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Candidates:
Adults who have a low brow or who already have deep frown
lines due to stress or over activity of muscles may benefit from the procedure,
sagging or low position of the eyebrows, tired or sad appearance, and deep
horizontal creases across the forehead, frown lines, or furrows, between the
eyebrows and sometimes across the top of the nose.
Objective:
Correct drooping eyebrows; deep frown lines, horizontal creases across the
forehead. It is usually performed with a facelift, which removes excess skin and
tightens muscles in the lower face. When there is excess skin in the upper and
lower eyelids, eyelid surgery may necessary with a forehead
lift.
Operating Time:
1 to 1 and half hour.
Procedure and
Incisions:
Different incisions can be used according to each problem. It can
be in the scalp, beginning above the ears and hidden within the hair. Sometimes,
the incision has to be placed in front of the hairline. Through the incision,
wrinkles and frown lines are treated, excess skin is removed, and the eyebrows
can be adjusted. Another technique uses an endoscope, attached to a video
camera. Through tiny incisions in the scalp the endoscope allows the plastic
surgeon to see and work on the forehead wrinkles. The advantage of this
technique is that it needs very small incisions, but it is not for all
patients.
Anesthesia:
Local with
sedation.
In/Outpatient:
Usually
outpatient.
Recovery:
Some mild discomfort can be controlled with
oral painkillers. Swelling and bruising of the forehead may happen and may
involve the eyelid and cheek areas. This usually resolves in 15 days. Camouflage
makeup can help after the first 48 hours. Numbness and itching of the scalp can
last for a few weeks.
Risks:
Fortunately, significant complications
from a forehead lift are infrequent. Some of the minor complications include
hematoma (an accumulation of blood under the skin that may require removal),
infection and reactions to anesthesia. In some instances, prolonged numbness and
itching can happen, minor temporary hair loss at the site of the
incisions.
Details:
Recovery time varies depending on
the type of surgery and incisions, but it is frequently possible to resume
normal activities in just a few days. However, strenuous activity and exercising
should be avoided for the first month.
Duration of Results:
Several years.
Sometimes permanent.
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