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 TIME1 to 1 and half hour.
PROCEDURE AND INCISIONSThere are different variations of facelift procedure. The incision is usually placed in front and behind the ear, and is hidden in the natural folds. From the back of the ear the incision goes into the scalp and is hidden by the hair. The ear lobe has to be free and natural, avoiding a stretched appearance. Sometimes a small incision underneath the chin can be used to help with the tightening of the neck muscles. If necessary the deeper tissues of the face and neck may also need to be repositioned. The skin is pulled up and back and the excess is removed. The aspect should look normal and not stretched. The fixing of the neck might involve liposuction or liposculpture to improve contour. One of the most important aspects of the facelift is the reposition of the lost volume. This can be achieved either by folding and suturing the deeper structures or by injection of fat, which is aspirated from another area.
ANESTHESIALocal with sedation.
IN/OUT PATIENT: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.