Services - Forehead Lift (Brow Lift) Surgery
 

Forehead Lift

FOREHEAD LIFT

The brow and forehead area show the first signs of unavoidable aging process. While the skin begins to lose its elasticity naturally, sun, wind, and the pull of gravity add the effect to the face, resulting in frown lines, wrinkling across the forehead, and an increasing burden of the eyebrows. Even younger people may have faces that look older than their years.  Your tired, angry, or sad expression may not reflect how you actually feel. As a result, many people seek aid of a procedure known as the Forehead Lift. Based on variations in how men and women age and on new advances in medical technology, different methods are used to perform this procedure.

Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery.

There various kinds of Face Lift procedure

CONVENTIONAL FOREHEAD LIFT

Before the procedure, your hair is trimmed and tied back from the area where the incision will be made. The doctor will choose the least visible area to make the incision, such as along your hairline, within the scalp, or along the natural bone structure lines on the scalp.

For a conventional Forehead Lift, one long incision is made. The incision begins at one ear, cross the forehead region, and ends at the other ear. The forehead skin is lifted, excess tissue is removed, muscles are repositioned or removed, and the eyebrows are lifted. Extra skin in any of these areas will then be trimmed. The incision is stitched or clipped and gauze is applied. A bandage is often wrapped around the head following the procedure. Bandages may be removed within two days of surgery. Stitches and clips are generally removed within two weeks.

After a conventional Forehead Lift, you may experience

  • Temporary discomfort and numbness. This is managed with medication.
  • Headache. This can be a side effect from anesthesia
  • Swelling. This is managed with head elevation and typically subsides within a week.
  • Unusual sensations, which may include itching or lack of sensation at the incision line. This symptom normally disappears within six months.
  • Hair Loss. Regrowth usually occurs in one to three months.

ENDOSCOPIC FOREHEAD LIFT

For an endoscopic Forehead Lift, several tiny incisions are made within the scalp. The surgeon inserts the endoscopic instrument to produce a visual map of the inside of the forehead and eyebrows. The surgeon then inserts another instrument into the other incisions to lift the skin and to remove excess fat, muscle, or skin on the forehead and eyebrows. Temporary screws or sutures may be fastened to hold the position of the altered skin or muscle. The incision is stitched or clipped and gauzed. After surgery, a bandage is often wrapped around the head. Stitches and staples are removed within a week, and screws are removed in about two weeks.

After an endoscopic Forehead Lift, you may experience

  • Temporary discomfort and numbness. This is managed with medication.
  • Swelling. This is managed with head elevation and typically subsides within a few days.
  • Unusual sensations, which may include itching or lack of sensation. This is usually a minimal side effect that disappears in a short time.

A coronal Forehead Lift

It involves an incision across the top of your head, from ear to ear. Through this incision, your surgeon can alter the muscles (frontalis, procerus, and corrugators) that cause horizontal forehead wrinkles and scowling. After doing this, your surgeon will actually remove about a 1-2 cm strip of your scalp and sew the remaining scalp together. Although this may sound gruesome, it is the oldest and most reliable technique in brow lift surgery.

The main disadvantage is that you will be numb on the top of your head for about six months, after which time the sensation usually returns. This technique also raises your hairline, which can be a problem for those with a high forehead who also wear their hair back. The advantages of this technique are that it is lasting (it will not have to be repeated as you age, with very rare exceptions). Also the scars are concealed behind the hairline and are not seen after they heal (unless you are a man with a receding hairline, in which case you should not have this kind of brow lift).

Endoscopic Forehead Lift

This involves four to six short (one inch) incisions behind your hairline. Through these small incisions, your plastic surgeon inserts an endoscope which has a tiny camera on the end. This allows her or him to see under your skin without making a long incision across the top of your head.

Through this technique, your plastic surgeon will be able to do most of the things that can be accomplished through a coronal lift with a few notable exceptions. Your plastic surgeon will be able to weaken the scowl-causing muscles but will not be able to directly alter the muscle that causes horizontal wrinkles. Also, your plastic surgeon can lift your forehead, but does not remove the excess scalp. She (or he) merely shifts it upward and backward on your skull.

To secure your scalp into its new position, your plastic surgeon may drill small hole into your skull and place tiny screws (which later are removed or which are absorbed by your body). Even with these screws, because excess scalp is not removed, there exists greater potential for your forehead and brows to droop after an endoscopic lift. (Relapse is most common in those with very droopy brows and very deep creases.) Because endo lifts have only been performed since 1995, no one knows exactly how long the results last.

Finally, endo lifts, like coronal lifts, raise your hairline, but (unlike coronal lifts) they do not cause temporary numbness on top of your head.

Subcutaneous Forehead Lifts

These are the least commonly performed of all brow lifts. In this technique, your plastic surgeon makes an incision across the top of your forehead, where your hairline begins. All of the muscle alterations that are performed through a coronal lift are possible through this operation. Also, your excess skin is removed. Because the incision is in front of the hairline, your hairline will not be moved higher (unlike the other two techniques). Also, you will not have numbness on top of your scalp.

AFTER SURGERY

After a conventional Forehead Lift, you may experience

  • Temporary discomfort and numbness. This is managed with medication.
  • Headache. This can be a side effect from anesthesia
  • Swelling. This is managed with head elevation and typically subsides within a week.
  • Unusual sensations, which may include itching or lack of sensation at the incision line. This symptom normally disappears within six months.
  • Hair Loss. Regrowth usually occurs in one to three months.

 

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