Dr. Jason Emer’s experience as one of the most innovative cosmetic surgeons in Beverly Hills has fueled his passion for building an ingredient-conscious, effective and versatile portfolio of skincare products, regimens and procedures.
One of the most common cosmetic concerns among patients who visit the esteemed medical practice of board-certified cosmetic dermatologist Dr. Jason Emer is an aged appearance in the upper face. Dr. Emer is a leading authority in non-surgical brow rejuvenation, and his elite combination treatments are ideal for many patients. However, there are some patients whose aesthetic goals require a more intensive approach.
A direct brow lift is a surgical procedure that can target furrows, wrinkles, sagging, and skin laxity in the upper face. These common signs of aging create heaviness in the brow, darken and close off the eye area, and cause us to perpetually appear tired and upset.
This procedure involves excising skin directly above the eyebrows. Compared to other brow lift techniques that are performed with incisions made behind the hairline, post-treatment marks are more visible with direct brow lift surgery. However, for patients who have a high hairline or are bald, a direct brow lift may be preferable.
We select from several brow and forehead lift techniques when developing a patient’s unique surgical plan. Reasons a direct brow lift may be recommended include:
Factors that can affect your candidacy for a direct brow lift include:
The elasticity and thickness of your facial skin
The right brow lift for you will depend on your specific aesthetic and functional goals and your unique anatomy. The thickness of your brow, the degree of brow ptosis, your hairline position, and whether you’ve had previous facial plastic surgeries will factor into our recommendations.
We will need to meet with you for a consultation in order to determine the best surgical approach for resolving your concerns. Your consultation will begin with a discussion about why you are considering a brow lift and your desired outcome for the procedure. A physical examination of your facial structure and tissues will also be performed and any relevant medical and surgical records will be reviewed.
There are multiple surgical approaches for eliminating heaviness, skin laxity, and furrows and wrinkles in the brow area. If you are not a good candidate for a direct brow lift, we may advise one of the following procedures:
To ensure your safety and a successful surgery, you will need to adhere to all of the pre-treatment directions provided. Your instructions will be personalized based on the information gathered when determining your candidacy during your consultation. In general, patients must:
When you arrive for your surgery, the doctor will review your procedure details and/or answer any questions you may have. Once you have all of the information you need, the procedure will begin. While you are sitting in an upright position, the treatment area will be marked, as needed to create a precise surgical map for the procedure.
The next step of the direct brow lift procedure is to administer anesthesia. After you are under the effect of the anesthesia, a small incision will be made right above the eyebrow hairs.
The underlying tissue will then be repositioned to raise the brows and eyelids. Loose skin will also be excised. To complete your direct brow lift, the incisions will be closed with sutures.
Patients should plan for a week or two of downtime following brow lift surgery. Bruising, swelling, and discomfort are to be expected during this time. These symptoms will begin to subside after a few days with ongoing, incremental improvements that span the next several weeks.
Prescription pain medication can be taken, as directed, until post-op symptoms become more manageable. Some patients find that over-the-counter pain relief is sufficient to keep them comfortable as they recover.
As healing progresses over your three-to-four-week recovery period, you will be guided through a safe, gradual transition from light activity back to high intensity activities. It is important that you do not rush this process, as over-exerting yourself will only prolong the healing process and could jeopardize your results.
Don’t be alarmed if your eyebrows initially appear to be too high on your forehead. It can take about three weeks for the brows to arrive at their intended position. Within about six months of your direct brow lift, swelling will completely dissipate, and you can enjoy your more youthful-looking, symmetrical, and harmonious facial appearance.
The improvements achieved with a direct brow lift can last up to ten years. Greater longevity of brow lift results is possible when patients follow Dr. Emer’s recommendations for a regular schedule of non-surgical anti-aging cosmetic treatments along with a personalized at-home skincare routine that includes diligent use of a quality sunscreen.
Since direct brow lift incisions are made above the eyebrow and are not hidden in the hairline, you will have noticeable post-treatment marks. With proper care and sun protection, these surgical scars will fade substantially over time. Once a year has passed since your surgery, if you are still bothered by the appearance of the post-op marks, scar revision treatment options can be explored with you.
Dr. Emer is trained and experienced in several techniques for minimizing the appearance of scars. Many patients choose to take advantage of our expertise in reducing the visibility of their post-surgery marks. Scar revision options we offer include:
In certain instances, a direct brow lift alone may accomplish a patient’s cosmetic and functional goals. However, there are often advantages to combining this procedure with one or more additional facial plastic surgeries.
Most direct brow lift patients have unwanted signs of aging in other areas of the face, as well. In order for you to achieve comprehensive facial rejuvenation, we may recommend that you combine your direct brow lift with:
While there are many non-surgical treatments for refreshing the brow and forehead areas, these less invasive approaches cannot provide the dramatic results associated with a direct brow lift. Surgical intervention is the only way to eliminate excess skin and provide long-term resolution of brow ptosis.However, non-surgical brow treatments can be a great option for patients with early signs of aging in the brow area and/or those who want to prevent sagging and wrinkling. Dr. Emer’s approach to non-surgical brow rejuvenation involves patient-tailored combinations of cosmetic treatments like:
The cost associated with your direct brow lift will reflect the complexity of your specific procedure. The total surgery time and facility and anesthesia fees will impact the overall price as well. Your consultation will include a review of your personalized treatment plan and the related costs.