Browlift

A surgical cosmetic procedure to lift the eyebrows.

01 - Patient Setup

Pre-op Meds: Ancef or Clindamycin, Decadron

Anesthesia:  General

Patient position: Supine

Bed position: 90°

Scleral shields with lube

Prep: Use Mayo stand drapes under head to prep entire head with betadine running into drape. Betadine ophthalmic soap to wash hair, rubber bands to braid hair anteriorly, staples hold hair down posteriorly.

Drape: 2 blue towels on half sheet. This goes under pt head. Top towel is to be brought around pt head and stapled so it is well behind ears. Then 4 towels around head, then split sheet. Split sheet is placed with mesentary around ETT TO AVOID TENTING AND RESTRICTING HEAD MOVEMENT.

DVT ppx:  Compression boots on - working BEFORE induction of anesthesia

Side Table: None

Lights: Surgeons headlamp, fiber-optic light source

Power: No

Bovie Settings: 20/20 Colorado tip

Preinjection: 1% lidocaine, 1/100 day epinephrine, 30 mL

Instrument sets: Ask about endoscopic brow set, Storz endoscopic tower if endoscopic only

02 - Case Details 

Special Instruments: Endoscopic brow set, facelift set 

Devices/Implants: Stryker maxface fixation set and drill if endoscopic only

Hypodermic needles:  25 gauge

Syringes:  10 mL

Drains: None

Suture: 2-0 PDS, 4-0 monocryl, 4-0 chromic

Anesthesia on field:  1% lidocaine w/ 1/100 K epinephrine

Dressing:  None

03 - Post-Op Information

Admission status: SDS

Estimated time: 90 min

Coding:  v50.1

Post-op wound care:  Wash hair w/ shampoo from pharmacy.  Topical antibiotic ointment to wound + wash hair in A.M. Mayo stand bag can be placed under ehad to collect wash or head board that funnels fluid to garbage.

Post-op activity restrictions:  light activity for 2 wks

Follow up:  1 wk