Remove hooding from my eyelids

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You may feel that your eyelids are droopy and making you look old or tired. Ageing can cause the upper eyelids to appear as though they are coming down to cover your eyes. It may even cause problems with visual obstruction. This sagging occurs mostly sideways, across your brow, leading to deepening crows feet lines, and causing your upper eyelid skin to rest on the upper eyelashes. The solution may be a brow lift, often done in conjunction with an upper eyelid lift.

Brow lift surgery can lift the heaviness from the face, opening the eyes giving you a more positive and youthful appearance.

Dr Alastair Taylor FRACS

Tell me about...

  • What is brow lift surgery?
  • What can I expect from brow lift surgery?

What is brow lift surgery?

A brow lift, also known as a forehead lift, is a surgical procedure that corrects a sagging or deeply furrowed brow.

Brow lift surgery involves pulling the brow up and out restores the eyebrows to where they should be, improves lateral crows feet lines and produce a more youthful upper eyelid contour. The brow needs to be raised not at the inner eyebrow, where it would create an expression of surprise, but at the outer eyebrow. This is accomplished by creating tension in the temple region. The result is quite subtle with a refreshed, more youthful, optimistic look.

Browlift is an operation performed under a general anaesthetic, which takes about 2 hours, and requires an overnight stay. You will require 2 weeks off work and up to 6 weeks before returning to normal activity.

A browlift will also improve the result of a lower face lift or upper blepharoplasty (skin removal from the upper eyelids) surgery. A brow lift and upper blepharoplasty are often done in combination.

 

What can I expect from brow lift surgery?

With surgery to the brow you can expect to feel tightness across the scalp but you may find there is not a great deal of pain. Any discomfort should be able to be managed quite successfully with an oral analgesia.

There will be difficulty raising or lowering the eyebrows. Frowning will also not be possible, although this ability generally returns within a week or two.

After your operation, your face is not particularly pretty and you can expect to see some dry blood, bruising and swelling. It is also common to see some seepage around the suture lines. You can have a shower and wash your hair the next day. Your face will look strange. Swelling is a normal part of the healing process. It begins during surgery and usually peaks at about 48 hours post operatively before beginning to subside.

The staples from your head, and the sutures from any upper eyelid surgery, are removed approximately 5 days following the operation. The brow incisions are inside the hairline, and small amounts of hair have been trimmed to facilitate the operation. Neither the alterations to hair length or the scars are really visible after a couple of weeks. Dr Taylor even has trouble finding the browlift scars at six months down the track and he knows where they are!

The bruising will last for approximately two to three weeks. At the end of three weeks there can still be a small rim of bruising left just on the lower eyelid, which can take another couple of weeks to settle down. Within two weeks, however, the bruising is generally light enough to be concealed by makeup, even in the worst of cases.

In our experience, after six weeks you will be recovered, healed, feel great, and love the new you that has been achieved with your brow lift surgery.

Essential Information

Before Surgery

Call the Clinic

Book an Appointment with Dr Taylor

Consultation

Meet with Dr Taylor and Patient Co-ordinator

Booking Surgery

Arrange Surgery and Presurgery Appointments

Admission to Hospital

Surgery performed under General Anaesthetic, Overnight Stay

After Surgery

5 Day Suture Removal

Appointment with Sole'vita nurses

2 Weeks

Return to Work, Resume Walking

6 Weeks

Appointment with Dr Taylor, Resume Normal Activities

6 Months

Final Post-op Appointment with Dr Taylor

Pulling the brow up and out restores the eyebrows to where they should be, improves lateral crows feet lines and produce a more youthful upper eyelid contour.

Dr Alastair Taylor

Want to Know More?

Your brow lift surgery will be performed at our private hospital, Sole’vita Surgery, a licensed medical hospital accredited under the National Safety and Quality Health Service (NSQHS) Standards. Sole’ vita Surgery is part of The CAPS Clinic, with all services conveniently based in the one location in Deakin, Canberra.

