An endoscopic brow lift is not typically associated with significant pain. Alternatively, the brow is usually numb and remains so for a variable period (4-12 weeks). This is because the brow is lifted away from the underlying structures and the major nerves of sensation are slightly stretched. A return of sensation is usually heralded by a sensation of itching, and or a mild shooting discomfort known as a paresthesia. This signals return of sensory nerve function. Special care is required while using a curling iron and/or a hair dryer for this period.
The first night after surgery, some patients describe a mild headache which resolves within 24-48 hours. The forehead will be smooth and with very little motion for up to 3 weeks. Part of this finding is related to swelling. I typically use an absorbable device known as an Endotyne to help keep the brow in the desired position while the healing process occurs. The Endotyne is positioned under the skin (behind the hairline) and represents a slight bump for about 3 months.
