Forehead Numbness After a Brow Lift?

Thanks for the question -
It is unusual to have numbness on your forehead 10 months after endo brow lift. Sometimes the trochars or the dissection can stretch the nerve. These injuries will usually resolve on their own.
A nerve called the supraorbital nerve provides sensation to the forehead and scalp. (You have one on each side that arises from the level of your eyebrow. If you push with your finger at about midbrow you can actually feel the hole in your skull that this nerve exits (the hole is called a foramen).
You may have actually described a key part of the healing process. The tingling you're feeling may be something known in the medical community as Tinel's sign. It signals where sensory nerves may be healing. The tingling should travel away from your eye towards your scalp if this was the nerve that was injured.
Unfortunately at this time all you can do is wait. But take some comfort in the fact that permanent injury is rare.
I hope this helps.

Some numbness of the forehead and scalp area is to be expected after any brow lifting technique. Each patient is different with respect to how quickly they may recover from surgery. Numbness, tingling, electric shock sensation, and itching are all common and will almost always completely resolve with time.Be sure to discuss any post-procedure concerns with your surgeon.All the best,

I would speak to your surgeon and discuss why there is a disbelief in your stated symptoms. It may take a while for your nerves to come back. Best, Dr. Karamanoukian

What you are describing is injury to the supraorbital and/or supratrochlear sensory nerves. These emerge from the bone above the eye beneath the brow and may be injured when the muscles that are weakend in a brow lift are operated on. Tingling is a sign of nerve regeneration, but you may be left with that sensation. Check often with your surgeon to monitor your progress.Best of LuckDr. JA. Dean Jabs MD, PhDBoard Certified Plastic SurgeonBethesda, MD/McLean, VA

Hello! Thank you for your question! Numbness after any surgical
procedure is expected for several weeks to months following. As the
nerves to the area are traumatized and will then experience a temporary
neuropraxia, a transient loss of nerve conduction. This usually
resolves over the next 6-12 weeks, but depending on the procedure
performed, sometimes much longer. Typically this should resolve by 1
year. As it goes past this date, the likelihood of the sensation
returning is small. However, it can take up to 2 years. If no return
from there, it is unlikely to return. It should be discussed that
persistent sensory changes may develop following any surgical
procedure. The usual signs of the nerves regenerating and neuropraxia
resolving is itching, followed by a burning sensation and then
occasional sharp, shock-like pains. These will be normal to experience,
and actually a promising sign. Usually, normal sensation returns, but
is is also possible to have decreased sensation or even increased
sensation to the areas affected. Re-educating nerves postoperatively is
often helpful and will allow proper instruction for the affected
sensory nerves - methods include using different textures to the
affected areas when showering, bathing, applying lotion, etc. If
bothersome, there are some medications that may be helpful, including
Neurontin for pain for hypersensitivity. You can try various textures
such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is
also beneficial for the incision to make the finest scar possible. The
last place to regain the sensation will be directly adjacent to the
incision/scar as the nerves will make its way from the periphery to this
location. If continual pain arises, evaluation is warranted. After
ruling out other causes, one rare explanation may be that a neuroma has
developed and may require surgical excision. This is very unlikely
unless a large sensory nerve has been transected inadvertently during
the procedure. Hope that this helps! Best wishes!

The numbness and tingling can occur with this surgery. Sometimes the sensation will recover after 1 year. The numbness can be permanent, however. As for the swelling and asymmetry, you should discuss this with your PS as you have not posted a picture for us to comment on this aspect of your care.Best,

Brow lift surgery has high satisfaction rates but unfortunately complications occasionally occur with this procedure. When endoscopic brow lift is performed, there is the potential to stretch the sensory nerves of the forehead and create numbness. For most patients, this can be an extremely irritating problem.
The supra-orbital and supra-trochlear nerves are located on each side of the forehead. They arise in the area of the orbital rim and pass upwards toward the top of the head. During surgery, there is the potential to damage or stretch these nerves.
This can result in numbness of the forehead following this procedure. This is not an uncommon event and usually resolves quickly. In most cases, sensation has returned to normal in about 2 to 3 months. Occasionally, numbness lasts for longer periods of time. In some cases, it may last 12 to 18 months and rarely may be permanent.
When nerves regenerate following this type of injury, it’s not unusual for patients to describe a tingling sensation in their forehead. Sometimes patients describe a sensation of something crawling on their forehead. We view this as a sign that things are moving in the right direction.
The fact that you describe tingling of your forehead indicates that nerve regeneration is taking place. It’s important that you maintain good communication with your plastic surgeon. Be patient, there is a good chance that your forehead sensation will return to normal.

It is normal to have a long period of numbness after a brow lift, lasting anywhere from two months to more than a year. The numbness is often due to pressure, tension or bruising of your nerves during surgery or by undermining of the skin which is to be expected. It can take this long to recover. The tingling sensation is a good sign; it means your nerves are starting to return to normal. Research the Tinel's sign and you can get a sense of why tingling is a good sign—return of sensation will usually follow.

Numbness in the forehead following a browlift generally last 2-6 months. Sensation in the crown may take longer to recover (10-12 months). The degree of any injury (bruised, stretched, or cut) to the main sensory nerves (the supraorbital and supratrochlear nerves) may prolong these general recovery times. If you're feeling tingling sensation, this may be an encouraging sign that your nerve is recovering and you'll regain sensation.

There are some studies which have shown that it can take up to two years for nerves to recover in the forehead.
It's important to find out if there are any treatable causes. For example was there a suture (stitch) placed or a device that may be compressing the nerve? Other than that there is no intervention of which I am aware that can repair these nerves as they are of extremely small caliber.
The tingling may be indicative of nerve recovery but only time will tell.