Eyebrow and Forehead Lifting
Forehead and Brow Ptosis Surgery
The Mid-Forehead Lift involves incisions within the furrows (wrinkles) of the mid-forehead. Patients with deep furrows or rhytids and significant lateral brow ptosis are good candidates for this procedure. An ellipse of tissue is removed from the forehead and the incision site is closed with nonabsorbable sutures. Nonabsorbable sutures diminish scarring in this area and require removal 5-10 days following surgery. Women may utilize makeup on the incision sites following suture removal. Scars are well hidden in patients with deep furrows and gradually fade into the natural forehead wrinkles over the ensuing weeks to months.
The Pretrichial Brow Lift utilizes incisions just in front of the hairline. It involves removal of an ellipse of tissue as with the mid-forehead technique. This is a good technique to elevate the brow in patients that do not have deep wrinkling of the forehead area and have a full hairline.
In the Endoscopic Forehead approach small incisions are made behind the hairline. This minimally invasive cosmetic technique is excellent for younger patients with few forehead wrinkles. It is also more effective than other brow ptosis techniques for treatment of the medial portion of the eyebrow and glabellar region (area between the eyebrows). Endoscopic forehead elevation is typically performed under general anesthesia. The entire forehead and eyebrow is undermined and elevated with the use of an endoscope and video monitoring equipment. Incisions are made in the scalp just behind the hairline. The hair is not shaved or cut. No tissue is removed. The repositioned forehead is typically secured in place with a dissolvable implant fixated to the frontal bone. The implants generally disappear over 6-9 months. Scalp incisions are closed with staples that are removed 10-14 days after surgery.
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