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Browlift - Endoscopic or Coronal/Limited Incision PRE-OPERATIVE General - Surgery will correct drooping of eyebrows,loose skin with some improvement in facial lines. BOTOX, Filler or Fat injections may be recommended to achieve the best results. Any existing facial asymmetry will be pointed out. Medical problems - any Heart, Kidney or blood pressure problems must be reported prior to surgery. Drugs - Avoid aspirin/ibuprofen type analgesics for 3 weeks prior to surgery. Stop Vit E one (1) week before surgery. Smoking - Must avoid at least 3 weeks prior to surgery and until wounds are fully healed or at least 2 weeks after. OPERATION Coronal or Endoscopic Browlift Combined - Commonly performed with Blepharoplasty and/or Facelift. Anaesthetic - General with local anaesthetic at time of operation. Incisions - Coronal incision across top of scalp. - Endoscopic, 4 small incisions in hairline Drains - May be required. Sutures - Metal clips in scalp removed after 2 weeks. Dressings - Light support dressing overnight. Hospital Stay - Usually 1 night. POST-OPERATIVE Pain killers - Avoid aspirin / ibuprofen type analgesics for 2 weeks post-op Cleaning - Gently wash hair after 48 hours. Use mild shampoo only. Exercise - Avoid vigorous exercise for 1 week after surgery. Do not bend down for the first 3 days following surgery. Sit up at night as much as possible. POTENTIAL PROBLEMS Pain - Mild-Moderate discomfort only expected. Bruising - Common. May last for 2 -3 weeks. Can spread down. Bleeding/Haematoma - Rare, but will require return to the theatre for treatment. Facial Muscle Weakness - May be temporary, affecting the forehead, - Recovers in about 6 weeks, rarely permanent. Sensation - Skin of scalp may have reduced sensation / numbness post-op, recovery expected from 6 weeks to 6 months. Scars - Usually fade over 3 to 6 months, rarely may become red and thickened ( Hypertrophy). Rarely delayed healing of wounds. Asymmetry - May appear early and improve with healing. Rarely significant.
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