A wise woman once said, “there are two ways to look younger; arch your eyebrows or find older friends.”
delicately arched brow lift
For years, women have gone to extraordinary lengths to disguise brow descent by shaping, drawing, and tattooing their eyebrows in exaggerated arches to give the illusion of a higher position. This can lead to unnaturally arched and aesthetically displeasing eyebrows. Dr. Deniz Basci has specialized aesthetic fellowship training and a particular personal interest in brow aesthetics. With great eyebrows comes great responsibility.
Unlike the nose and the ears, ideal eyebrows are ones that are noticed! Too often however, brows draw attention for being unsightly or distorted. Dr. Deniz Basci wants what’s best for your brows. A delicately arched brow lift can reposition your eyebrows into a more awake and youthful position, at or just above your orbital rim.
A subtle arch can often add and artfully rejuvenating quality depending on your face shape. It is important to refresh heavy eyebrows that lean down on the eyelids, contributing to a tired and older appearance. Dr. Basci’s preferred result is elegant and natural. After a delicately arched brow lift you will look rested, rejuvenated, less surly and more youthful.
In a time when most of us spend our days frowning into computer screens, scowling down at smart phones, or squinting into the sun, our brows are working overtime. These repetitive muscle excursions can leave their mark on your skin with dynamic or eventually permanent frown lines. With age, skin loses elasticity, soft tissue attachments become lax from weight fluctuations, repetitive muscle pull and gravity. Volume loss over the temples further highlights the descending tail of the brow and can render a gaunt, angry, skeletal appearance. A well-executed delicately arched brow lift counteracts these hallmarks of aging.
Neurotoxins like Botox have revolutionized treatment of dynamic wrinkles of the brow and forehead. When your forehead is working in overdrive to hold your brows up, eventually lines become permanent and visible at rest. You may notice deep creases and furrows between the brows and along the forehead. These are a sign that your brows may be too low and resting heavily on your upper eyelids, prompting your forehead muscle to contract and elevate the brows. Botox, temporarily paralyzes the muscle in the forehead that causes wrinkles in the skin. The dynamic lines on the forehead are prevented, but often at the cost of lowering the eyebrows. The forehead is no longer able to perform the heavy lifting and it may be time to consider a delicately arched brow lift.
During your facial rejuvenation consult, Dr. Basci will assess your goals and evaluate your individual anatomy and tissue quality to determine and recommend a custom tailored treatment plan. She uses advanced surgical techniques that will ensure the longevity of your result by supporting and suspending the deep tissues of the brow in a more youthful position.
After a lifetime of fierce focus on eye brow aesthetics, and nearly a decade of first class training in complex facial anatomy and the dynamic aging process, Dr. Basci is expertly equipped to deliver the best possible outcome for your delicately arched brow lift.
A delicately arched brow lift is often performed simultaneously with eyelid surgery, face lift, fat grafting or laser resurfacing. Schedule your consultation with Dr. Basci because life's too short to have bad brows!
Delicately Arched Brow lift
Effective Solution For:
lifting heavy set brows
Introducing a subtle arch
Softening deep grooves and furrows between the brows
Shortening the forehead if Desired
Elongating the forehead if desried
the Basics by Basci
Length of Surgery:
Consult - 1hr with Dr. Basci to evaluate aesthetic goals, examine anatomy, and customize treatment options.
Pre-Procedure Visit - Confirm the plan and priorities, 3D medical studio photography simulations.
1-2 hours - depending on the individually tailored operation and combined procedures
General Anesthesia - performed by a licensed physician in a fully accredited OR facility
Outpatient procedure. Recover in the comfort of your home immediately after surgery.
7-10 Days until "Restaurant Ready"
- Return to work, light exercise, and casual social events with close friends
- Expect temporary bruising, moderate swelling and areas of numbness and tingling
3-6 Months until "Camera Ready"
- Resume unrestricted exercise, enjoy attending formal events and posing for pics as the new you
- Expect persistence of mild swelling and gradual improvement in numbness and tingling.
12 Months until "Complete Healing"
- The body has concluded mending and remodeling. Incisions are fully mature and swelling resolved.
- Appropriate time for any minor revisions or touch-ups
Unable to Impact:
excess eyelid skin
dynamic frown lines
deep lines present at rest
Fine lines and crepey skin
skin pigmentation, sun damage
skin texture irregularities
A brow lift can change the position and shape of the brow and sometimes even alter the length of the forehead. Whether you are genetically predisposed or you find yourself squinting in the sun and scowling at small font on screens, many women experience descent of their brow with age. As the brow tissue begins to settle below the orbital rim it rests heavily on the upper eyelid. The forehead muscle comes to the rescue by contracting to raise the brows of the eyelids. This effort of the forehead muscle creates horizontal lines that with repeated muscle excursions become permanent landmarks on your skin. Botox is a great quick fix for those unwanted lines, but taking away the forehead's ability to raise the eyebrows can also leave the brow stranded, perched heavily on the upper eyelid. Many of us don't even notice we have an eyebrow aging problem because the forehead does such a great job of compensating and lifting the brows out of the way for us.
