BROW LIFT

Information


MAKE AN ENQUIRY








    Introduction

    A brow lift operation is undertaken to address droopong of the brows which can cause a hooded appearance (this is referred to as a ‘brow ptosis’). The operation may be performed in isolation or, more commonly, in conjunction with an upper lid blepharoplasty (an upper eyelid lift or cosmetic eyelid operation).

    Brow lift surgery can be done under local anaesthesia, local anaesthesia with sedation by an anaesthetist “twilight anaesthesia”, or under general anaesthesia. There are many different surgical procedures which can be used to raise the eyebrows. These will be discussed with you and the one selected will be that which is most appropriate to your age, appearance, and problems. The procedures include:

    • The endobrow lift
    • The temporal direct brow lift
    • The coronal forehead and brow lift
    • The pretrichial forehead and brow lift
    • The lateral subcutaneous brow lift
    • The transblepharoplasty (internal) brow fixation
    • The transblepharoplasty (internal) Endotine brow lift

    For patients over the age of 55, the temporal direct brow lift is the simplest and most effective with a long lasting result.

    The appearance of a patient who has just undergone a temporal direct brow lift combined with an upper lid blepharoplasty

    Upper lid hooding due to upper lid skin redundancy and a brow ptosis

    The appearance after a bilateral upper lid blepharoplasty and a bilateral temporal direct brow lift

    The appearance of the scar just above the right eyebrow after 2 months

    The appearance of the scar just above the left eyebrow after 2 months

    Upper lid hooding due to a temporal brow ptosis and upper lid skin redundancy

    The appearance of the scar 2 months after a temporal direct brow lift and an upper lid blepharoplasty, and Botox injections to the laughter lines

    Upper lid hooding due to a temporal brow ptosis and upper lid skin redundancy

    The appearance of the scar 2 months after a temporal direct brow lift and an upper lid blepharoplasty


    Procedure Overview

    There are a number of different procedures, including non-surgical procedures, which can be undertaken to raise eyebrows. The one most suited to your individual needs, age and general health is selected. A consultation with your oculoplastic surgeon is required to determine the best approach for your individual case.

    The procedure can be performed under local anaesthesia on a day case basis. Most patients, however, prefer “twilight anaesthesia”.


    Pre-operative Considerations

    You will visit the clinic to have a preoperative consultation. This usually lasts 45 minutes. You will be asked to complete a healthcare questionnaire, providing information about:

    • your aims
    • your current and past health
    • any previous eye, eyelid or facial surgery or treatments including refractive surgery or laser eye surgery
    • any previous non-surgical aesthetic treatments e.g. anti-wrinkle injections, dermal fillers injections, the use of IPL or laser treatments
    • any eye problems e.g. dry eyes, or if you use contact lenses
    • any previous major surgery or significant illnesses
    • any allergies
    • medications (including over the counter products e.g. Aspirin, Indomethacin, Nurofen, Diclofenac or vitamin supplements),
    • any skin problems
    • whether or not you smoke

    You will have your blood pressure checked by the nurses at the clinic.

    It is very helpful if you have old photographs which you can bring along to the consultation. If you are happy to email digital photographs of your current appearance in advance of the consultation with details of your concerns, this is also enormously helpful and saves time. Your photographs will be kept confidential and will form part of your clinical record.

    The nurses are also happy to answer any further questions and to show you the facilities at Face & Eye, including the operating theatre if it is not in use.

    If you are unsure of the names of any medications, bring them with you.

    You will be told whether or not to stop any medications at this preoperative clinic visit. For example, if you are taking aspirin-containing medicines or anticoagulants, they may need to be temporarily withdrawn or reduced in dose for two weeks before the procedure as long as these are not medically essential. You might need to check this with your GP. Any anti-inflammatory medicines e.g. Ibuprofen, Nurofen should be discontinued at least 2 weeks before surgery. These medicines predispose you to excessive bleeding. You will be given a leaflet advising you on what medications, foods, and vitamin supplements to avoid prior to surgery. It is important that your blood pressure should also be under good control if you take medications for hypertension.

