Navigation Links
Forehead lift


Sometimes known as a brow lift, or, more technically, transblepharoplasty, the forehead lift procedure is used in plastic surgery and cosmetic surgery to remove the deep “worry” lines that run across the forehead and may portray to others:

  • Anger
  • Sternness
  • Hostility
  • Fatigue or other unintended emotions

Patients commonly request rejuvenation surgery on the forehead because the area is large enough to comprise the major focal and expression point of the upper face, the eyes notwithstanding. Given time and gravity, the muscles that hold the forehead smooth become loose and weak, allowing deep wrinkles to appear. Correction of a wrinkled forehead usually leads to a more youthful look. Patients requesting the procedure commonly range in age from 40 to 60.

In the hands of some surgeons, a forehead lift can also reduce the amount of sagging skin found on the upper eyelids.

A mid-forehead lift is intended for patients older than 65 who have heavy sagging eyebrows and the deepest forehead wrinkles. To bring about a more youthful look, the surgeon makes incisions within the deep forehead wrinkles and removes the excess skin, fat and muscle. Incisions are made within the deep wrinkles so that the resulting scars are hidden and not very noticeable after healing.

Contents

History

The first documented medical discussion about a forehead lift was written in 1910 by the famous German surgeon Erich Lexer.[1]

The main surgical method of lifting the forehead from Lexer’s time up until the 1950s was then known as a coronal, or open, forehead lift.

While the procedure is currently used far less frequently, the surgeon began the procedure by making one, long incision running from ear to ear over the top of the head through the hairline. The surgeon lifted the skin and muscles upwards and free from the bone, pulled the tissues up toward the top of the head, trimmed the excess and closed the incision with sutures. The incision was initially made well into the hairline so the scar could not later be seen.

In some cases, especially those in which the eyebrows and forehead skin are not too heavy, the upper eyelids are also elevated. In most cases, the procedure provides the smoother appearance which many patients want to help look younger and more refreshed and rested[2] In the late 1950s, and 60s some surgeons achieved the younger appearance on the forehead by scoring or removing some of the small forehead muscles -- most notably the frontalis muscle which causes frowning and grimacing.

Current surgical techniques

Since the advent of the hugely popular wrinkle remover, Botox (Dysport in the United Kingdom and Europe) many consumers have eschewed the invasive surgery altogether, opting for Botox injections every four to six months to get the same results. Botox is also used after some forehead lift procedures to increase the effects of the surgeries.[3]

Endoscopic surgery is often employed in forehead lifts. An endoscope is a surgical system with thin, pencil-sized arms that are inserted through three to five incisions about 3/8 of an inch long. One of the instrument’s arms is a lighted camera that displays what it sees under the patient’s skin on a television monitor.[4]Other arms on the Endoscope carry actual surgical tools that perform cutting, or grasping functions. The surgeon watches the television monitor to guide his movements.

Yet another advancement to endoscopic forehead lift surgery is with a fixation device known as an Endotine[5] The bioabsorbable Endotine implant is:

  • Essentially a hanger with five small tines
  • Affixed by inserting a flanged post into a drill hole in the skull

First, the surgeon frees the tissues of the forehead from the skull, then lifts them upwards and engages them onto the implant tines which hold them in place. The upside is the surgeon can readjust the height of the lift by simply moving the tissues up on the Endotine. If left undisturbed for 30 to 60 days, the forehead tissues heal to the bone at the higher position. The body absorbs the Endotine in about four to seven months. However, patients report they can feel the Endotines under the skin for some months after their procedures.

Risks

When surgeons have problems with an endoscopic forehead lift, -- in about one percent of cases -- they finish the procedure by switching to the open forehead lift method.

Complications are said to be rare and minor when a forehead lift is done by a board certified plastic surgeon. However, it is possible for the surgical process to damage the nerves that control eyebrow and forehead movements. Hair loss can also occur along the scar edges in the scalp when an incision is made through the hairline. Moreover, infection and bleeding are possible with any surgical procedure.[6]

Patients who have Endotine implants in their foreheads risk moving their newly adjusted tissues with relatively small movements just after the operation and before complete healing takes place. While the implant absorbs into the body, the Endotine generally does not support the very thick forehead flesh and heavy brows often seen in some overweight males.[7]

References:

  1. ^ Ulrich T. Hinderer and Juan L. Del Rio: Erich Lexer’s Mammaplasty: Aesthetic Plas Surg; Vol 16, No2; March 1992; 1001-1007
  2. ^ Paul, Malcolm D: Subperiosteal transblepharoplasty forehead lift: Aesth Plas Surg:Vol 20, No 2; March, 1996: 129-134;
  3. ^ Dyer WK Jr., Yung RT: Botulinum toxin-assisted brow lift. Facial Plast Surg 2000 Aug; 8(3): 343-54
  4. ^ Romo T 3rd, Sclafani AP, Yung RT: Endoscopic foreheadplasty: a histological comparison of perosteal refixation after endoscopic versus bicorronal lift. Plast Reconstr Surg 2000 Mar; 1111-7; discussion 1118-9
  5. ^ http://www.cosmeticsurgery.com/articles/archive/an~146/
  6. ^ Morgan JM, Gentile RD, Farrior E: Rejuvenation of the forehead and eyelids complex. Facial Plast Surg 2005 Nov; 21(4):271-8
  7. ^ Ramirez OM: Why I prefer the endoscope forehead lift. Plast Reconstr Surg 1997 Sep; 100(4): 1033-9; discussion 1043-6

