Brow Lift Surgery Treatment Cost in India

With age brows typically try to move down and with the soft tissues in the skin losing its elasticity the distance between the eyelashes and eyebrows reduces. This causes the individual to look annoyed or angry and also look disinterested which may definitely not be the actual emotion of the person. Thus, it becomes important for the person to consider a brow lift surgery for raising the eyebrows and bring about a more refreshed and pleasing appearance to the face. With the sagging of the eyebrows, individuals can also face difficulties in seeing things around properly; this affecting their overall vision quality.

Deep horizontal creases across the forehead can also make a person think of forehead lift surgery and the individual can definitely look more approachable and friendly after the surgery. There can be frown lines or deep furrows formed between the top of the nose and eyebrows that can also get addressed with this surgery.

A brow lift, also known as a forehead lift or forehead rejuvenation, is a cosmetic procedure to raise the brows. A brow lift improves the appearance of the forehead, brow, and area around the eyes by raising the soft tissue and skin of the forehead and brow.

An ophthalmologist should be in a position to evaluate the condition for which a patient wants a brow lift surgery. The doctor must assess the depth and location of the forehead, the rhytids of the forehead and the thickness of the skin, the shape of the hairline, the color and density and the length of the eyebrow cilia that must be taken into account while assessing the potential for post-operative alopecia or visible scarring.

In procedures when the skin between the hairline and brows are removed, candidates with short foreheads shall not fit in well. Patients having thick and dark eyebrows are good candidates for supraciliary incisions and patients having prominent horizontal forehead rhytids are good candidates for mid-forehead incisions with the rhytids. Incisions in these regions are not the right choices for people with receding hairlines and thinning hair.

In a direct brow lift, the incision is made right over the brow hairs to hide the incision effectively. The risks of visible scarring are high which makes this technique less suitable for young patients.  A patient having deep horizontal forehead furrows are good candidates for a mid-forehead incision which gets hidden within the forehead wrinkles. The technique involves tightening of the skin but should be ideally limited to patients suffering from alopecia of the scalp and brows.

Direct brow approach is good for patients having facial nerve palsies as it works by removing tissues to give the lift and not by the contraction of brow elevator muscles or removal of brow depressor muscles. It can be performed unilaterally. An ellipse of skin is excised directly from the front. The form of the incision depends on the individual's problem. A patient with the brow's upright position is raised to the goal location manually. As the brow is allowed to settle in the resting position, a marking pen is placed in a stationary position and the amount of skin that needs to be removed is routinely marked. The operation is carried out under local anesthesia. An obvious complication of scarring and temporary numbness of the forehead may occur. The scarring can be hidden with the aid of topical concealers.

In hairline approaches the advantage over the above method is to reduce forehead rhytids and better camouflaging of the incisions. In this kind, there are types like coronal, petechial and endoscopic brow lift incisions exist.

In the pretrial method, the incisions are located anterior to the hairline and the coronal involves incisions posterior to the hairline. Long incisions are required from ear to ear and this can be daunting. The former is suitable for tall forehead patients and works by lowering the hairline and coronal will work by removing the hair-bearing part of the skin and it elevates the hairline. They can be done with intravenous sedation or general anesthesia. Surgical staples or tape can aid in keeping the hair from touching the wound.

In the field of endoscopic approaches, great technological advances have been made and this has affected the surgical and recovery time positively. They are more accepted by younger patients. Thick hair with normal hairline individuals can consider this kind of technique. Mild to moderate brow ptosis can be well addressed in this procedure. It greatly reduces bleeding and scarring. No tissue gets excised and the lift involves the position and adhesion of the periosteum and weakening of the brow depressor muscles. Dissection is conducted under the direction of an endoscope down to the upper orbital rim through three central incisions in a subperiosteal scheme. Fixing methods are critical and a number of options were used such as cortical bone tubes, suspension sutures and wires, internal plates and screws, Mitek anchors and tissue glues.

For the diagnosis of preauricular rhytids, many ophthalmologists prefer Allergan or Botox. It may result in a reduction in the frontal wrinkling of the frontal muscle on the application, but then it may also worsen brow ptosis. It can paralyze the medial brow when added to the glabella as it can cause a medial brow to raise to function.

A young patient is considered as most suitable for a chemical brow lift having mild or predominantly lateral brow ptosis trouble. These candidates are usually ready to go for repeated injections every three to four months with some expenses. This proves to be satisfying and effective for patients who are looking at non-invasive techniques. They also work by inactivating the muscles of brow depressor during the postoperative phase which aids the periosteum to stick without getting actively stressed downwards. Therefore, it is a very good alternative to brow lift surgeries.

By using standard techniques, the Botox is directly administered into the target muscles. Neutralizing the supercilii corrugators and procerus about 15 to 25 Botox units proves to be medium enough. And laterally around 2.5 to 10 units can be applied to the lateral orbicularis for providing a temporal lift. Roughly around 1 mm of brow lift is usually achieved over the mid pupil and 4.8 mm brow lift right over the lateral canthus. This again demonstrates that Botox injections are very useful for a temporal brow lift technique. Complications like mild discomfort, ptosis, bruising and inconsistent degrees of a brow lift are some of the associated trouble with periocular Botox injections.

Initially, you'll talk to a facial plastic surgeon or plastic surgeon about a brow lift. During your first visit, your surgeon will likely:

Check the history of medicine: Be prepared to answer current and past medical issues questions. Chat about any drugs you take or have recently taken, as well as any surgery you have had. If you are allergic to any drug, tell your doctor.

Have a physical examination: The doctor will examine and measure various parts of your face with your eyes open and closed to determine your treatment options. For your medical record, the doctor may also take photographs.

Talk about your expectations: Explain why you want a brow lift and what you expect to see after the procedure in terms of appearance. Make sure the benefits and risks are known.

Apart from all the above patients will be advised to gradually decrease the frequency of smoking and improve the flow of blood to the skin so that healing is better. Certain medications like aspirin and anti-inflammatory drugs and herbal supplements must be avoided if the doctor advises decreasing the risks of bleeding.

The forehead is usually wrapped loosely for minimizing swelling after the surgery. A small tube is placed along with the cut for draining excessive fluid or blood. The patient is expected to keep their head elevated and take medications as prescribed by the doctor. Excessive pressure and motion should be avoided to keep the incision intact and cold compresses can be applied. Itching and numbness are common as the incisions heal. The bandages of the incision will be opened after 3 or 4 days and if there are sutures, they will be removed after 10 days. The swelling can last for quite a few weeks and that is normal.

With time the incisions will fade and cover prolonged bruising some concealers can be used. However, the patient should immediately contact their healthcare provider if they notice pain in the chest, shortness of breath and irregular heartbeats.