Will eyebrows still drop? I am 6 weeks post op from an endoscopic forehead lift.

Question

I had an edoscopic forehead lift 6 weeks ago. My eyebrows still seem too high. I wanted to look rested not different. I am still quite numb and might have still have a bit of swelling.I would be happy to send before and after photos privately.

James Bonaparte, MD, MSc, FRCSC · Answer

Hello,that is a great question. I actually recently wrote a three part editorial series on forehead lifting and the eyebrows, you may find it helpful. It discusses what happens after a lift and the physiology of lifting. Hopefully you find it interesting.James P. Bonaparte.Cosmetic and Reconstrcutive SurgeonHead and Neck SurgeryOttawa, Ontario, Canada

Alejandro J. Quiroz, MD · Answer

Thank you for your question.  At the 
first normally the brows look high but later they drop some.  If the doctor was to aggressive  depending of the amount of muscle removed the
eyebrows will remain higher or lower

John J. Martin, Jr., MD · Answer

At 6 weeks you should be pretty far along with the healing.  If you have some swelling, you may be a little higher than the final result.  If you think you are too high, you can start trying to massage the forehead down.  At this point your body is still forming scar tissue under the skin.  So massage can help to soften this and stretch it out.

Michael H. Wojtanowski, MD · Answer

You are very early after the brow lift procedure. It takes 3-6 months to see to final cosmetic result and,even beyond that, you will get improvement in the appearance and position of the brows. Additionally , there will be progressive return of your sensation to the forehead and scalp. Often during the early phases of healing the brow can appear a little too high ,but ,to reassure you, this is most always temporary and the brow position impinges with healing time .

Robert H. Hunsaker, MD · Answer

It actually is disappointingly common for there to be some lowering of the brows for quite some time after endoscopic browlift. I would likely wait up to a year before considering any revision to lower them again. Of course, without before & after photos and an op report very little else can be commented on.

Samir Shureih, MD · Answer

Endoscopic forehead lift, involves the endoscpic dissection and the weakening of the corrugator muscle, and lift of the brow. To fix the brow lifting, there are many ways, use of sutures, use of devices like coapt devise.  and skin excision. So when deciding or analyzing the level of the brow and how much it will change depends on the method used.Simple endoscopic brow lift with suture fixation will drop with time, how much? will be difficult to predict. All what you can do now is wait and see. In theory one can reverse certain methods, the suture, can be removed, the coapt devise can be un-hooked, but will have no control over how much drop in the brow will be.

Vincent D. Lepore, MD (retired) · Answer

At 6 week post endoscopic brow lift, it is still early and your brows may well settle further with time.  It may take p to six months to see the final result and it may take up to a year for all the numbness to resolve.  Some light massage with a moisturizer may help speed the process.  I would not suggest anything further until you give things time to settle.  Best wishes, Dr. Lepore.

Will eyebrows still drop? I am 6 weeks post op from an endoscopic forehead lift.

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