Background:

A forehead lift, also called a brow lift, corrects the sagging or low position of the eyebrows that can cause a tired or sad look. The procedure softens horizontal creases across the forehead. It is often performed to treat conditions associated with aging, and is also appropriate for treatment of certain inherited traits.

Technique:

The surgical technique recommended will depend on the position of the eyebrows, the amount of excess upper eyelid skin, and the height of the hairline. 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. Through the forehead lift incision, the plastic surgeon can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin, and lift the eyebrows. Another forehead lift 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 requires minimal incisions, but in some instances, alternate methods may be preferable, or a combination of endoscopic and other techniques may be used.

Benefits:

• Although the aging process continues, patient satisfaction remains high.


• Incisions are designed to be inconspicuous when healed.


• Usually performed on an outpatient basis.


• Patient can typically resume most normal activities within 10 days.

Other Considerations:

• If there is significant skin overhang in the upper eyelids, or puffy bags beneath the eyes, eyelid surgery may be recommended in addition to a forehead lift.


• Temporary puffiness and discoloration may involve the eyelid and cheek areas.


• Temporary numbness and possibly some itching of the scalp can be expected.


• Recovery time varies greatly.


• Every surgery carries some risk. Potential complications could include reaction to anesthesia, hematoma (an accumulation of blood under the skin that might require removal), and infection.


• Patient should temporarily avoid exposure to direct sunlight and, for the long term, be conscientious about use of a sun block.