Brow Lift / Forehead Lift Dallas
The Goal of A Brow Lift/ Forehead Lift:
A forehead lift is meant to restore a youthful appearance to the forehead. A youthful forehead is smooth, wrinkle free with brow arches positioned rightly above each eye.
With aging these features get disrupted by sagging of the forehead skin. The dropping down of forehead skin leads to brows descent. This sagging compounds the sagging of eyelids and gives eyes their hooded appearance.
Excessive use of forehead muscles causes forehead wrinkles.
Surgical approach to the Sagging Brows and Forehead:
1. Open Brow and Forehead Lifts.
2. Endoscopic Brow and Forehead Lifts
Open Brow and Forehead Lifts:
Surgery is done with an incision made just at the frontal hairline (most of time), or just behind the hairline (sometimes). The forehead skin is elevated at the subcutaneous plane or a deeper (subgaleal) plane down to the base of nose and eyebrows.
The corrugator and procerus muscles which are responsible for frowning and the lines above the nose are partially cut and removed. This results in a smoother forehead appearance. The eyebrows are positioned in a more desirable position and the forehead skin is draped over the underlying bony surface. Excess skin is removed, and the forehead incision is repaired with fine stitches
Anesthesia for Brow and Forehead Lift:
Surgery can be done under general anesthesia or sedation. We prefer general anesthesia in our practice. Anesthesia is provided by a board-certified M.D. Anesthesiologist.
Recovery after Forehead Lift and Brow Lift:
The surgery is done as an outpatient procedure. Patients go home with a light head dressing. The hair can be washed 2-3 days after surgery. Stitches are removed in 5-7 days after surgery. Pain is minimum.
Most of swelling subsides in 3 weeks.
Endoscopic Brow Lift/Forehead Lift:
This approach is applicable when skin sagging is not extreme and most of the concern lies with the hyperactive muscles of the forehead and brows. Small, hidden incisions in the scalp are made. The endoscope is inserted through these incisions. The corrugator and procerus muscles are visualized. These muscles are then partially removed to improve the frown lines.
However, when forehead skin needs to be removed the open approach is more predictable and thus is a preferred approach.
Forehead Lift / Brow Lift Questions:
How long does a Forehead Lift last?
Surgery corrects changes up to time of the surgery. Since aging is an on- going phenomenon, another surgery may be required 5-10 years after the initial surgery.
Can I combine a Forehead Lift with other facial surgeries?
Many times, forehead/brow lifts are done at the same time as an upper eyelid blepharoplasty. This gives a better outcome from both.
With aging, there is lengthening of the nose. The nasal tip also tends to droop. This change need not be ignored. A rhinoplasty should be strongly considered with all forehead lifts and other facial rejuvenation operations.
What are the risks of a Forehead Lift and Brow Lift?
Generally, risks are low. They are limited to risks common with all surgeries. Namely – scar at the site of incision, anesthesia risks, infection, and bleeding.
How about hair loss?
This used to be a risk with older coronal incisions that were popular in forehead lifts in the past. With our pre-hairline incision, this risk is non-existent. Actually, the anterior hairline can be lowered, and the forehead width reduced with our approach to forehead lifts.
Can I lose sensation of the scalp?
Some sensory loss can occur. Most of times it is temporary. Scalp sensation usually recovers over a period of 6-9 months after surgery.
- Notice excess skin at the root of nose and in glabellar area with skin lines.
- There is hooding of skin into upper eyelids from descent of eyebrow skin into upper lids. There is crescent of skin that overlaps upper eyelid crease.
- Forehead and temple areas have looseness of tissues.
- Glabellar area is smooth and taught. Excess skin at root of nose and glabella is removed.
- Skin hood from upper eyelid crease has been eliminated. Shape and curve of eyebrow is improved.
- Forehead and temples have no looseness.
- Notice eyebrow and brow skin is sagging into upper eyelids. It is more so on her right side than on her left side.
- Excess skin is lifted out from upper eyelids. Eyelid features are now more refined since there is no redundant skin.
- Also note improvement of her temple area from her forehead lift.