The effects of aging are inevitable, and, often,
the brow and forehead area show the first signs. The skin begins
to lose its elasticity. Sun, wind, and the pull of gravity all
affect the face, resulting in frown lines, wrinkling across the
forehead, and an increasing heaviness of the eyebrows. Even people
in their thirties may have faces that look older than their years.
Your tired, angry, or sad expression may not reflect how you actually
feel. As a result, many people have opted for a procedure known
as the forehead lift. Based on variations in how men and women
age and on new advances in medical technology, different methods
are used to perform this procedure.
If you are
wondering how a forehead lift could improve your appearance, you
need to know how these procedures are performed and what you can
expect. This article can address many of your concerns and provide
you the information you need to begin considering forehead surgery.
Successful
facial plastic surgery is a result of good rapport between patient
and surgeon. Trust, based on realistic expectations and exacting
medical expertise, develops in the consulting stages before surgery.
Dr. Maloney can answer specific questions about your specific
needs.
Is
a Forehead Lift For You? As with all elective surgery, good health and realistic
expectations are prerequisites. When Dr. Maloney tightens loose
skin and removes the excess, forehead wrinkling and drooping brows
are modified. The procedure is called a forehead lift or brow
lift. If necessary, Dr. Maloney removes part of the muscle that
causes vertical frown lines between the brows. The result can
be a smoother brow and a more youthful expression. To see what
a forehead lift can do for your face, put your hands above your
brows and outside the edges of your eyes and gently raise the
skin upwards. Forehead lifts are an option if you have a sagging
brow or deep furrows between the eyes. This procedure is usually
done between age forty and sixty-five, although it may be necessary
at an earlier age.
Incisions can
be placed at the hairline, behind the hairline, or in some cases,
above the brow or in the mid-forehead. Endoscopic techniques that
are available allow the procedure to be performed, thereby minimizing
incisions and reducing visibility of scars. Dr. Maloney can help
you select the best technique suited to your particular situation.
Making
the Decision for a Forehead Lift
Whether you are having surgery for functional or cosmetic reasons,
your choice of a qualified facial plastic surgeon is of paramount
importance. During the consultation, Dr. Maloney will examine
your facial structure, the condition of your skin, and your hairline
in order to decide where incisions should be made. A thorough
medical history will be obtained so that Dr. Maloney can consider
any medical conditions that may heighten surgical risks. A detailed
description of the procedure will also include a discussion of
risk involved.
After the decision
to proceed with surgery is made, Dr. Maloney will describe the
technique indicated, the type of anesthesia, the surgical facility,
any additional surgery, and the risks and costs.
Understanding
the Surgery If the patient has a high forehead, Dr. Maloney may
recommend a tricophytic browlift. The incision runs along the
front of the hairline and the forehead is lowered. For patients
with a low or average forehead, the endoscopic or minimal incision
technique may be appropriate.
In endoscopic
surgery, Dr. Maloney makes a series of small incisions just behind
the hairline and, using the endoscope as a guide, proceeds to
remove those muscles that are the source of frown lines. The eyebrows
are then lifted to reduce the sagging of skin at eyelid level.
Depending on the nature of the incisions and Dr. Maloney's preference,
bandages may be applied along the incisions. The procedure usually
lasts one to two hours.
What
to Expect After the Surgery
You will experience a certain amount of swelling and bruising
in the 10-day period following surgery. In some patients, this
condition may include the cheek and eye area as well as the forehead.
You will be advised to keep your head elevated in order to reduce
swelling. Cold compresses may further reduce swelling. As the
incisions heal, you may experience some numbness as well as itching,
both of which will diminish with time. The sutures are usually
removed within seven to 10 days following surgery. If bandages
have been used, they are removed in one day. It is important to
follow the advice of Dr. Maloney on resuming normal activities.
For most patients, the recovery time will not exceed two weeks,
but patients may still be advised to avoid strenuous activities
for longer periods. Any prolonged bruising can be camouflaged
with standard make-up techniques.
Not infrequently,
a brow lift is combined with Blepharoplasty (an eyelid tuck) or
face lift to provide a harmonious rejuvenation.
Facial plastic
surgery makes it possible to correct many facial flaws and signs
of premature aging that can undermine self-confidence. By changing
how you look, cosmetic surgery can help change how you feel about
yourself.
Insurance does
not generally cover surgery that is purely for cosmetic reasons.
Surgery to correct or improve sagging foreheads and brows which
interfere with vision may be reimbursable in whole or in part.
It is the patient's responsibility to check with the insurance
carrier for information on the degree of coverage.