As the Face ages, the eyebrows and forehead can begin to drop early, sometimes in the mid30's, which can cause a tired and or angry look,, but a Brow/Foreheadlift can reposition sagging eyebrows as well as eliminate heaviness and fullness over the eyes and also smooth out frown lines. With a Brow/Forheadlift, Charlotte's Plastic Surgeon, Dr. Vincent E.Voci, makes an incision hidden in the scalp most commonly, but along the hairline, if the patient's forehead is very high to begin with. He then removes the frown muscles, repositions the forehead /brow muscles ans skin repositioning the eyebrows back in their more natural appealing position. The "frown" area is also smoother and slightly wider for a very pleasant look rather than an angry look. In many cases, Dr. Voci will pair this surgery with a Facelift or Lower Eyelid Lift (Lower Blepharoplasty) to achieve an optimal balanced result when needed in a patient. Browlifts are commonly done in the mid-30's age group sometimes with a little contouring under the chin as well. the Endoscopic approach, in Dr. Voci's opinion, is very suboptimal, since the longevity of the result (how long the result lasts) is often very short and the failure rate of removing enough of the frowning muscles is too high. The Standard Browlift above, in Dr. Voci's hands, usually lasts a lifetime and frown correction failure rate is very low. Patients worry about the "surprised look". That will not happen with Dr. Voci's techniques. And the fact that the incision is in the hair makes it very difficult, even for your hairdresser to see. So the short incisions of the Endoscopic approach are irrelevant.
"I love going to the Voci Center...I am always active in the community, on television, on stage, on runways, and social elite gatherings and I know that I will be looking my best because of Voci Center. It is just like buying an outfit to go out ..you must have shoes, dress, hair, make up, voci center complete and then you are ready."- R.M. / Facebook / May 11, 2015
"Well! I have a lot to say? Of a wonderful State of The Board Cosmetic Surgeon, Dr. Vincent Voci, what a down to earth most nicest doctor I have ever met. Most doctors, that you go to for anything are not patient friendly. But this by far is not Dr. Voci, the atmosphere to the setting up a consultation to come in and talk with Dr. Voci, women, men, or anyone I recommend Dr. Voci, he will give you plenty of options and he is extremely honest. Dr. Voci, wants you to be happy wi...th yourself. Even the staff are just like family they’re wonderful people to talk with and I have been going to cosmetic surgeon, Dr. Voci for many years and always I have been happy with everything he has ever done that I was not happy with in my own body. And that’s how he will make you feel you tell him what you don’t like and he will honestly do his best to make you extremely happy with yourself. I had just recently had surgery September 5. 2018, I went for the big ball I am 55 and I thought that it was time to go for the big facelift. That will last me a lifetime and so happy I love to look at myself in the mirror a beautiful job with God blessed hands of Dr. Voci . Amen ? And if you have to stay overnight you have a wonderful person who takes very good care of you for all your needs also the operating staff that works along with Dr. Voci in surgery outstanding. I talk about Dr. Voci a whole lot and why? Because he’s the Best in North Carolina. I would not ever trust anyone else but only Dr. Voci, he’s always got a smile on his face and he welcomes all clients, patients, he takes care of you to the fullest he calls and see how you’re doing. To make sure you’re not having any complications . You can’t ask for nothing else. But a wonderful outstanding cosmetic surgeon Dr. Voci is. if I could give him more than five stars it would be so many more go and visit have a consultation with Dr. Voci, and you will see for yourself. What a wonderful Cosmetic Surgeon Dr. Vincent Voci, Truly is and another thing I love ? Botox and he is the best at that as well, but there’s many more options that you have. Thank you, for being the person you are the most outstanding! Cosmetic Surgeon Dr. Voci. Pamela McAllister"- P.M. / Facebook / Oct 03, 2018
"Just Simply The Best need I say more"- S.M. / Google / Sep 07, 2018
"Let me start off by saying from the moment you walk in the door you will feel an instant warm welcoming from the friendly staff at the front desk. My whole experience from the consultation with Dr. Voci was nothing less than the best. He truly cares and listens to what you want and takes the time with every process. He is a true perfectionist at what he does and I am so pleased with my breast augmentation. I highly recommend him for anyone seeking plastic surgery in the Charlotte area!"- J.B. / Google / Aug 02, 2018
"Cosmetic Plastic Surgery. Dr. Voci, Is So Pleasant Always Has A Smile ?. Regardless, If He Is Having A Good Or Bad Day Never Shows It. A Awesome Loving ? & Caring Atmosphere Even The Staff. What A Beautiful Blessing ???. To A Outstanding Cosmetic Plastic Surgeon & You Are Treated Like Family ??Congratulations ? ? ? , Dr. Voci."- P.M. / Facebook / May 04, 2018
There are several techniques that can be considered during a Browlift/Foreheadlift procedure.
