Direct brow lift surgery is usually performed as a day procedure, so overnight stay is not required.
In nearly all adult brow lift surgery, the operation is performed under a local anaesthetic, although an injection to make you feel relaxed is often used. If you are having an endoscopic brow and forehead lift, this is a larger operation and is best done under general anaesthetic and you may prefer, therefore, to have an overnight stay afterwards. If you have a bilateral brow ptosis, we will discuss with you whether a direct brow lift or an endoscopic brow and forehead lift is best.
Most patients say that they feel little or no pain during surgery.
Although you will be aware of some sensations such as pressure, these should not be uncomfortable. For a direct brow lift a local anaesthetic is injected into the brow and lower forehead to numb the area. For a endoscopic brow lift a tumescent local anaesthetic is injected across the whole forehead.
These injections can sting a little, but a medicine to make you drowsy is given beforehand. After the operation you may feel a slight ache or tension in the area for a few days. Mild painkillers such as paracetamol or ibuprofen will settle this.
A dressing will be placed over the brow at the end of the operation and is kept on overnight.
When this is removed there may be some bruising and swelling. To reduce this, ice packs can be applied to the brow. Cover the brow with clean gauze first and then apply the ice pack for 30 minutes at a time. Repeat this every hour whilst you are awake. Sleep with a few pillows to reduce bruising.
This depends on the nature of your work.
There may be bruising after the operation and you may experience a degree of discomfort. Avoid strenuous activity and heavy lifting for 2 weeks after the operation. You should not drive or operate machinery for 48 hours after a general anaesthetic and 24 hours after intravenous sedation.
Normally, you will be reviewed 1-2 weeks after the operation, and perhaps on one further occasion after that.
As the wound supports some tension, the stitches are best left in for at least 10 days, and are sometimes removed in two stages – half first, and the rest during a further appointment.
A final appointment is scheduled for 3 months after surgery.
As with any operation there is a small risk of complication.
Serious complications such as infection or significant bleeding are extremely rare. Whilst good symmetry between the two brows is normally achievable, sometimes it is not possible.
Occasionally more than one operation is necessary to achieve the best result.