    If you can, try to stop smoking at least six to eight weeks prior to surgery. Smoking has an adverse effect on healing and damages your eyelid skin and supporting tissues and your eyes (it can result in premature cataract formation and age related macular degeneration with a loss of central vision).

    Your vision in each eye will be measured.

    • Your eyes will be examined carefully using a slit lamp (a special ophthalmic microscope as seen in the photographs above)
    • Your tear film status is determined to ensure that you do not have a predisposition to a dry eye problem
    • The back of the eyes (called the fundus or retina) is examined as well as the eyelids themselves
    • The rest of your face is then examined

    Photographs of your face and eyelids will be taken before surgery so that the results of surgery can be compared with your original appearance. The photographs are confidential and can only be used for any purpose other than your own records with your specific written permission.

    Some insurance companies request copies of preoperative photographs and some also require a visual field examination, to confirm that the eyelid problem is restricting your peripheral vision.

    The risks and potential complications of surgery should be considered but these need to be kept in perspective. Complications in the hands of a trained and experienced oculoplastic surgeon are very rare and all precautions are taken to minimize any risks.

    What are the possible complications of cosmetic eyelid/brow surgery surgery?

    Most complications of eyelid surgery are amenable to successful treatment.

    Complications from upper eyelid blepharoplasty surgery (which is often undertaken at the same time as a brow lift) include:

    • Blurred or double vision, lasting mainly for a few hours, and sometimes up to a day or two after surgery. This may occur for several reasons – ointment put in the eyes immediately after the operation, local anaesthetic used in the operation. If blurring persists for longer than 48 hours, it is important to inform your surgeon.
    • Watery eyes – this is quite common for the first few days after the operation due to some irritation of the eyes and a temporary weakness of reflex blinking of the eyelids.
    • Dry eyes may persist for two to three weeks or sometimes longer. You will need to lubricate your eyes every 1-2 hours using artificial tears during the day (e.g. Hylotear, Hylo-Care, Hylo-Dual, Hylo-Forte, Xailin gel, Xailin drops, Theoloz Duo, Hyabak, EvoTears, VisuEVO, Celluvisc, or Systane drops preservative free) and an ointment at night (Xailin Night ointment of Hylo Night ointmennt). These should be prescribed for you. You will gradually reduce the frequency until you can dispense with them altogether. It is very rare for patients to have to continue with them long-term but this is possible. This is why it is important to exclude a dry eye problem before proceeding with this type of surgery.
    • Injury to the surface of the eyeball (a corneal abrasion) that causes persistent pain. If the pain lasts longer than a few hours after the operation, the surgeon must be informed. Such a problem is extremely rare in the hands of an oculoplastic surgeon. Such a problem is treated with antibiotic ointment. Sometimes a “bandage” contact lens needs to be used.
    • Bleeding. A collection of blood around the eyelids or behind the eyeball is called a haematoma. A sudden haematoma behind the eyeball can cause loss of eyesight if not managed appropriately and without delay. This is the most serious potential complication of this surgery but is extremely rare. An oculoplastic surgeon is trained to prevent and to manage such a problem.
A haematoma usually needs to be drained in the operating theatre
    • A ptosis (the upper eyelid does not open because of stretching of the muscle or tendon that controls it). Another operation may be necessary to repair this. An oculoplastic surgeon undertakes ptosis surgery routinely. This risk is very small.
    • Exposure of the cornea, the clear sensitive surface of the eye. When blinking the eyelids do not cover the eyeball completely. This often occurs for a short time after the operation and is treated routinely with artificial tear drops. If too much skin is removed from the upper eyelids, the eyelid closure can be compromised long term. This may require further surgery to correct it. For this reason, great care is taken to mark the skin to be removed before surgery is commenced. Such a problem is very unusual in the hands of an oculoplastic surgeon.
    • A sunken-looking eye can occur if too much fatty tissue is removed. Modern approaches to an upper eyelid blepharoplasty aim to remove fat in the upper eyelids very conservatively to avoid this problem. Should this occur, further surgery can be undertaken to replace fat. This is usually taken as tiny fat pearls from just below the umbilicus (the tummy button).
    • Acute glaucoma – this is raised pressure within the eye, which results in pain in the eye, haloes around lights or severe blurring of vision, a headache above the eye, and vomiting. A patient at risk of such a postoperative problem would be identified by an oculoplastic surgeon. An oculoplastic surgeon is trained to diagnose and treat such a problem.
    • Infection. An infection following this surgery is extremely rare but it is important to follow postoperative wound care instructions to help to prevent such a problem. These should be given to you in writing for you to take home following surgery.
    • Asymmetry. It is impossible for any surgeon to achieve perfect symmetry although an oculoplastic surgeon strives to achieve this. A cosmetically unacceptable asymmetry e.g. of the upper lid skin crease, is always possible and further surgery may be required to address this.
    • Scarring. Most eyelid wounds heal with scars that are barely perceptible although full maturation of the wounds can take some months. Poor scarring can follow infection or wound disruption but this is very rare. Poor scars can be treated with steroid injections or with the application of silicone gels e.g. Kelocote. Rarely, scars need to be revised surgically.
    • Eyelid lumps. Lumps can very occasionally occur as a reaction to sutures used to close the wounds or due to some thickening of fat that may have been placed as a graft. These usually resolve with time but occasionally steroid injections are required.
    • Numbness. Any skin incision can cause minor areas of numbness as the very fine delicate sensory nerves can be cut. This is occasionally noticeable after upper eyelid blepharoplasty. It is usually mild and improves over a period of a few weeks or months after surgery.
    • Reoperation. Further surgery within the first few weeks to address any asymmetries may be required. This should be borne in mind. There are a number of factors beyond a surgeon’s control, which can have an impact on postoperative progress e.g. postoperative swelling affecting one side more than the other, which in turn can necessitate re-intervention.