Anterior Hairline Incision
This approach places the incision at the edge of the forehead hairline. It is only used if the patient's hairline is very high to begin with and cannot tolerate even a 5mm elevation. This occurs in only a few percent of patients in Dr. Voci's experience. The result is the same as the more common Bicoronal approach (higher in the hair, see below), a more pleasant, rested, brighter eyed look. Never the surprised look, however.
Endoscopic Brow Lift
It uses several small (1-inch or smaller) incisions behind the hairline where an endoscope (specialized camera) is placed, and surgical tools are used to elevate the eyebrows. The stitches are located inside the incision to help minimize scarring. While this technique is a common approach, sometimes the results can be unpredictable, unreliable, and not long lasting. Dr.Voci does not use this procedure because of the poor results. It is often done by some because it is quick and appealing because of the small incisions. the results do not warrant these "advantages".
Bicoronal (Coronal) Brow Lift
This approach places the incision line several inches behind the hairline. This incision is typically very hidden by the patient’s hair. This technique naturally repositions the eyebrows up and removes frown muscles to offer an alert, more pleasant, and revitalized appearance. This approach, Dr.Voci's preferred, does offer dramatic long lasting natural results with a hidden scar in the hair. The best.
All Browlifts are performed by Dr.Voci, under General Anesthesia by an MD Board Certified Anesthesiologist, in VOCI Plastic Surgery's accredited surgical facility. The surgery typically takes around 1.5 hours to complete depending on the approach. Patients can generally return to an office type job activities in about a week following surgery and exercise in 3 weeks.
Plan Your Procedure
Brow Lift FAQs
Brow , Eyelid, or Face Lift?
This will be discussed in detail during your initial consultation with Dr. Voci. Many times, the effects of aging take place in the forehead and eyelid region first. If wrinkles low eyebrows exist on the forehead crowding the eyes or causing a concened, angry, or tired look, then a brow lift or forehead lift may be indicated. For puffy eyelids, a Blepharoplasty (Eyelid lift) is needed. For jowls and laxity of the cheeks along the lower face, then another procedure such as a Facelift may be worth consideration. Sometimes these procedures can be combined for maximum results. In your mid-30's, it is not uncommon to need a Browlift and Liposuction of the jawline and under the chin, or a Mini-Necklift. This may not be needed until the mid-40's in some luckier people. Brow/Foreheadlifts can be combined with all these procedures, a Lower Blepharoplasty and or a Facelift, if they are needed. Combinations are excellent because the recoveries are condensed...so is the cost.
Will I Look Unnatural ?
Browifts produce results that allow patients to appear more awake, alert, and pleasant, yet the results are often subtle. An experienced Plastic Surgeon, like Dr. Voci, will work within the patient’s facial structure, anatomy, and skin tone to create aesthetic natural results that avoid a wide-eyed or hyper-alert appearance. Dr. Voci knows that many patients fear the "surprised look" and with his technique of repositioning and not pulling, this is achieved.
Can I Just use BOTOX?
Maybe ! BOTOX is a great non-surgical option that can improve the wrinkles and fine lines of the forehead and even raise the eyebrows by weakening the downward pulling frown and crow's feet muscles. Dr. Voci calls it the "Medical Browlift". And it stops the clock ! However, it will not reverse gravity. Older patients with more gravitational change or someone who does not wish to come to the office every 3-4 months for injections will prefer a surgical Browlift. Some patients, who are contemplating surgery may want to try BOTOX first and see if the results satisfy their aesthetic goals. If so, then a Browlift will be a long lasting alternative, and if not, then a Browlift maybe indicated to reverse the gravitational change. Dr.Voci will provide all options during his initial Consultation.
The incisions made during a Browlift procedure are usually well-concealed within the scalp hair well behind the hairline or in the case of the less common, anterior hairline incision, in front of the hairline, as a fine zig-zag line in and out of the hair. Whether they are placed in the hair or on the anterior hairline, every effort is made to keep the incisions a fine line. Even your hairdresser may not see it once it matures over a few months.