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Frequently Asked Questions
About Browlift Surgery

  1. What is a browlift?
  2. How do I know a browlift will make me appear more youthful?
  3. What is the difference between an endoscopic browlift and a coronal, or open, browlift?
  4. Which technique is better?
  5. How long will a browlift last?
  6. Can other procedures be done at the same time?
  7. I do not like the over-elevated or “surprised” look. How can this be prevented?
  8. What is the cost of a browlift?
  9. When can I return to work, normal activity or exercise?
  10. What can I expect after a browlift?

1. What is a browlift?
A browlift is a surgical technique that elevates the entire forehead, eyebrows, and redundant skin around the crow’s feet areas. It also lifts the skin above the eyelids. This opens the upper eyelids in a beautiful way and eliminates any heaviness caused by a sagging brow. This popular procedure has a high rate of patient satisfaction.

2. How do I know a browlift will make me appear more youthful?
Try this simple test: while looking in a mirror, use your finger tips to elevate one of your eyebrows. Look at the elevated brow compared to the non-elevated side. Also, note how the upper eyelid is improved.

3. What is the difference between an endoscopic browlift and a coronal or open browlift technique?
The coronal or open browlift is the older technique. An incision is made from ear-to-ear and the procedure is performed with the skin pulled back and the forehead musculature completely exposed. This allows for a very complete elevation of the brow and forehead, and surgical relaxation of certain muscles that cause frown wrinkles. The negative aspect of this technique is the long incision along the hairline. Besides a fairly obvious scar, it may decrease the area of healthy, hair-growing scalp tissue and can also cause permanent numbness to the top of the head.

The evolution of endoscopic surgery revolutionized the browlift technique. The goal has been to achieve the same results as with the open technique and this has been very nearly achieved. The advantages of the endoscopic technique are significant: no lengthy incisions resulting in unsightly scarring and no potential hair loss.

4. Which technique is better?
Dr. Delgado believes the endoscopic technique is superior when all aspects are considered. The endoscopic browlift requires advanced equipment and specialized training. Dr. Delgado has been performing this technique since it was introduced. The open technique is still a good option for patients who want shortening of an overly tall forehead.

5. How long will a browlift last?
A browlift, achieved by either technique will last for 10-15 years. The open technique may last a little longer since scalp tissue is excised and the forehead is permanently shortened. No scalp tissue is excised in the endoscopic browlift, but it is raised into a precise position and subcutaneously secured to the skull.

6. Can other procedures be done at the same time?
Yes, it is very common to do other facial procedures such as eyelid surgery, facelifts or nose reshaping at the same time. Even body procedures such as breast surgery, tummy tucks or body-contouring liposuction can be combined with a browlift.

7. I do not like the over-elevated or “surprised” look. How can this be prevented?
Dr. Delgado is committed to producing a natural look for his patients and considers it his signature on his work. He prefers to under-correct rather than over-correct. His technique for eyebrow elevation and fixation involves precise measurements that he calculates prior to surgery. Before he begins the procedure, he transcribes these pre-determined landmarks onto the skin with a special surgical felt-tip marking pen. As surgery starts, these are translated onto the deep tissue. Dr. Delgado then elevates and fixes the tissue to perfectly match the pre-determined locations. These are very important steps as the injection fluid, used to aid in separation of the tissues, control pain, bleeding, and inflammation, also distorts the appearance of the eyebrows.

8. What is the cost of a browlift?
The cost of a browlift is between $5000 and $6000 dollars. This includes the surgeon’s and anesthesiologist’s fees, and use of the outpatient surgical facility at Marin Cosmetic Surgery Center in Novato, CAlifornia. This also includes all follow-up care.

9. When can I return to work and exercise?
The endoscopic browlift procedure produces swelling and may produce some bruising around the eyes. The swelling reduces quickly but the bruising persists for 10-14 days. Patients are able to drive after one week and can return to work after the second week. Exercise programs may be resumed after four to six weeks.

10. What can I expect after my browlift?
Expect a subtle yet elegant revitalization of the upper face region. With an endoscopic browlift, the small scalp incisions are well-hidden by hair. For patients who have an angry look due to a heavy or sagging brow, a browlift brings a natural but dramatic transformation to his/her face with a refreshed and softened expression.

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