Forehead lifts are usually recommended when a patient comes in complaining of baggy upper eyelids. When the skin of your eyebrows descend, they push your upper eyelid skin down and create bagginess. It is often when a patient realizes that they have baggy upper lids that the surgeon identifies as part of the problem a droopy eyebrow. In this circumstance, your brows are elevated to help improve the results of your upper lid lift (blepharoplasty).
In some instances a forehead lift will be recommended to improve your wrinkled skin and in many instances can help reduce the appearance of a high hair line or a high forehead. There are a number of different approaches for a forehead lift, including the direct lift, the mid-forehead pre-trichial (at or in front of the hair line), coronal (behind and in the back of the hair line) or an endoscopic (minimal incision) approach. We favor the endoscopic approach.
Who is a Candidate
- Those who have a low eyebrow position.
- Those who have eyebrow asymmetry.
- If you have excessive, sagging or wrinkled upper eyelid skin.
- If you have excess upper eyelid skin that interferes with vision.
- If you have puffy pouches of fat in the upper eyelids that create a tired or aged appearance.
- Those with excess forehead wrinkles.
- Those with a high hair line or high forehead who wish to lower the hairline.
- Improved eyebrow position.
- Reduced appearance of wrinkles in the forehead.
- Reduced appearance of wrinkles between the eyebrows.
- Incisions may be made above the eyebrows in a skin fold, in front of the hairline, in the hair line or endoscopically (minimal incision).
- The procedure is usually performed as an outpatient under local anesthesia or conscious sedation.
- Attempts are made to correct eyebrow asymmetry although some asymmetry is the rule.
- The procedure is often combined with blepharoplaasty (eyelid lift) and facelift-necklift.
Recuperation and Healing
- All sutures are usually removed within 7 -10 days.
- Initial discomfort is usually mild and controlled with oral medication.
- Bruising usually subsides within 1-2 weeks.
- Swelling usually disappears within 2 weeks.
- Makeup may be used following suture removal and healing of the incisions.
- Contact lenses can be worn when comfortable and sutures have been removed usually 7-10 days.
- There is usually some numbness (usually temporary) due to stretching of the sensory nerves in the region of the forehead.
- Additional procedures that may enhance the result are blepharoplasty, facelift-necklift, carbon dioxide (CO2) laser resurfacing, chemical peels and BOTOX®.
The specific risks and the suitability of this procedure for a given individual can only be determined at the time of consultation with your Cosmetic Surgeon. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.