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Forehead lift, also known as brow lift, aims at rejuvenating the forehead and the upper third of the face with more youthful position of the eyebrows. Many patients who are concerned about the appearance of their upper eyelids may require a forehead lift. The tired and sometimes angry look is the result of the drooping of the brows and to a lesser degree related to the eyelids. The purpose of the procedure is to produce a less tired and angry appearance. It will reposition the brows and improves the frown lines. In most cases this procedure can be performed endoscopically. A brow lift may be performed alone or in conjunction with other procedures such as a facelift.
The Preoperative visit
Consultation for facial rejuvenation consists of a thorough discussion of the patient's expectations and concerns. An extensive evaluation of the patient's face, eyes and forehead, including photographs, will be performed. The available surgical options and Dr. Soltanian’s recommendations will be reviewed, including the limitations and risks of surgery.
Ideal Candidates
The best candidate for a brow lift is a man or woman whose eyebrows have begun to descend, making the patient appear tired, sad, or angry. Prominent and deepened frown lines are another indication for surgery. Most patients are in their forties to sixties, or younger if there is a hereditary factor present in the family. Forehead rejuvenation is most commonly performed through an endoscopic approach.
The Procedure
The endoscope is inserted through several small incisions located just behind the hairline. The "scope" provides magnification and allows the surgeon to tighten and lift the forehead and address the eyebrow muscles as needed. In more severe cases a larger incision across the top of the scalp may be needed. Surgery is performed in the hospital. General anesthesia is recommended for patient comfort. Surgery usually takes 1 - 1 1/2 hours. Most patients are discharged home with a head dressing on the day of surgery.
Postoperative Course
Patients are provided with thorough written pre and post operative instructions. Sutures are normally removed in the office in 7 - 10 days. There is some discomfort associated with this procedure. The majority of the bruising and swelling will subside within two weeks. However, it may take several months before you enjoy your final results. Patients usually are able to return to school or work about 10 days after surgery with some restrictions in their activities. Scars are usually well camouflaged. The result is often a more alert and refreshed look.
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