Our facilities include modern surgical theatres, sterilisation services and recovery areas. Our overnight rooms feature flexible privacy glass-panelling and a personal ensuite.

All of the Sole’ vita team are fully qualified and registered medical personnel, with no more than 5 patients staying at once, our patient-to-nursing-care ratio is the best in Australia.

We believe in providing an overnight stay after your brow lift surgery, so that you can take your time to rest and recover.  This allows us to ensure your pain relief and any postoperative nausea is well controlled before being discharged.

Dr Alastair Taylor (MBBS, FRACS) is a highly qualified, leading plastic surgeon with over 20 years experience in plastic, aesthetic and reconstructive surgery, including breast, body, and facial rejuvenation surgery. Dr Taylor qualified as a Specialist Plastic Surgeon in 1998. He holds a Fellowship of the Royal Australasian College of Surgeons (FRACS). Learn more about Dr Taylor.

Dr Taylor leads a dedicated team of qualified health care professionals, including anaesthetic staff and nurses, who work in the Sole’vita Surgery private hospital. His team have built a reputation for quality and are committed to achieving results for our clients whilst providing personalised care, with your safety, privacy and comfort at the forefront of all work.

If you are not ready to commit to browlift surgery, you may consider the non-surgical anti-ageing options offered at our My Genesis Clinic, including:

Titan Laser treatments bridge the gap between non-surgical rejuvenation and facial surgery, to improve the appearance of aged skin.

Injectables, such as filler and anti-wrinkle cosmetic injections, can banish wrinkles and loss of volume to achieve a refreshed, more youthful appearance.

Chemical skin peels, microdermabrasion and LaseMD (fractionated laser) treatments can nourish, repair and rebuild the structures of your skin, as they trigger activity of your collagen and elastin making factories to reduce the signs of ageing.

Depending on how much surgery is needed, generally, these procedures are considered cosmetic and do not attract any Medicare, health fund or tax rebates.

Fees include Dr Taylors surgeon fee, Anaesthetist fee, Theatre and the Overnight Stay in Hospital costs:

  • Upper Face – Brow and Eyes start from $10,000

To receive a formal quote you are required to have a consultation with Dr Taylor. The quote for the cost of your surgery is valid for 3 months. Some fees may not be included in this quote, including medications, pathology, physiotherapy and costs arising from any complications. Further information will be provided to you during your consultation.

Dr Taylor’s fee includes:

  • All pre and post operative care for up to 6 months
  • Access to our 24 hours support line
  • Pre-surgery appointment with Dr Taylor’s nurse
  • Pre-surgery kit (information, vitamins, herbal products, surgical bag)
  • Post Surgical Kit (information, products to aid recovery)
  • Scar Management Program

ANY SURGICAL OR INVASIVE PROCEDURE CARRIES RISKS. BEFORE PROCEEDING, YOU SHOULD SEEK A SECOND OPINION FROM AN APPROPRIATELY QUALIFIED HEALTH PRACTITIONER (EG. YOUR GP).

Dr Taylor will discuss the general and specific risks during your consultation, where you can ask questions and discuss any concerns you may have. Is it important that you have enough information to weigh up the benefits, risks and limitations of your surgery. You will also be provided with more information to take home and read, and discuss with your family or loved ones.

Risks specifically associated with blepharoplasty surgery may include:

  • Asymmetry of the upper eyelids following a browlift. After six months this asymmetry could be corrected with a little bit more skin excision on the heavier side.
  • Nerve Damage Nerves are identified and protected during the operation. However, brow elevation does cause a degree of nerve stretch and this can cause the nerve to go on strike for a while. Areas of forehead numbness, along with areas of discomfort, are not uncommon and it can take a couple of months for full forehead sensation to return.
  • Motor Nerve Injury The nerves that control eyebrow raising and frowning travel more superficially than the surgical plane which is right down on the bone. These nerves are rarely seen, let alone injured, in this operation.

