Forehead Lifting

A forehead lift is often performed to treat conditions associated with aging. It may be done in conjunction with other rejuvenative surgery to achieve a more harmonious facial appearance. A forehead lift is also appropriate for treatment of certain inherited traits. Younger adults who have a low brow or who already have deep frown lines due to stress or overactivity of muscles may benefit from the procedure.

Am I a good candidate for a forehead (brow) lift?

Any one or combination of the following conditions may indicate that you are a good candidate for a brow lift:

  • sagging or low position of the eyebrows, creating a tired or sad appearance
  • deep horizontal creases across the forehead
  • frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

A brow lift can improve all of these problems. It may often be performed at the same time as a facelift which removes excess skin and tightens muscles in the mid and lower face. if there is significant skin overhand in the upper eyelids, or puffy bags beneath your eyes, eyelid surgery may be recommended in addition to a brow lift. Your plastic surgeon will provide further information if you have an interest in these procedures.

Your Personal Brow Lift Surgery Consultation
During the initial consultation, your plastic surgeon may ask you to look in a mirror and point out exactly what you would like to see improved. Sometimes, patients may focus their attention on excess skin in the upper eyelids and not realize that sagging of their eyebrows contributes to this skin redundancy. You should be very frank in discussing anything about your appearance that bothers you, as well as what you hope to achieve with surgery. This will help your surgeon to understand your expectations and determine whether they can realistically be achieved.

How will my plastic surgeon evaluate me for my brow lift surgery?
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received, previous surgeries including aesthetic eyelid or facial surgery, and medications that you currently take. It is important for you to provide complete information.

There are a variety of ways to elevate the brows and correct aging changes in the forehead area. Your plastic surgeon will closely examine your entire forehead and upper eyelid region, noting the muscle activity when you assume various facial expressions. The particular surgical technique that your surgeon recommends will depend on many factors such as the position of your eyebrows, the amount of excess upper eyelid skin and the height of your hairline.

How is my plastic surgeon able to improve my frown lines and the position of my eyebrows?

In many instances, an incision is made across the top of the scalp, beginning above the ears and hidden within the hair. Sometimes, the incision may be placed at the front of the hairline or, in some cases, toward the middle of the scalp. The incision is designed to be inconspicuous when healed. Through the forehead surgery incision, your plastic surgeon can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin, and lift your eyebrows to a more pleasing level.

Another forehead surgery technique uses an endoscope, a long, thin tube with a light on the end, attached to a video camera. The endoscope is inserted through several tiny incisions in the scalp and allows the plastic surgeon to see and work on the various internal structures of the forehead. The endoscopic technique has the advantage of requiring very minimal incisions, but it may not be equally beneficial for all patients. In some instances, alternate methods may be preferable, or a combination of endoscopic and other techniques may be used.

Sometimes, if your main concern is frown lines between your eyebrows or across the top of your nose, a limited endoscopic procedure to correct these problems can be done. Alternatively, if you are having upper eyelid surgery performed to remove excess skin, it may be possible to treat your frown lines by the same upper eyelid incisions.

  • Patient Before & After Photos
  • *Some Materials Courtesy 2007 ASPS



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