External links


'"/>


(Date:7/29/2015)... NY (PRWEB) , ... July 29, 2015 , ... CanAm ... approved by USCIS over the past month! I-829 approvals have been granted to investors ... Los Angeles, the Kimpton Lafayette Hotel project in Philadelphia, and the Valley Forge ...
(Date:7/29/2015)... ... July 29, 2015 , ... A June 10, 2015 article from the ... discussed the importance of having regular skin cancer screenings from an early age. Skin ... ultraviolet rays. When caught early, skin cancer is rarely fatal; however, if left alone ...
(Date:7/29/2015)... ... 29, 2015 , ... Several years ago, in order to be in the ... took a proactive stance and began planning the Children’s Village consisting of six homes. ... to building the third home. , “We are very pleased to have received the ...
(Date:7/29/2015)... (PRWEB) , ... July 29, 2015 , ... ... a “forward thinker.” Since the late 1970s, Dr. Cottrell has been making predictions ... book, The New Earth, documents many of these prognostications. He warns that extreme ...
(Date:7/29/2015)... ... July 29, 2015 , ... National non-profit ... of life insurance, annuities, employee benefits and asset management, has joined as presenting ... event taking place in Charlotte, North Carolina on October 2-4, 2015. , Hosted ...
Breaking Medicine News(10 mins):Health News:More Than 60 New I-829 Approvals in Less Than 30 days for CanAm 2Health News:More Than 60 New I-829 Approvals in Less Than 30 days for CanAm 3Health News:Get Checked for Skin Cancer Early and Often 2Health News:Get Checked for Skin Cancer Early and Often 3Health News:Little City Receives $500,000 Matching Grant from The Coleman Foundation 2Health News:Little City Receives $500,000 Matching Grant from The Coleman Foundation 3Health News:Author Warns Public to Prepare for Imminent Environmental Disaster 2Health News:MetLife Joins World T.E.A.M. Sports’ Adventure Team Challenge North Carolina as Presenting Sponsor 2Health News:MetLife Joins World T.E.A.M. Sports’ Adventure Team Challenge North Carolina as Presenting Sponsor 3
... ... that Offer Style and Comfort at myShoes.com , ... (Vocus) May 18, 2010 -- myShoes.com , a new search ... According to health experts, ligaments in a woman’s lower back soften while pregnant and ...
... Patients, including many veterans, are at 8 times the risk ... News) -- People who are hospitalized for a traumatic brain ... major depression. , That,s the finding of a team led ... University of Washington School of Medicine in Seattle and first ...
... Institute of General Medical Sciences (NIGMS) of the ... of Missouri researchers $1.18 million to further develop ... MULTICOM. Using this system to understand protein structures ... a variety of diseases. "Proteins are fundamental ...
... Dr.Khanna helped ... ... Angeles Lasik surgeon Dr. Rajesh Khanna. Sherri found it was necessary to take care of the ... Sherri was impressed with the care and results of the LASIK surgery of her husband ...
... in German . Ball lightnings are ... large class of reports by eyewitnesses having experienced such events. ... fire balls for a long time. Now physicists at the ... long lightning strokes may produce the image of luminous shapes, ...
... ... since Scripps Health founded San Diego County’s first blood and marrow transplantation ... ... -- The outlook for patients with leukemia and other life-threatening blood cancers has improved ...
Cached Medicine News:Health News:MyShoes.com, a New Search Engine for Women's Shoes, Features Chic Shoes for Expectant Mothers 2Health News:MyShoes.com, a New Search Engine for Women's Shoes, Features Chic Shoes for Expectant Mothers 3Health News:Major Depression Often Follows Brain Injury 2Health News:Major Depression Often Follows Brain Injury 3Health News:System that predicts protein structures could help researchers design drugs 2Health News:Dr.Khanna is a Hero, Says Hero Actor 2Health News:Dr.Khanna is a Hero, Says Hero Actor 3Health News:Mysterious ball lightning: Illusion or reality? 2Health News:Scripps Blood & Marrow Transplant Program Celebrates 30th Anniversary of Providing Life-Saving Care 2Health News:Scripps Blood & Marrow Transplant Program Celebrates 30th Anniversary of Providing Life-Saving Care 3Health News:Scripps Blood & Marrow Transplant Program Celebrates 30th Anniversary of Providing Life-Saving Care 4Health News:Scripps Blood & Marrow Transplant Program Celebrates 30th Anniversary of Providing Life-Saving Care 5
Other medicine definitionOther Tags