    Post-operative Considerations

    After surgery, the eyes are initially covered with pressure dressings for approximately half an hour to reduce postoperative swelling and the wounds are treated with antibiotic ointment. The dressings are then removed and replaced with cool packs. Activity is restricted for 2 weeks to prevent bleeding.

    You will be asked to clean the eyelids very gently using clean cotton wool and Normasol (sterile saline) or cooled boiled water and repeat the application of antibiotic ointment (usually Chloramphenicol or Soframycin) to the wounds 3 times a day for 2 weeks. The sutures used are dissolvable but are usually removed in clinic after 1 or 2 weeks. The skin around the eyes should be protected from direct sunlight, by avoidance if possible or by using protective sunglasses. Wearing make-up should be avoided for at least 2 weeks. After 2 weeks the use of mineral make-up is recommended. (The nurses at the clinic can demonstrate this to you). It is important to devote a lot of time to your aftercare for the first 2 weeks and some patients find this somewhat labour intensive.

    A realistic period of recovery must be expected. Postoperative bruising usually takes at least 2-3 weeks to subside completely. Swelling takes much longer. Most of the swelling disappears after 3-4 weeks but this can vary considerably from patient to patient, as does the extent of the swelling. The final result is not seen for at least 3-4 months. This should be taken into consideration when scheduling the operation. You should arrange this surgery after holiday periods or important professional or social events and not before so that you are available for postoperative review and just in case any surgical adjustments are required.

    The upper lid scars gradually fade to fine white marks within a few months. The scars are hidden within the skin crease unless an additional skin incision is required to remove a “dog-ear” of excess skin just below the tail of the eyebrow.

