A brow lift, sometimes known as forehead lift, corrects the sagging position of eyebrows that can give you a sad or tired look. This surgery can improve the worried or angry expression caused by frown lines. It softens the forehead creases, giving you a more relaxed and youthful appearance. With new advances in techniques, brow lift surgery can be done with minimal incision and, in general, fewer complications than the traditional approach.
Prior to your consultation with Dr. Lesesne, it is a good idea to do some preliminary research so that you can better communicate the results you are seeking. There are several surgical techniques that eliminate sagging brows. Some procedures require small incisions at the temples and in the scalp, while others require ear-to-ear incisions over the scalp to lift the forehead, and remove excess skin from the scalp. Dr. Lesesne will explain your treatment options and discuss which option is best for you. Brow lifts are performed in our Park Avenue surgical suite. IV sedation is required the procedure takes 1.5 to 2.5 hours.
After your surgery, your forehead will be wrapped and bandaged. A thin tube is also inserted to drain any excess fluid. Dr. Lesesne will give you detailed post-surgical instructions specific to the procedure you had done. You will also receive medications to alleviate pain and reduce swelling. Some patients may experience bruising, which usually subsides after 7-10 days.
If you have a lumpy, bone like growths across the forehead or a heavy masculine orbital brow, Dr. Lesesne can recommend forehead surgery, called ostectomy. An ostectomy (forehead surgery) is the removal of excess bone on the front of the forehead.
Bony lumps on the forehead are usually osteoid osteomas which are benign growths of bone. A preoperative CT scan or plain x-ray will aid in the diagnosis. This condition is usually congenital, but in the area between the eyebrows may indicate an excessive growth of the frontal sinus. A CT scan or plain x-ray is helpful in ascertaining extent.
Ostectomy Procedure and Recovery
Surgical removal depends upon where the lump is located and the extent of the heavy orbital rim. For simple isolated osteoids, a small, short incision is made close to the hairline. For heavy brows in people with normal hairlines, the incision is made in the scalp. If the hair is sparse, and the amount limited, Dr. Lesesne can make a small incision under the eyelid. A small 4mm burr is used to sand the bone down safely. Dr. Lesesne is very aware of the facial anatomy and the risks associated with Ostectomy surgery. Dr. Lesesne’s experience and training as a plastic and reconstructive surgeon will correct contour problems and greatly reduce the risk of infections. Ostectomys are performed in our Park Avenue surgical suite. For small osteomas local anesthesia is sufficient. Larger procedures will require IV sedation from our anesthesiologist. These procedures will take 30 minutes to 90 minutes. Normal activity can be resumed 3-10 days depending on the complexity of the surgery.