About Brow Lifts
A brow lift, or surgical brow shaping, procedure elevates the eyebrows to obtain a more youthful and smooth appearance to the upper face. There is a very crucial and delicate balance between the eyebrows, eyelids, and the lid cheek junction (the part where the lower lid merges into the cheek). Aging affects all three of these areas, which is why board-certified plastic surgeon Dr. Matthias Solomon will utilize his expertise to focus on all of these factors during your brow lift surgery. In some cases, Dr. Solomon may recommend eyelid surgery (blepharoplasty) in conjunction with a brow lift for optimal results. Call Solomon Plastic Surgery in Frisco, TX to schedule a brow lift consultation today to learn more.
"Excellent! - Dr. Solomon is the absolute best at what he does! I felt at ease starting w/my initial consult. Great bedside manner. He explained the procedure, answered my questions, and gave his non-judgemental, professional opinion for the results best suited to my situation. His friendly staff is wonderful and on top of everything, including timely paperwork and great communication. Dr. Solomon called the same day after the procedure to make sure I was doing well. The surgical center that he uses was clean, organized and had caring staff. I will never forget how well I was cared for nor the impeccable job Dr. Solomon did with my procedure. Dr. Solomon is a perfectionist at his craft and has mastered every facet of patient care that is important to the patient."- Anonymous / Vitals / Jan 02, 2018
"Got some cysts taken out, I cannot stress how fast and precise Dr. Solomon was. I was in and out in under and hour. The incisions are barely noticeable 3 weeks later. Very happy with the results!"- T.P. / Google / Aug 24, 2019
"I went to several plastic surgeons before choosing on Dr. Solomon to do my "mommy make-over". He took the time to go over every aspect of the procedure and answer all my questions. He was very professional and knowledgeable. His office staff was great as well. I'm so glad I put my trust in Dr. Solomon....one of the best!!"- D.H. / Google / Aug 17, 2019
"I feel so grateful and thankful that I had a consultation with Dr. Solomon and chose him to do my breast augmentation last December. This is kind of a long story and review but if you are as particular about choosing a surgeon as I was then I believe this review will be really helpful. I don't take the review process lightly as having a breast augmentation or any other type of plastic surgery is such an important decision and even though I was extremely happy with my results initially, I wanted to wait some time to make sure everything was as perfect as I expected in the long term. After over 6 months, I can't even believe how amazing my results are!! Just going off of aesthetics, if you want extremely natural looking results that greatly exceed your expectations then Dr. Solomon is your guy. I seriously forget that I have implants they look so natural and real. If you want a doctor that truly, truly cares then Dr. Solomon is also your guy as well. I met with multiple surgeons and Dr. Solomon took his time with me and explained the process so well and addressed all of my questions with patience and kindness (even if they were ridiculous). He was also very realistic in explaining my expected results based on my anatomy, which ended up exceeding expectations beyond measure once the surgery was completed and healed. The morning of the surgery, I was SO nervous and Dr. Solomon made me feel so calm and cared for. I had a few questions after surgery and Dr. Solomon called me back immediately each time so he has excellent bedside manner. I have not stopped thinking about how lucky I am that I met with Dr. Solomon because I'm certain better results are not possible; he is a perfectionist and it truly shows. As long is Dr. Solomon is in practice I will never go see another plastic surgeon as I know I am in truly good hands with him and can trust him fully. I've recommended him to everyone that I know that is interested in the procedure and I HIGHLY recommend seeing him for a consultation if you are interested in a breast augmentation. I'm sure from the first hour consultation you will see why. Also, just a side note, I was really nervous about the pain and did not take any of the pain medication prescribed after the procedure (only took Tylenol)! Dr. Solomon takes his time to ensure that his technique is the least pain inducing as possible and it was such an easy recovery. I quickly realized I was nervous about nothing. Also his staff is amazing, especially Kandace! I could go on and on but you really just need to meet with him yourself to understand. Again, HIGHLY recommend!"- M. / Google / Aug 17, 2019