    You will need to use frequent artificial tears for the first 2-3 weeks following surgery. It is preferable to use preservative free drops, particularly if you have any allergies. These will be prescribed for you e.g. Xailin gel and Xailin Night ointment or Hylo Night ointment at bedtime. Alternative drops are Hylotear, Hylo-Care, Hylo-Dual, Hylo-Forte, Xailin gel, Xailin drops, Theoloz Duo, Hyabak, EvoTears, VisuEVO, Celluvisc, or Systane drops preservative free.


    Twilight Anaesthesia

    Please note that although blepharoplasty surgery (an eyelid lift) can be performed under local anaesthesia alone, local anaesthesia with safe, conscious intravenous sedation given by an experienced and skilled consultant anaesthetist (commonly referred to as “twilight anaesthesia”) is also available where requested. This form of anaesthesia is extremely popular with our patients and the effects are reversed very quickly. It enables local anaesthetic injections to be given painlessly with little recollection of the surgery, and helps to keep patients calm, relaxed and comfortable. It also helps to prevent rises in blood pressure thereby minimizing bleeding and postoperative bruising.

    Click here to listen to Dr Paul Lancaster talking to a patient about twilight anaesthesia at the Face & Eye Clinic. Dr Lancaster is an expert consultant anaesthetist at Manchester Royal Infirmary.

    Any patients requiring general anaesthesia or who are unsuitable for surgery at our day case facility, the Face & Eye Clinic, will be treated by our surgeons in a local private hospital.

    Specialist Treatment

    Contact us now to find out how we can help you with your eye, eyelid, or facial problems. You will find our website contains a great deal of helpful information about what we do. We welcome email enquiries.

    Opening Hours

    Monday – Friday: 8:00-18.00

    Saturday: 9.00-13.00

    Sunday: CLOSED

     

    Get in touch

    2 Gibwood Road
    Northenden, Manchester
    M22 4BT

    Tel: 0161 947 2720
    Email: outpatients@faceandeye.co.uk

    Facebook
    Instagram

    zeusbola

    zeusbola

    slot gacor

    zeusbola

    slot gacor

    zeusbola

    slot gacor

    zeustoto

    agen togel

    zeusbola

    slot gacor

    panenslot

    zeusbola

    slot gacor

    zeusbola

    slot gacor

    zeustoto

    zeusbola

    zeustoto

    zeustoto

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    karissalaurel.com

    zeusbola

    slot gacor

    zeusbola

    zeusbola

    slot gacor

    zeusbola

    new member 100%

    dragon77

    scatter hitam

    zeusbola

    zeusbola

    zeusbola login

    zeusbola

    zeusbola login

    zeusbola

    sweet bonanza 1000

    gates of gatot kaca 1000

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    gates of olympus super scatter

