How it works
It all starts with a consultation. Your surgeon will listen to what you are hoping for, examine your temple, brow tail, and outer eye in person, and watch how they look both at rest and when you raise your brows. Your surgeon assesses how much the tissue has sagged, where your hairline sits, and how balanced the two sides are. Together, you will talk through how much lift makes sense for your face, and whether the temple alone is enough or whether it makes sense to combine it with another step.
There are a few things to prepare before the day of surgery. You will be told to stop certain medicines that can increase bleeding and to have routine pre-operative tests. A temporal brow lift is usually done under local anesthesia, sometimes with sedation to help you relax, which means the surgical area is numbed while you stay awake; in some cases another form of anesthesia may be used. The specific type will be decided by your surgeon based on your health and how much is being done.
To keep any scar hidden, the incision is usually placed within the hair-bearing skin of the temple, where hair can cover it. Through this incision, your surgeon releases and lifts the temple tissue upward and outward, then secures it in its new position so the brow tail and outer eye are gently raised. Throughout, your surgeon works carefully around the nerve branches in the temple — including the branch that controls the muscles of the forehead and brow. The amount of lift and the exact technique are chosen to suit your own anatomy.
Once the tissue is secured in its new position, your surgeon stops any bleeding, closes the incision within the hairline with sutures or staples, and usually places a light dressing over the temple for the first few days. The overall length of surgery varies from person to person and with how much is being done.