Feminizing Brow Lift Surgery

FEMINIZING BROW LIFT SURGERY

As part of facial feminization surgical (FFS) procedures, brow lift surgery aims mainly to help transgender women lift brows to achieve a feminine facial appearance of the upper face. It can also lift up the forehead to correct the sagging skin or frown lines in the forehead, eyebrows and upper eyelids for rejuvenation. 

WHY FEMINIZING BROW LIFT SURGERY? 

In the context of anatomy, a male brow tends to be prominent and sit just above the brow ridge bone, whilst the female brow tends to be comparatively higher and more arched, in which the highest point is normally between the lateral limbus and the lateral canthus. At WIH, our team of board-certified plastic surgeons is highly experienced in designing the artistic shape and position of the brows, which are just as of paramount essence for the best possible feminine outcome.

BROW LIFT TECHNIQUES

WIH surgeons offer 2 techniques: standard open coronal brow lift and endoscopic brow lift endotine. And the selection of the appropriate technique is considered based on the patient’s desire as well as the level of existing hairline, as following details:

1.   Standard open coronal brow lift

The standard open coronal brow lift is the most powerful technique to lift the brows, while uplifting the forehead, as it can completely release the forehead skin and muscle from the underlying bone, especially the lowermost site at superior and lateral orbital rim. By performing this technique, surgeons can lift brows in lateral oblique direction as youthful and feminine brows tend to have more lateral brow elevation (with the technique to avoid a surprised look), and smoothen the forehead.

This technique offers superior benefits such as the highest effectiveness of brow lifting, maximum adjustment of brow shape, and the most effective correction of frown lines with the best long-term result. Once healed properly, scarring is barely noticeable.

The incision can be made alternatively: from ear to ear across the top of the head (along the hairline) or back in the hairline (behind the hairline).

The standard open coronal brow lift via the incision along the hairline is recommended for those who desire to achieve the most powerful feminization and/or rejuvenation outcomes. 

The standard open coronal brow lift via the incision behind the hairline offers an additional benefit:  scarring is completely hidden by the hair itself.

Oftentimes, standard open coronal brow lift is done together with brow ridge bone contouring and/or hairline lowering surgery in facial feminization as they can share the same incision and are powerful in dramatically transforming a masculine face to look feminine without doubt.

2.   Endoscopic brow lift

With application of advanced minimally invasive techniques, our well-versed team of plastic surgeons successfully performs the endoscopic brow lift via 2 – 4 tiny incisions (not over 2 cm each) inside the scalp (above the hairline). This endoscopic technique also enables surgeons a clear visualization of the underlying tissue and muscle, allowing the highest level of accuracy and effectiveness in the operation.   

This technique is ideal for those who desire to lift up the brows beautifully with minimal yet invisible scarring, less pain and faster recovery. 

DETAILS OF BROW LIFT SURGERY

Type of Anesthesia:    General anesthesia for patient's safety

Operation Time:          Standard open coronal brow lift: 1.5 hour

Endoscopic brow lift: 1 - 2 hours

Length of Stay:           2 days 1 night

BROW LIFT SURGERY AFTERCARE

  1. Following surgery, a soft dressing is placed around the forehead and left in position overnight.
  2. After the night of surgery, wear the compression garment as much as possible for at least 2 weeks to reduce swelling.
  3. In the first 72 hours after surgery, use a cold compress and sleep with your head elevated in a recliner or with 2 pillows to help reduce swelling and bruising.
  4. Avoid heavy lifting, vigorous exercise or strenuous activity for 4 weeks. The patient is encouraged to take gentle walks to promote healing.
  5. Wear button-up shirts during recovery to prevent irritating the scalp.
  6. Pain is well managed with prescribed medications.
  7. Stitches will be removed after 1-2 weeks, depending on your healing.