How long does it take?
What type of anaesthetic is used?
“Twilight” conscious sedation
MRSA screen. Further tests according to medical background
Do I have to stay over at the hospital?
Not required. Available on request
Incisions & scarring
Behind the scalp hairline, (some options have well hidden temple or eyebrow scars)
From £5,000 for surgery, follow-up, anaesthesia & facility fee
How long before I can…
What is a Browlift?
Jonathan’s craftsmanship arises from his study of the balance of the human face in all its forms, male and female, from around the world, animated and in repose, studied in life and depicted in art. Like the face and the neck, the forehead is arranged in five anatomical layers, all of which can be useful in brow lifting surgery.
We begin with the skin, which of course directly supports the hairline eyebrow. What is the skin quality? Is it heavy and thick? Will a skin health approach to the intrinsic quality of the skin be necessary? More than often the colour density, freckles and sun damage are the most aesthetically relevant aspects of the quality of the forehead.
The muscles of the forehead are the key to forehead wrinkling, and are best treated with a combination of browlift and Botox. The surgery sets the hairline eyebrow position and shape, and the Botox deals with the forehead smoothness. The brow lift also spreads and smooths the skin.
After the browlift surgery, whether combined with attention to the hairline eyebrow lamination, or upper eyelid blepharoplasty surgery to provide the intrinsic eyelid definition, our aim is a natural balance between the position of the hairline eyebrow, the upper margin of the skeletal orbit, the upper eyelid crease, and the eyelash line. Natural balance, hidden scars, and an understanding of the differences between masculinity and femininity in the upper face – these are the ingredients of the multidisciplinary approach to a beautiful brow.
We will undergo a comprehensive ‘analysis phase’ based on two or three pre-surgical consultations (as many as required), looking at the structure of the upper face and brow today in comparison to photographs from the past (if available). We will study your skin, offering advice on affordable daily skin health prescribed products that work. Our aesthetician, Karen, will be on hand to mentor and advise your skincare for the best of skin health from season to season. Combination approaches, particularly for the different skin of the forehead in relation to that in the face, are common strategies.
Prepare and repair! Our Lifestyle Medicine physician and consultant anaesthetist, Shyamala, will advise you on how best to prepare for your surgery, and the simple strategies you can incorporate into daily life to facilitate healing in the repair phase of recovery.
You will come to feel part of the team, at the centre of our endeavours to offer the best of service and the best of outcome. We build ‘a partnership of trust’ where we can best understand your aims and your fears and address them with a realistic approach to what is achievable, seeking to minimize the potential risks inherent to all procedures. Our approach is multidisciplinary, and Jonathan leads a team with our patients central to all we do.
Verified patient, as seen in Doctify
Why consider browlift surgery?
Many patients will have had “mini surgical tweaks” or minimal invasive therapies such as thread lifts to the brow/forehead before. Some of these may have lasted, many will have not delivered expectation previously. Jonathan’s current analysis and technique will take into account all that has gone before, and an accurate, preferably dated, history is very valuable. Some patients hear comments about “looking tired”, “are you unhappy?”, that do not reflect their inner confidence and vitality. The colour and quality of the exposed forehead skin is often different from that in the face, and a principal strategy for our team is to unify balance and quality of appearance throughout the aesthetic units of the face.
Jonathan and his team will guide you through the options with clarity. What is your desired outcome? What recovery time is available to you? It might be a multilayer browlift that suits you best or a temple lift based on layer 1 and layer 3 of the forehead. How do you approach matters of cost, and how do you perceive matters of risk? What is the balance of risk, reward, recovery time and cost? All these questions will be answered by Jonathan with clarity, in plain and simple language, and backed up with a written report.
The family of browlift surgeries includes temple lifts, direct browlift, and endoscopic brow lift in the deeper layers. Jonathan will explain each option to you for a discussion about the ‘pros and cons’ of each. Jonathan’s team has been at the forefront of developing the “twilight technique” of facial surgery, where patients are kept comfortable and pain-free as can be – throughout the surgery, but without being completely asleep. This allows for a relaxed patient with the ability to open and close the eyes, or smile, with dynamic facial movement during the surgery for bespoke surgical technique. The ‘twilight technique’ also allows rapid recovery, minimal bruising and swelling, and no post-anaesthetic downtime.
1. Discretionary free-of-charge video-call
Jonathan will enjoy introducing himself to you in a free video-call to discuss your request. It would be very useful if you could send us some selfie photographs (to email@example.com; held securely as part of your medical record), which will help inform the conversation.
2. Face-to-face consultation
If you would like to receive a detailed written analysis, with a quote for treatment, Jonathan will meet you in clinic for a face-to-face appointment. You are welcome to bring a friend or family member for support. The medical history and physical analysis in the privacy of the consulting room is an essential part of making the treatment plan. After this meeting you will receive a detailed plan and a written quote, together with a suite of information about our ‘twilight’ surgeries, relevant comments from prior patients, and some insights about the psychology and holistic care that is part of our commitment to you.
3. Face-to-face or remote catch up…
Jonathan recommends that you open a “procedure diary” on your phone, into which you can drop any questions that occur to you throughout the day, and after receiving the clinic letter and information from your face-to-face consultation.
This third conversation is to answer any questions you have, and to allow Jonathan to ask you about any reflections he has had to refine your care.
…. Step 4…..
In truth, our door is always open, and Jonathan will be very happy to see you face-to-face or remotely if you have further questions about your requested procedure.
Consultation fees: £295 is charged prior to Step 2
Please be aware we use a data security software to encrypt any correspondence that we send you which includes your personal data. These emails may fall into your junk folder, so following your consultations please keep a regular check on this folder.
If you wish to receive unencrypted, ‘open’ email to your inbox – please can be requested via an online, ‘one click’ consent form.
You can shower at 48 hours. It is very important to avoid traction on the hair for 6 to 8 weeks, as the fixation of the browlift can be compromised. Gentle hair drying over fingers is the best way to manage wet hair. Sleeping position is best on your back with three pillows for gentle elevation to reduce swelling.
Browlifts and temple lifts, require a layer – by – layer analysis and technique; whether requested for functional reasons such as relief of early evening fatigue, or in seeking a more youthful appearance. The aim is to elevate, shape and contour the eyebrow, and to provide an ‘unloading’ of the upper eyelid. Browlifts are a ‘family’ of procedures and no single technique fits all – bespoke assessment and experience in technique will combine to provide the ideal plan.
Procedures take from 60 – 90 minutes as a daycase procedure. Most brow and temple lifts are undertaken under ‘twilight anaesthesia’ which makes for rapid and comfortable recovery, with reduced downtime. Plan for 7 days off work with a return to exercise at 6-8 weeks.