The skin and soft tissues of the face descend with age. It is however, delayed where it is fixed to the deeper tissues around the eyes, ear, nose and mouth, giving the familiar droopiness and folds. Descent of the eyebrows have a further consequence in that skin builds up below the eye itself. The eyelids develop loose skin on their own, but in addition, they become bunched up by the lower brow.

The obvious answer is to lift the brow and for many years this has been carried out from above the hairline of the forehead, either with a long incision or by minimally invasive stabs. Despite being minimally invasive however, the brow lift is a large procedure and we can largely avoid it with newer and more suitable techniques.

A good non-surgical option is injectables, which not only reduces the wrinkles, but, if carefully applied, will reduce the pull of muscles bringing the eyebrow downwards. The brow itself looses its prominence and the temples become hollow. We can plump out these areas, which in itself is more youthful, but has the further effects of lifting the brow itself.

Finally, there will still be surplus skin of the upper eyelid and a surgical reduction is a very straight forward procedure with minimal problems. 

The skin and muscle is lifted at the level of the frontal bone and fixed at a higher level. This is usually done endoscopically, which is a minimally invasive technique with incisions behind the hairline. The muscles that cause horizontal wrinkles and furrows are weakened by detaching them above the eyebrow level, thus reducing their power and effect. The procedure may be carried out on its own or in conjunction with a facelift under Total Intravenous Anaesthesia (T.I.V.A.) as a day case with minimal discomfort. 

Typically patients, suitable for a brow lift, are between the ages of 40 and 60 years old with good skin elasticity, although this procedure can help patients of any age with a low or heavy brow. Your surgeon will assess your suitability and alternative procedures at your initial consultation.

You will be advised to stop smoking and taking certain medications prior to surgery to improve healing and reduce bruising.

The days of the long incision across the scalp behind the hairline are over, as minimally invasive endoscopic surgery through stab incisions behind the hairline, not only give better results, but better access and vision for the surgeon.

A brow lift is done through several different techniques, depending on the results you desire. Your surgeon will be able to assess you during your consultation and determine what the best method is to achieve your goals. We focus on specific techniques that minimize scarring.

Lifting of the brow is carried out at a much deeper level than the facelift with all the soft tissues and skin being lifted off the bone and fixed at a higher level. The fixing may be with a dissolvable clip, which you will feel under the skin of the scalp for some months or by stitching to the bone itself. There will inevitably be bruising and swelling around the eyes after surgery, but very little discomfort.

The surgery itself is carried out as a day case under Total Intravenous Anaesthesia (T.I.V.A.), which is a very light and predictable anaesthetic. You wake up feeling alert and ready to go home. The main risk of surgery is the swelling and bruising around the eyes after surgery, which will take a week or two to settle. In addition, you may feel a lump under the scalp, where the forehead is fixed. Inevitably, small nerves to the scalp are cut and numbness often persists. Long-term pain from a cut nerve (neuroma) is rare. Removing muscle from between the eyebrows to reduce deep furrows can leave a depression, but is much less common with an experienced surgeon.

There will be a tendency for the forehead to gradually continue its descent and repeat browlifts are not uncommon.
It may seem that all these consequences of a browlift and the relative size of the procedure make it less attractive. This is particularly so, because the alternatives of a combination of Botox, fillers and fat grafting have become so effective. The need for a browlift surgery is very much reduced.

Prices for a surgical brow lift at Cadogan Clinic start at £4950 however consider the alternative non-surgical options. The best way to get a proper quote for your surgery is to book a consultation at the Cadogan Clinic so one of our expert surgeons can assess your case.

 

What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

Once you’ve booked your consultation, the next step will be for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

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