A forehead lift or "browlift" is a procedure that restores a more youthful, refreshed look to the forehead and upper eye area. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired. Whether a traditional, “open” surgery method is used or an endoscopic forehead
lift is performed, the result is smoother forehead skin and a more refreshed look. For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. That is what a forehead lift may do for you.
A forehead lift is most commonly performed on patients 40 to 60 years old to decrease the visible effects of aging. It can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose, can achieve a more alert and refreshed look with this procedure.
Forehead lifts are often performed in conjunction with a facelift to provide a smoother overall look to the face or with eyelid surgery, especially if you have significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals. Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift.
The Procedure
The procedure minimizes forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. Browlifts may be performed using the traditional technique, with an incision across the top of the head just behind the hairline, or with the use of an endoscope (a pencil-like camera device connected to a television monitor), which requires three to five smaller incisions. Dr. Frost will determine which method better fits your medical circumstances and can drive stronger results. A browlift typically takes one hour and is accompanied by general anesthesia or sedation.
Preparing for Surgery
You will be provided with specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. If your hair is very short, you might want to let it grow out before surgery, so that it's long enough to hide the scars while they heal. You should arrange for someone to drive you home after the surgery and to help you out for the next couple of days, if needed.
Risks
• Temporary swelling
• Numbness
• Headaches
• Bruising
• Possible itching and hair loss (with traditional surgery methods)
• Injury to facial nerves, causing loss of motion, muscle weakness or asymmetrical look
• Infection
• Broad or excessive scarring
Recovery
Patients are usually back to work in seven to 10 days with traditional surgery and even sooner with an endoscopic forehead lift. More strenuous activity can be resumed in several weeks and full recovery from bruising should occur within two to three weeks. All browlift patients should limit their sun exposure for several months.
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