A forehead lift surgery (also know as a brow lift) raises the muscles and tissues of the forehead to minimize visible effects of aging such as sagging eyebrows and deep wrinkles on the forehead and brow. It is also performed on younger patients who have genetically deep forehead and frown lines due to overactive muscles irrespective of age. Forehead lift surgery gives a more alert, cheerful look. It takes away the look of tiredness and makes a person look more relaxed and less intense.
I use endoscopic techniques to perform forehead lift surgery because it is far less traumatic than older methods and allows a quicker recovery. It performed under a general anesthetic and involves three to five short scalp incisions, each less than a centimeter in length. An endoscope - a fiber optic instrument with an attached video camera is connected to a monitor. This is inserted through one of the incisions to allow a view of the muscles and tissues under the skin. Using specially designed instruments, the forehead tissues are lifted through another incision exposing the muscles just above the brow. These are trimmed to reduce the tension that forms the deep lines in the overlying skin. In this way, a smoother look to the forehead is created. In most cases the eyebrows are also carefully elevated to give a more open look around the eyes. The number of millimeters of elevation for this part of the procedure is carefully measured beforehand so the degree of elevation is very precise. It is important not to overdo brow elevation. I want my patients to look alert, not surprised! At the end of the procedure, the small incisions are closed with metal clips, which allow my patients to shower the next day.
Patients may notice some tightness in the scalp after surgery but pain is very mild. I advise my patients to take Advil if they need something for pain relief. The metal clips used to close the incisions are removed at the time of the post-op visit one week after surgery. I have patients wear a tennis headband for a week after surgery to support the forehead position and try to stay home to rest and heal. Generally, patients may resume normal daily activities within a week and get back to the gym in 2 to 3 weeks.
A forehead lift is a one time procedure. Once the forehead is placed in an optimum position, it does not change with age so it very rarely ever has to be redone.