"I was a 44-year-old woman wanting a lower blepharoplasty. I first heard of Dr. Solomon through my dermatologist as she had surgery from him as well. Upon entering the office, I was greeted by Kandace and Allison, the patient care coordinator and the medical assistant. They are kind, patient and answer any questions you will have. The office is clean and professional. During my consult with Dr. Solomon, I asked several questions, all of which were answered with care and respect. At no point did I ever feel pressured to have any procedure. After meeting Dr. Solomon you will immediately sense his intelligence and expertise. Check out his experience! I am incredibly grateful I chose Dr. Solomon to perform surgery on me. My results far exceeded my expectations. His bedside manner is amazing! I had a couple of post-surgery questions and Dr. Solomon and his staff made sure to answer each one. You won't be disappointed! At the very least go for a consult. You won't regret it."- S.B. / Healthgrades / Jul 06, 2019
Ideal candidates have a brow shape that is overall droopy or saggy due to advanced age. These conditions can also impair vision if the skin is low enough to block the eyes. Dr. Solomon will consider the eyelid shape, structure, and location of the lid cheek junction to develop a customized treatment plan that does not leave patients with an overly elevated or surprised look.
Types of Brow Lifts
Coronal: For this procedure, an incision is placed along the scalp starting from the top of the ear to the other side. This was the gold standard brow lift procedure, but it has now mostly been replaced by the endoscopic brow lift which has shorter scars and less downtime after surgery. Drawbacks to this procedure include long scars, the potential for hair loss along the incision site, and sensory changes over the scalp that can be long term. For these reasons, Dr. Solomon rarely employs this technique.
Endoscopic: 4 – 5 small incisions (2 – 3 cm in length) are made along the scalp to release forehead skin from the underlying bone down to the level of the brow. The brow is then elevated and anchored in place using one of many fixation techniques. Although hair loss is possible along the incisions, it is typically well concealed because the incisions are very small. Scalp sensation changes are possible but are usually temporary.
Hairline: For this technique, the incision is placed at the base of the hairline instead of being placed in the scalp behind the hairline. This method is often used for patients with a high hairline that needs to be lowered.
Direct: This method is typically used on older patients, especially men with coarse skin and extensive creases over their forehead. The incision is usually placed at the upper margin of the brow or within a horizontal forehead crease.
Fat injection: Loss of fat beneath the brow can create a deflated or tired look that can cause patients to look significantly older than their current age. A fat injection gives the illusion of a high brow as it fills the deflated area and replaces the lost fat. This is also a good technique for selective younger patients who have minimal brow sagging. Two small needle puncture incisions are all that is required for this technique.
What to Expect
Following the procedure, patients should expect minor swelling, bruising, and tenderness but these symptoms usually subside within a few weeks. Some patients may experience a headache lasting 24 – 48 hours after their procedure which is common. Occasionally there are some sensation changes over the scalp, but this typically dissipates within a few weeks. The recovery period will look different for all patients as it's dependent on the type of technique used and the specific condition of the patient. Those who receive an endoscopic brow lift will need to wear a drain for 24 – 48 hours but even if this procedure is combined with an eyelid surgery, an overnight stay in the hospital is not typically required.
Brow shape varies from person to person, therefore results will differ as well. Certain brow lift techniques (coronal lift) can cause areas of numbness or decreased sensation over the scalp that can be long lasting. Although certain muscles can be modified during a brow lift to decrease wrinkles between the brows, this procedure will not significantly address forehead wrinkles in the long run. BOTOX® may be required if this is a consideration.
Plan Your Procedure
Elevate Your Look
If you have excess skin above your eyebrows due to advanced age or simply wish to enhance your overall look, call our Frisco, TX practice today to schedule a consultation. Dr. Solomon can assess your condition and discuss all your cosmetic options to achieve a more pleasing contour. This procedure is especially ideal for those who desire a more "awake" appearance.