Dr. Mark Samaha
Dr. Mark Samaha
1240 Beaumont Avenue, Suite 200
Montreal, QC H3P 3E5
Phone: (514) 731-2525
Monday–Friday: 8 a.m.–4 p.m.
When the skin and muscles of the forehead and brow become droopy and lax, the skin of the upper eyelid folds over itself and becomes heavy and wrinkled. The effect of this droop is a sad or angry appearance. The area most affected is the outer aspect of the brows, near the temple. As such, the goal of a brow lift is to tighten this laxity and droopiness of the skin and muscles to restore the brightness of the eyes, the arch of the brow and youthful glow of the look.
Although brow lifts are more frequently performed on older patients, there are people in whom a low brow is not a result of aging. In these patients, droopy brows are hereditary and occur at a young age. Brow lifting is an excellent option for these patients as well, as they wish to look less severe and “softer”
There are two ways to perform a brow lift here in Montreal, Quebec. The closed (sometimes called endoscopic) approach or open approach. With the closed/endoscopic approach, small incisions are placed behind the hairline of the forehead and the surgery is then performed under the skin, with or without a camera. With the open approach, a longer incision is made, either behind the forehead hairline or hidden at the hairline itself. The surgery is then performed under the direct vision of the surgeon.
While it may seem like the use of the closed endoscopic technique is more technologically advanced, it is not necessarily “better”. Each technique has its advantages and disadvantages. For example, the endoscopic technique lengthens the forehead by moving the hairline backwards. As a result, patients who already have a high hairline and a high (long) forehead are not good candidates for an endoscopic technique. Furthermore, some patients would benefit from an accessory procedure (see below) at the same time as their brow lift. These accessory procedures are more easily performed with an open forehead lift technique. For other patients who, for example, have a low hairline and short forehead, the closed technique may be ideally suited.
Brow lift by Dr. Samaha:
Noticeable results, imperceptible scar
Despite her thin short hair, this patient’s scar is imperceptible.
If properly designed and fashioned, hair should grow through the scar, as it does here, to camouflage it. As can be seen, it is very difficult to detect.
Another patient with a forehead lift scar. As can be seen, hair is growing through the scar rendering it imperceptible.
Dr. Samaha’s approach
Dr. Samaha performs both closed and open brow lifts. He applies his skills to analyze each patient’s features and choose the technique best suited for the particular patient’s anatomy to obtain the best possible result.
Meet Dr. Mark Samaha
A double board-certified otolaryngologist whose practice focuses exclusively on facial plastic surgery, Dr. Samaha is highly qualified in facial aesthetics. Learn more about our physician and how he's carefully refined his skills to sculpt your beautiful face.Meet Dr. Samaha
The day of the surgery
Our brow lift patients in Montreal go home within one to two hours after the procedure. A dressing is placed around the head. It is removed at the follow-up 24-48 hours later. A lighter dressing is placed at that time.
Patients can wash their hair 24-48 hours after surgery. Sutures are removed at 7-10 days after surgery. There is usually little bruising, located under the eyes, and usually resolves within a week.
Dr. Samaha has developed techniques and methods to minimize swelling and bruising after surgery for his patients to shorten their recovery. This has culminated in his Maximum Result Minimum Recovery™ system.
At the same time as the forehead lift, Dr. Samaha frequently performs an accessory procedure to weaken the forehead muscles responsible for producing the vertical frown lines between the eyes and the horizontal folds of the forehead. (These are the same lines that are frequently treated with Botox). In the setting of an open brow lift, the muscles causing these lines are easily accessible and can be weakened at the same time to provide a smooth forehead and decrease the wrinkled appearance.
Another accessory procedure that can be performed is a blepharoplasty, ether in the upper or lower eyelids, to obtain a complete rejuvenation of the area around the eyes.
Frequently asked questions
At what age can a forehead lift be done?
There is no specific minimum or maximum age. Dr. Samaha performs brow lifts on young patients who have a droopy brow because of heredity or older patients whose brows have drooped as a result of aging.
What are the restrictions after surgery?
The main restriction is the avoidance of vigorous exercise and heavy lifting for about 10 days. Other maneuvers that require straining are also to be avoided. This includes bending forward. Otherwise, patients may carry out usual activities.
How long is the recovery?
The recovery is usually one week. At that time, most swelling and bruising have disappeared. If other procedures such as a facelift are performed at the same time, the recovery may be a few days longer.
Is it a painful procedure?
No. Brow lifts are not usually associated with any discomfort. Some swelling sets in within 1-2 days and resolves very quickly within a few days.
What about bruising?
Most patients will have some bruising under the eyes. The discoloration from bruising will gradually diminish to disappear usually by the end of the first week following surgery. Dr. Samaha uses advanced, minimally invasive techniques to minimize bruising and swelling after surgery.
How long does it take to see the result?
After the initial swelling subsides in the first week, the result is apparent. Further “settling” continues in the weeks to months following surgery. Usually, within 2-3 months, the final result is manifest.
How long does the effect last? Will I need another brow lift later on?
It is very unusual to need a second brow/forehead lift, even many years later. While a facelift involving the lower face may need to be repeated some years later, it is rare to need another brow lift.