A brow lift surgery involves changing the position of the soft tissues on the forehead to reduce the horizontal creases, correct the sagging eyebrow, and eliminate the “11” lines between the brow. Simply put, its goal is to rejuvenate the upper thirds of the face.
And since any plastic surgery whose sole purpose is to improve one’s appearance is not covered by insurance, most brow lifts are paid by the patients themselves.
But in some special occasions, brow lift covered by insurance is possible as long as stringent requirements are met.
Dr. Karan Dhir, one of the leading Beverly Hills plastic surgery doctors, explains the most common requirements for patients seeking brow lift insurance coverage.
- Medical evidence to show functional problems
A patient must prove that her brow ptosis or sagging soft tissue on the forehead area has a significant effect on her vision. Letters and recommendations from ophthalmologists, oculoplastic surgeons, and plastic surgeons who perform brow lifts on a regular basis are particularly helpful.
- Real functional problems
Brow ptosis should be significant that it leads to “real” functional problems (and not just cosmetics) such as poor peripheral vision, chronic headache and other symptoms of migraine, and forehead fatigue.
- Have tried other non-surgical treatments
Some health insurance issuers require their policyholders to first try non-surgical treatments before releasing their pre-approval form. For instance, migraine sufferers may want to undergo physical therapy (especially if muscle neck contraction is the cause), Botox injections, oral medications, massage, and meditation prior to surgery.
Simply put, patients are generally advised to “view” brow lift or any type of surgery as their last resort.
Types of Brow Lift
Brow lift techniques are mainly determined by the incision sites and patterns, although a good surgeon will make every effort to position the scars behind the hairline and/or within the natural folds of skin to make them discreet.
If the goal is to improve the visual field, a brow lift typically involves incisions directly above the eyebrows. While the technique provides the most adequate lift, it has the most obvious scar site.
Migraine sufferers, meanwhile, may benefit from a technique in which the nerves are cut from the migraine trigger sites. Doing so could also soften the crow’s feet and/or frown lines on the forehead area.
But lifting and tightening the soft tissue on the forehead is sometimes enough to eliminate or at least reduce the symptoms of migraine. The idea is to release the “irritated” or “pinched” nerves from the sagging brow area.