Sagging of the eyebrow and forehead is one of the early signs of aging. This is manifested by drooping or furrowing of the forehead, as well as the development of horizontal and vertical forehead creases.
The brow may descend and seem to lie on the eyelashes resulting in an appearance of excess eyelid skin. Patients often complain that their eyes appear to be getting smaller and that their mascara or eyeliner usually ends up high on the upper part of the lids. This condition can be greatly improved with a forehead lift.
A forehead lift can be thought of as the upper facelift. Forehead lifts previously involved long incisions made across the forehead. Now with the development of endoscopic surgery, the operation is usually carried out through small inconspicuous incisions. Endoscopic surgery is a technique that uses optical telescopes with video imaging to allow visualization of surgical sites not readily accessible.
The operation is usually carried out through five short incisions above the hairline. Special instruments and a small telescope are inserted and dissection is carried out with video monitoring. The forehead is freed down to the brow. The muscles creating the wrinkles and frown lines are treated with a laser or electrocautery. This allows pinpoint accuracy with minimal bleeding. After mobilization, the brow and forehead are rotated to the desired position and fixed with sutures. No skin is removed.
After surgery there may be some swelling and bruising around the eyes and upper face. With the use of the endoscope and the laser recovery is fairly quick. One of the possible complications reported with this operation is damage to one of the fine motor nerves that control movement of the forehead. This is rare, and in most cases it resolves spontaneously, although it may take a few months.
An endoscopic forehead lift can be performed as an isolated procedure or in combination with a facelift or blepharoplasty. We feel that this technique is superior to the older techniques of forehead, brow or coronal lifts by minimizing incisions and allowing faster recovery. Our patients have been highly satisfied with this procedure.
To learn more about brow lift surgery - its risks, benefits, cost and the many options available – contact our Inland Empire cosmetic surgery office, also convenient to Upland, Fontana, Ontario, and Riverside.