Most women who seek a delicately arched brow lift fall into two major categories. Either, they've recently had a Botox treatment that has unmasked their brow problem or their forehead is no longer able to compensate and elevate their brow effectively due to genetic predisposition and their individual anatomy. The most common complaint is they have trouble applying eyeshadow or mascara keeps rubbing off onthe skin where the lashes make contact. The natural conclusion is there's something wrong with the upper eyelid, and often signs of aging around the eyes is a combination of brow droop and loosened excess eyelid skin. The delicately arched brow lift repositions the brow up to its natural intended position taking weight off the upper eyelid and relieving the forehead's full-time heavy lifting job. This powerful procedure can reverse the effects of aging to restore a more youthful appearance of the forehead and eyes. When performed properly, the result is natural and helps you appear as a rejuvenated version of you. The effect should be largely imperceptible, even to people who have known you for years.
ideal brow geometry
Preparing for Surgery
Prior to any surgery, Dr. Basci will review your general health history, surgical history and current medications. Most patients will be asked to stop taking any medications or supplements that increase their risk of bleeding 2 weeks before surgery and remain off of them for the 2 weeks following surgery. Make sure to check with Dr. Basci and your primary prescribing physician before stopping any medications.
It is important to prime your body with a healthy balanced diet in the months leading up to surgery. Make sure you have appropriate protein intake, as protein is vital for healing. You may need to supplement your diet with protein shakes or bars for 3-6 weeks after surgery as your body works overtime to mend all of the tissues in your surgical site.
Preventing sun damage with routine use of SPF > 40 in the months leading up to and following your delicately arched brow lift will enhance your result. Presenting a polished canvas and radiant glowing skin will exponentially improve your youthful appearance. Dr. Basci also recommends a high quality skincare regimen for 2-3 months prior to surgery, depending on the condition of your skin, and will talk to you about your existing routine. In cases of extensive sun damage, laser resurfacing may be recommended to help smooth any texture irregularities and remove pigmented lesions contributing to the appearance of coarse, dull, aged skin. Pre-surgery and post-surgery maintenance photo-facials can diminish the appearance of pigmented lesions, prominent blood vessels, and will help enhance and preserve your neck lift result.
Every person has individual aesthetic desires and eyebrows are especially varied in morphology from person to person and even side to side in one patient. Dr Deniz Basci has advanced training and expertise in brow lift surgery and will design a customized treatment plan based on your needs. There are several distinct surgical approaches Dr. Basci uses to rejuvenate the brow and forehead. Choice of surgical technique depends largely on your individual forehead anatomy and hair quality. Effective results can be obtained by any of the following techniques, pros and cons of each will be reviewed during your consultation
1. Direct Brow Lift
An incision is made just above the brow in a pre-existing deep crease. Lax eyebrow soft tissue attachments are carefully released and the brow is repositioned.
An incision is made in the upper eyelid. The tail of the eyebrow is secured to the deep tissue
3. Hairline Brow Lift
An incision is made along your hairline. The skin is elevated. Lax eyebrow soft tissue attachments are carefully released and the brow is repositioned
4. Coronal Brow Lift
An incision is made from ear to ear 2 to 3 cm behind your hairline. The skin is elevated. Lax eyebrow soft tissue attachments are carefully released and the brow is repositioned.
5. Endoscopic Brow Lift
Limited incisions are made just behind the hairline. A camera is inserted to help visualize meticulous release of lax eyebrow soft tissue attachments and the brow is repositioned.
6. Temporal Brow Lift
When the desired elevation is mostly lateral, towards the tail of the brow, a temporal brow lift is an option. Limited incisions are made behind the hairline on either side of the head. The skin is elevated. Lax eyebrow soft tissue attachments are carefully released and the brow is repositioned. A delicate arch is introduced to brow shape.
Dr. Basci uses meticulous tension free suturing techniques to help your body heal with the most favorable incisions and least amount of damage to hair follicles. In some cases, a drain is placed on one side of the forehead depending on the type of brow lift performed. Patient typically go home the same day unless other procedures are simultaneously being performed that recommend an overnight stay.
Just as every individual procedure is distinct, so is every personal recovery. Most patients will go home the same day as their brow lift procedure. You will need a family member of friend to stay with you the first evening for your safety and comfort
You may shower the day after surgery. Avoid curling irons, intensely hot blow dryers, and chemically coloring your hair for 1-2 weeks after surgery, as your scalp may be numb in certain areas.
Any non-dissolving sutures will be removed in the office at your first a post-operative visit. You will need to apply a thin layer of ointment to your incisions once a day until they are fully healed. Talk to Dr. Basci about when it is safe to begin lymphatic neck massages and silicone scar treatment.
You should supplement your regular balanced diet with protein shakes or bars for 3-6 weeks after surgery to help improve healing. This is not the time for diets or nutritional restriction. Your body needs vital amino acids and building blocks for healing.
Dr. Basci recommends you sleep with your head propped up on several pillows or semi-upright in a recliner for the first week after surgery to minimize pain and swelling. You should expect to be moderately swollen during the first two weeks. This will gradually improve along with any bruising, numbness and tingling. It typically takes 6-12 months for the swelling to fully resolve and at least 12 months for the incision scars to fully mature.