    zeusbola sv388

    zeusbola

    zeusbola

    zeusbola

    sabung ayam sv388

    sabung ayam sv388

    sweet bonanza super scatter

    zeusbola

    slot seabank

    slot mandiri

    zeusbola

    zeusbola rtp

    slot bank aladin

    slot allobank

    slot btn

    slot bukopin

    zeusbola rtp

    zeusbola rtp

    zeusbola login

    zeusbola login

    king kong 4d

    hongkong lotto

    toto macau 4d

    sydney lotto

    bandar togel dan sabung ayam

    bandar togel resmi

    prediksi angka togel

    slot togel 2025

    zeusbola link alternatif

    link zeusbola

    link zeusbola

    starlight princess 1000

    wild bandito

    dragon hatch

    bandar ceme

    bandar omaha

    bandar domino

    bandar ceme keliling

    zeusbola

    bandar super 10

    slot mania high flyer

    spaceman pragmatic

    mega wheel pragmatic

    zeustoto

    zeustoto

    zeustoto slot

    zeustoto slot

    zeustoto rtp

    togel cambodia

    togel sydney

    togel magnum 4d

    togel taiwan

    togel mekong

    togel massachusetts evening

    togel massachusetts midday

    zeustoto

    zeustoto

    zeustoto login

    zeustoto link alternatif

    zeustoto link alternatif

    zeustoto togel

    zeustoto togel

    togel hongkong

    togel newjerseyeve

    togel jowopools

    togel jakartapools

    togel toto macau 5d

    togel toto macau 4d

    togel king kong 4d

    togel macau

    togel hongkong

    togel new jersey midday

    zeusbola

    zeusbola rtp

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    slot bca

    slot bri mobile

    slot bank maluku

    zeusbola link alternatif

    zeusbola slot

    zeusbola slot

    bandar superbull

    sweet bonanza candyland

    zeustoto

    zeustoto login

    togel massachumid

    zeusbola sv388

    slot superbank

    sugar rush 1000

    togel new jersey evening

    zeusbola rtp

    zeusbola rtp

    qris 10k

    zeusbola

    zeustoto rtp

    pasaran hk

    pasaran sgp

    pasaran sdy

    togel massachueve

    togel newjerseymid

    danagaib.com

    kingkong4d

    prediksi togel

    zeusbola

    slot gacor

    paito warna sgp

    zeustoto

    slot gacor

    zeusbola

    slot bpd papua

    zeusbola

    syair sgp keluaran sgp

    zeustoto

    sbobet

    zeusbola

    sv388

    sabung ayam online

    sbobet

    toto macau 4d

    zeusbola

    slot thailand

    zeusbola

    slot gacor

    zeusbola

    slot ovo

    slot pulsa

    slot gopay

    slot sakuku

    slot bank jago

    slot bank sumut

    slot jepang

    akun pro kamboja

    slot neo bank

    zeustoto login

    zeustoto alternatif link

    slot bpd sumatera utara

    slot bank bca digital

    sabung ayam online ws168

    baccarat pragmatic play

    akun pro thailand

    spaceman

    tembak ikan cq9

    zeusbola rtp

    pola gacor mahjong 2

    slot bank bpd bali

    slot bank hsbc

    idnslot

    pkvqq

    sv388 sabung ayam

    mahjong ways 2

    roulette casino online

    sicbo dadu online

    daftar sbobet

    sbobet slot

    parlay judi bola

    judi bola resmi

    judi bola slot

    roulette live

    new member 100%

    zeusbola login

    zeustoto login

    slot gacor hari ini

    zeustoto daftar

    live casino

    slot bank jago

    slot bank blu bca

    slot pragmatic gacor

    slot qris

    slot gacor bebas ip

    slot bank maybank indonesia

    slot bank ocbc nisp

    slot bank permata

    togel magnum4d

    slot bank sinarmas

    slot pragmatic play

    akun gacor hari ini

    slot hacksaw gaming

    bomslot

    casino evo gaming

    slot habanero

    slot nolimit city

    slot pg soft

    mahjong ways 2 slot gacor

    rtp candy bonanza slot

    idn poker

    situs promo new member

    syair hk keluaran hk

    sv388 live

    syair sdy keluaran sdy

    syair macau keluaran macau

    sbobet

    slot microgaming

    slot joker gaming

    toto hk hongkong pools

    toto sgp singapore pools

    toto sdy sydney pools

    toto macau macau pools

    prediksi togel hongkong

    balon168

    prediksi togel singapore

    prediksi togel macau

    rtp slot gate of olympus super scatter

    pola petir maxwin

    akun pro malaysia

    akun pro indonesia

    slot naga hitam

    slot olympus petir

    slot inces x1000

    slot aztec gems

    slot sweet bonanza

    slot gacor qris

    zeusbola

    zeusbola

    slot gacor

    zeusbola

    slot gacor

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    slot gacor

    zeusbola

    zeusbola

    zeustoto

    zeustoto

    blog.rnschk.de

    zeusbola

    zeustoto

    zeustoto

    slot gacor

    zeustoto

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeusbola

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    zeustoto

    © Face & Eye 2025. Company reg number 05676475. Website by CCH Creative