episode can occur during or after surgery with a brow lift. Should
post operative bleeding happen - it could require emergency treatment to
drain the accumulated blood. If accumulated blood happens behind the
flap, it can slow down healing and cause scarring.
form seldom in
direct browplasty and mid-forehead
brow-plasties, but are more common in the
bi-coronal flaps. Should one develop
under the forehead flap, elevation of the flap with control of bleeding is
required. Suction drains are placed. Smaller hematomas can be managed with
incision and drainage followed by pressure dressings.
Not taking any
aspirin or anti-inflammatory medications for at least 10 to 14 days before
or after surgery will help decrease the risk of bleeding. Make sure
you follow your plastic surgeon's pre and post-op instructions with what you
should avoid before surgery.
Hypesthesia or a
decrease of sensation are common following forehead rejuvenation procedures.
The coronal lift procedure or the trichophytic flaps can develop permanent
loss of sensation, but this is rarely a concern to most patients.
Temporary hypesthesia with a "browplasty" can last for several months.
Diminished or loss of skin sensation in the face or scalp area may not
totally resolve itself after brow lift surgery.
itching sensations can occur within the scalp and brow area following a brow
lift as well.
Allergies to the
tape, staples, suture material, tissue glues, and other biodegradable soft tissue
devices used to keep the tissue anchored for a lasting effect with a brow
lift. Serious reactions including shock (anaphylaxis) can occur to
drugs used during surgery and prescription medications.
Facial nerves are
at risk during elevation of the forehead flap with the brow lift and the
muscular tissue. Both motor and sensory nerves during a brow lift
procedure have potential for injury - including the sensory nerves of the
forehead, scalp, and temple regions. Weakness or loss of movements of
the forehead or upper eyebrow could possibly occur as well. Most
patients do notice a return of motor function - as permanent weakness,
numbness or painful nerve scarring is very rare.
tissue shortage which will prevent adequate eyelid closure.
Lagopthalmos is rare when browplasty alone is performed. A patient having a
prior blepharoplasty, however, significantly increases this risk. If a blepharoplasty
is to be performed, it should always follow any forehead procedure, and
excision of skin should be conservative. In most cases, mild lagophthalmos
resolves with conservative therapy, including massages and ophthalmic
ointment to prevent corneal abrasions.
involve the abnormal position of the upper eyelid
(ptosis), loose eyelid skin (ectropion
entropion) may coexist with sagging
forehead or eyelid structures. Brow lift surgery will not correct these
problems. Additional surgical procedures may be needed in order to correct
irregularities including hyperpigmentation, depressions and or wrinkling of skin may occur after a brow
lift. Visible and palpable wrinkling of skin or possibly the ends of
the incision form "dog ears" - which may require additional surgery. Most of the time these skin irregularities resolve itself with time,
however; if that does not correct the situation then possibly additional
surgery might be needed.
It is normal to
have some bruising and swelling after the procedure. The skin and
tissue near the surgical site can either appear lighter or darker than the
surrounding skin. Every patient however, are unique with their healing
times. In rare cases, if swelling and bruising persists for a long
period of time, it could end up being permanent.
wound healing after a surgical procedure is expected, abnormal scars may
occur within the skin and deeper tissues. Excessive scarring is uncommon. The possibility of visible marks showing on the skin from staples, sutures
or hardware used during a brow lift could occur. There are many
different scar treatments available.
Hair loss due to
follicle shock is rare, and is usually seen in cases of prior alopecia. It
is most likely to occur during revision procedures, when a secondary
incision is made posterior to the initial incision. This may lead to hair
loss between incisions.
human face is normally asymmetrical. There are going to be variations
from one side to the other in the results obtained from a brow lift
procedure. If the asymmetry is great, then a surgical revision might
with a brow lift is possible. Some patients heal slower than others as
well as some parts of the brow and scalp may not heal normally and may take
a longer time to heal. Smokers are at a greater risk of skin loss and
wound healing complications.
Skin may become dead
after a brow lift surgery, however for the most part that is a rare
complication. If this happens, the area is usually within the hair and
scalp are where the incision was placed. If this should occur, a minor
corrective procedure might be necessary.
Modification of a
patient's facial expression might occur after the elevation of the eyebrows,
including where intensive swelling has occurred. This is normally
temporary, as the swelling dissipates, the forehead gradually resettles to its
A brow lift does not
stop the "aging process" or produce permanent tightening of the forehead area. Many variable conditions influence the long term results of a brow lift. The appearance of the brow may change due to aging, weight loss, gain, sun
exposure, or other circumstances not related to brow lift surgery. More
than likely, as time passes you might see reappearance of some wrinkles and
frown lines - as well as lowering of the brow as one ages. Other
treatments or surgery might be needed to maintain the results of the brow lift