You will need to begin gently walking several times a day the evening of your surgery. This is to promote circulation and prevent blood clots. If you have a personal or family history of blood clots or other bleeding disorders be sure to speak with Dr. Basci.
After two weeks, you may begin light cardio activity but be sure to avoid heavy lifting, yoga, pilates and any other intense exercise for 4 weeks. Typically Dr Basci allows brow lift patients to resume full activities 6 weeks after surgery depending on the nature of their treatment and whether they have undergone other combined procedures.
Frequently asked questions
- Which brow lift technique is best for me?
During your consultation, Dr. Basci will review your goals and analyze your facial anatomy taking particular care to note the length and convexity of your forehead as well as the quality and density of your hair. Each brow lift technique has pros and cons and these will be discussed in detail. Another consideration is whether you are having other facial rejuvenation procedures simultaneously. Often incisions for those adjunctive procedures inform which brow lift technique we choose. Ultimately the choice is yours and Dr. Basci will help guide you to the treatment that is best suited to achieving your desried result
One of my eyebrows is lower than the other, will you make them even?
Everyone has some variation in brow shape or position from right to left because every face if asymmetric. There is usually a longer and narrower side of the face with a smaller eye and a shorter and wider side of the face with a bigger eye. This asymmetry starts all the way down in your bones. The soft tissues resting on top of an uneven surface will always be slightly asymmetric. It's no wonder brows are also affected by the natural asymmetry of your structure. In addition, many women introduce new variables in brow shape during brow maintenance.
There will always be a higher and a lower brow. Dr. Basci’s detail oriented approach to brow lifts takes into account existing asymmetries and tailors the procedure to balance the differences when appropriate. Raising the lower brow can increase the distance between the lash line and brow on that side of the face, which some might say is a more obvious difference. While your eyebrow asymmetry should largely improve, it will never be fully corrected because of the uneven bony foundation beneath the soft tissues.
- How long will my brow lift result last?
The longevity of your brow lift result depends on your individual anatomy, the quality of your tissues and the surgical technique. Usually your new youthful brow position is maintained for 5 to 10 years. After surgery the dynamic aging process resumes and over time your brow position will subtly shift.
- What about my eyes? My brow? Laser resurfacing? Is it better to address every area at once or separate my procedures?
Not everyone needs every procedure! If Dr. Basci has recommended multiple procedures to address your concerns, it is up to you whether to have them done in one setting or separately. Dr. Basci will discuss how much can safely be performed in one setting and how she recommends timing separate procedures. Some patients prefer having one recovery period. Some patients prefer to separate the procedures for personal, financial or scheduling reasons. Ultimately the choice is yours!
- I have an important event coming up (i.e. a wedding, a trip to Italy, my son's graduation, my high school reunion), how far in advance should I schedule my facelift?
Dr. Basci recommends having your brow lift a minimum of 4 months before a major event like a wedding, TV appearance, family reunion or extended international travel. Ideally, it would be best to have your procedure 1 year before the big day to give your incisions ample time to fully mature. However, in most cases the majority of your swelling should be resolved within 4-6 months.
- What is can expect during recovery from the delicately arched brow lift?
Every individual recovery is unique. Patients are typically rest at home for the first 1-2 weeks after surgery, when swelling and bruising are at their maximum. For the first 2-4 days after surgery, you may need pain medication. After that, most patients are fairly comfortable and pain-free as they wait for swelling to resolve, using only over the counter medications for pain control. The improvement in brow contour as apparant as early as the morning after surgery. In many cases the brow will be over-corrected immediately after surgery to allow for expected settling as swelling goes down. The majority of patients are "restaurant ready" and able to resume social activities with close friends at 7-10 days when significant swelling and bruising have improved.
You may shower the day after surgery, no vigorous scrubbing near incisions in your hairline, but you may alow the incisisons to get wet and for soapy water to trickle over them. Pat dry. AVOID blow drier, curling irons, and any chemical treatments (color, highllights, perms, relaxing oils) for the first 2 weeks after surgery. Your scalp may be numb, putting you at risk for inadvurtantly injuring or burning your scalp. You will need to take short gentle walks several times per day during the first two weeks. After that, you may resume light aerobic activity. Most patients may not engage in heavy lifting, yoga, pilates, or other intense activity until 4 weeks after surgery, when they are cleared by Dr. Basci. Most patients are back to full activity by 6 weeks after surgery.
The majority of swelling resolves within the first 3-6 months after surgery. Dr. Basci calls this time "camera ready," because most patients are ready to show off their result and love their rejuvenated look, even though healing is not yet complete. The youthful result continues to remodel and incisions mature for a full 12 months. Dr. Basci recommends waiting for 9-12 months before performing any minor touch ups or refinements.
- What should I bring to my consultation?
It is a good idea to write down any questions you have and bring your written list to your consultation. This way you won’t forget what you wanted to discuss with Dr. Basci! If you come up with new questions after the consultation you can always reach out to us via email or schedule another appointment or video consultation. Any follow up visits are complimentary and included in your initial consultation fee. Our door is always open!
*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.