple problems. It raises drooping eyebrows and therefore tightens loose skin of the upper eye lid, it eliminates the furrow lines between the eyebrows, it diminishes the lines across the forehead, it tightens the skin of the nose and it lifts and tightens the area on the side of the eye down to the cheek bone. Many patients who feel that they need eyelid surgery actually need a forehead lift. If the eyebrows and upper eye lashes are almost touching then eyelid surgery will not work and a forehead lift is the procedure of choice. Because the entire forehead is elevated the eyebrows do not become arched and you do not get a surprised look.

How is the procedure done?

Although this procedure requires creating a long scar, the scar is entirely in the hair bearing scalp and is therefore hidden by the hair. The typical scar for a forehead lift is located about one and one half inches behind the hair line of the forehead. It extends entirely across the scalp form the top of one ear to the top of the other ear. Although a strip of scalp is shaved before surgery, that area is removed during surgery so that there is no missing hair after the procedure. Once the strip of skin is removed, the remaining scalp is pulled backward thus pulling the forehead and eyebrows up. Prior to doing this the small muscles located between the eyebrows which cause the “furrow” or “scowl” lines are removed. The muscle which causes the lines across the forehead is partially removed. If it were completely removed there would be no motion of the forehead giving the upper face an unwanted mask like quality. The long scar in the scalp is closed with skin clips rather than typical sutures because the clips are gentler on the hair follicles giving a better chance of hair growth around the scar.

One of the side effects of forehead lift is elevation of the hair line. In patients with a low or normal hair line this is acceptable. There are some people with high foreheads or high hair lines and pushing the hair line further up on these people would be unacceptable. Therefore for patients with this situation, the scar for a forehead lift would be placed at the junction of the forehead and the scalp. By doing this the hair line is not raised and yet the scar can still be hidden by the hair.

Sometimes male patients who are partially or completely bald will still undergo forehead lift. The scar is usually very acceptable in appearance.

After surgery

After completing this surgery a large gauze bandage is applied covering the entire scalp, the ears and down to the eyebrows. This bandage is left on until the next day when it is removed in the office. No new bandages will be applied. At this point you may go home and shower and shampoo your hair. Be careful not to bump the clips in your hair. You won’t do any harm, but it will hurt. The clips are usually removed in two sessions. The first at five days after your surgery and the second at ten days. Removing the clips is not painful.

You will probably have some bruising after surgery, primarily around your eyes. This will most likely be gone after one week. You will have very mild discomfort and I will give you pain medication to control this. You will probably feel good enough the day after surgery to be watching TV, working on your computer or reading a book.