There are many ways to perform a brow lift. The most common techniques that Dr. McKevitt uses are the endoscopic brow lift and the direct brow lift. The endoscopic brow lift leaves no scars on the face as the incisions are well hidden behind the hairline. Two 2cm incisions are made behind the hairline. An endoscopic camera is used to visualize and elevate the and the eyebrows, forehead and hairline to a new, higher level and anchored to the underlying bone with absorbable implants. The endoscopic brow lift is performed as an outpatient procedure in an ambulatory surgery center under general anesthesia. Typically postoperative pain medicine, oral and topical antibiotics and oral nausea medications are prescribed. Postoperative pain is usually mild to moderate and is managed with oral pain medication. Bruising and swelling can be present for up to two weeks after the procedure.
For the direct brow lift, a small 5mm incision, or even a larger, 1.5mm incision, is created above the brow. Depending on the size of the incision and the amount of excess skin above the brow, some excess skin may be removed from above the brow. The brow is then elevated into a higher position with absorbable sutures and the incision is closed. Depending on the size of the incision, a scar may be visible above the brow, which fades over time. The direct brow lift is performed in an ambulatory surgery center with IV sedation and local numbing medicine. Post operative discomfort is mild to moderate and is treated with oral pain medication. Bruising and swelling can be present for up to two weeks and the fresh scar can remain noticeable for several months after the procedure.