Some general risks and complications of surgery may include:

  • Bleeding can occur during and after the operation. Dr Taylor takes appropriate measures taken to reduce bleeding where possible during the surgery.
  • Risks associated with general anaesthesia, including nausea. Anti-nausea medication will be administered during the operation, and as required during your recovery. Your anaesthetist will discuss specific risks related to anaesthesia with you further.
  • Pain, bruising and swelling around the incisions and operated site(s). Pain relief will be administered and steps taken to reduce bruising and swelling, including how you can manage this yourself.
  • Heavy bleeding from an operated site. In the unlikely event that blood loss during surgery has been large, a transfusion may be needed. Steps are taken during your procedure to limit bleeding. You may also be asked to reduce or stop certain medications leading up to your surgery.
  • Infection that may require treatment with antibiotics or further surgery in some cases. Antibiotics are administered during the operation to prevent this as much as possible, and wound care instructions provided before your discharge.
  • Allergic reaction to sutures, dressings, antiseptic solutions, or medications. Please notify Dr Taylor and the nursing staff of any known allergies that you may have.
  • The formation of a large blood clot, or haematoma, an accumulation of blood around the surgical site that may require drainage. It is rare that a clot can move to the lungs and become life threatening.
  • Keloids and hypertrophic scars that are raised, red and thickened scars that may form over the healed incisions. These may be itchy, annoying and unsightly but are not a threat to health.
  • Slow healing (often related to smoking or diabetes), separation of wound edges or areas of skin that do not heal and may require a skin graft.
  • Numbness around operated sites. While numbness typically subsides slowly over several months, some numbness may be permanent.

 

To help you prepare for your surgery and enhance your recovery, we offer you a pre-surgery program to start 4 to 6 weeks prior to your surgery. This includes taking a multivitamin to aid recovery and get you back on your feet faster.  We also recommend an effective herbal medication to reduce the bruising and swelling associated with your surgery. You will also need to stop certain medications leading up to your surgery and we recommend ceasing smoking six weeks prior.

Planning for your surgery and your recovery in advance is vital. Understanding what you can and cannot do will ensure you are not put in a position where you put yourself or the success of your surgery at risk.  All this will depend on your personal situation.  Dr Taylor insists you refrain from any major or minor physical duties and take two weeks off work. You will be provided with a discreet medical certificate to accommodate any time required off work.

On discharge from Sole’vita Surgery we recommend:

  • You have someone drive you home.
  • You have someone with you for the first day at home.
  • Do not drive a car for five days postoperatively.
  • Ensure you can rest for two weeks, getting as much sleep as possible.
  • Do not undertake activities including physical exercise, contact sport or sexual activities for six weeks post surgery. The face tends to swell fairly easily on straining and excessive exertion is not recommended.
  • Do not leave Canberra prior to staples or sutures being removed.
  • Do not fly internationally during the six week postoperative period.

 

After your operation, you will have staples in your hairline, and possibly sutures under your eyebrows (if you have had upper eyelid surgery done at the same time). At the end of the procedure, cold packs are placed on the eyes and a bandage around the head for an hour.

You will stay overnight in our Sole’vita Surgery private hospital. Dr Taylor will check on your recovery the next day. Our nursing staff will assist with your discharge, including wound care and management of any dressings, prescriptions for medications, and follow up appointments.

Bruising and swelling from the surgery is to be expected, and there will be discomfort. Taking regular oral pain medication can assist you to be more comfortable, and steps are taken to reduce bruising and swelling.

Swelling and bruising can be minimized by resting, keeping the head elevated at all times (use extra pillows when resting/sleeping, don’t bend down even for short periods such as tying shoe laces) and using cold compresses as instructed.

You are encouraged to take 2 weeks off work and plan not to be back to normal routine and activity for at least 6 weeks.

Five days after your surgery, you will come to Sole’vita Surgery to have your sutures removed and your wounds checked by one of our nurses.

You will have follow up appointments with Dr Taylor at both the 6 week and 6 month stage of your journey.

Book Your Personal Consultation with Dr Taylor

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