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FOREHEAD SURGERY

The forehead lift (also called the brow lift) erases expression lines in the brow region caused by the aging process. A forehead lift will:

Reduce the creases that form across the forehead above the brow line as well as those that occur in the mid brow above the nose

• Reduce the lines that are commonly called “frown lines”

• Remove a low-sagging brow that may droop over the eyes

• Lift the brow to a more youthful position

There are rejuvenation procedures available to compliment the benefits of a forehead lift that can be done at the same time:

• An eyelid surgery would correct drooping around the eyes

• A face lift would reverse the effects of aging from the middle of your face to your neck area

• Skin resurfacing techniques replenish the youthful glow of young skin

There are many over-the-counter treatments that claim to reverse the effects of aging, but the most effective treatment begins by talking to your cosmetic surgeon to see if a forehead lift is right for you. Only a trained, board-certified cosmetic surgeon is qualified to recommend you as a forehead lift candidate.

BEFORE AND DURING THE SURGERY

Forehead lift surgery is a highly individualized procedure and should only be done for personal reasons. This procedure is a good option for both men and women who are between the ages of 40 and 60 years. Some people my possess a furrowed brow as an inherited trait and may want to undergo this procedure to correct this trait. Patients who are balding or who have a receding hair line are still good candidates for this procedure because incision lines can be hidden or disguised in such a way that they will be unnoticeable. Generally, face lift surgery is a good option for you if:

• You are generally healthy

• You are a non-smoker

• You have a positive outlook on life

• You have realistic goals for the procedure

Your surgeon will want to meet with you prior to scheduling a procedure to determine whether or not you are a good candidate for a face lift. The following points cover some of the information your surgeon will want to know:

• Why do you want to the procedure?

• What is your desired outcome?

• Do you have any current medical conditions or drug allergies?

• Are you being treated for any other medical conditions?

• Have you undergone any previous surgeries?

• What medications, vitamins, herbal and other supplements, and drugs are you currently using?

• Do you use alcohol and tobacco?

This is not all. Your surgeon will want to complete a physical evaluation to determine your current level of physical health. The information he or she will gather could include:

• Any risk factors you are experiencing, along with any pre-existing conditions

• Photographs that will be included in your medical record, and to aid in determining the extent of improvement

• Treatment options and recommendations

• Discussing possible outcomes of the procedure

• The use of anesthesia during the procedure

BEFORE AND AFTER

forehead

YOUR SURGEON MAY ALSO INSTITUTE:

• Dietary guidelines or restrictions

• Alcohol consumption guidelines or restrictions

• Avoiding certain vitamin supplements

INSTRUCTIONS YOU WILL RECEIVE MAY INCLUDE:

• What to do on the day of the surgery

• Using anesthesia during your procedure

• Any post-op care and treatments

BEFORE THE DAY OF THE SURGERY, YOU WILL BE ADVISED OR REQUIRED TO:

• Complete routine blood tests to determine overall physical health

• Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements that increase bleeding

If this procedure will be performed on an outpatient basis, you should arrange for someone to take you to your appointment, pick you up from your appointment after the procedure is completed, and stay with you for at least the first night afterwards.

The procedure begins when anesthesia is administered, using intravenous sedation and local anesthesia, to ensure your comfort. A forehead lift may be performed using an endoscope which, along with other small instruments, are placed under the skin through small incisions made within the hairline. This method allows the surgeon to work with and adjust the tissues and muscle beneath the surface of the skin. The benefit of this is that the surgeon works with the source of the creases and grooves and not just the skin that is reflecting the imperfections.

An alternative to the traditional face lift uses a shorter incision that starts below the temples and continues around the ear ending right at the hair line. This is called the limited incision. The skin from underneath the eye to the skin at the corners of the mouth can be corrected using this incision in the same way the traditional incision is used.

A furrowed brow can be corrected with or without the use of endoscopy through incisions made at the temple area and beyond the hairline of the forehead. Incisions are also made in the creases of the upper eyelids to help remove frown lines between the eye brows that are on, or just above, the bridge of the nose.

Another alternative to the forehead lift is called the coronal brow lift. Using this technique, the surgeon makes an incision from ear to ear over the top of the head lifting the forehead and removing excess skin from the scalp. This technique does take longer to recover from because the incision is so much larger, but this technique allows the surgeon to isolate certain regions of the forehead that need the most attention

INCISIONS ARE CLOSED USING ANY OF THE FOLLOWING:

• Removable sutures

• Absorbable sutures

• Skin adhesives

• Special clips

THE FOREHEAD LIFT IS HELD INTO PLACE BY THE USE OF ONE, OR A COMBINATION OF THE FOLLOWING:

• Permanent sutures

• Small surgical screws

• Absorbable fixation devices that are placed at the temples

Scarring from these procedures is very well hidden in the hairline and in the natural folds and creases of the face and ears. Results will begin to appear as soon as the swelling and bruising diminish revealing a smoother, more youthful and alert appearance.

AFTER THE PROCEDURE IS COMPLETE

After returning home, it is very important to follow your surgeon’s suggestions for resting and for the care of the surgical and incision sites. Be sure that you do not subject the surgical incisions to excessive force, swelling, abrasion, or motion during the time of healing. This can have detrimental effects to the quality of your results, as well as your general health.

If you experience shortness of breath, chest pains, or unusual or irregular heartbeats, seek immediate medical attention. You may be hospitalized if any of these serious medical conditions occur.

After you arrive home, if you experience shortness of breath, chest pains, or unusual or irregular heartbeats, seek immediate medical attention. You may be hospitalized if any of these serious medical conditions occur.

The practice of medicine is not an exact science. Good results are always expected, but not guaranteed. Some situations may require multiple surgeries in order to achieve the best results. A similar procedure (like a face lift, eyelid surgery, or liposuction) may also be required.

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