The forehead becomes slack and this often causes the eyebrows to drop with age. This creates a more aged appearance to eyes and causes skin excess in the upper eyelids. The process can be reversed by surgery.
In classical method, the forehead was tightened by carrying out an operation which left a long scar in the scalp extending from ear to ear.
The second method is endoscopic face lift which is performed especially in younger patients.
In this operation an incision is made in both temples and two small incisions made vertically on the top of the scalp just behind the hairline.
Endoscopic surgery can then be performed by inserting an endoscope so that the muscles can be freed and the vessels and nerves identified. It is then possible to lift the forehead tissues and weaken the muscle in such a way as to reduce the frown lines and prevent the muscles from pulling the brows down again.
The new forehead position is then stabilised, usually by inserting very tiny screws which support the deep tissues.
It takes about 1-2 hours.
A forehead lift is performed under general anaesthetic for most patients.
Preparing for surgery
You will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding medication. Carefully following these instructions will help your surgery go more smoothly.
If you smoke, it is important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin and can interfere considerably with healing.
If your hair is very short, you might want to let it grow out before surgery so that it is long enough to hide the scars while they heal.
Inpatient / Outpatient
A forehead lift is performed as an inpatient in hospital
Possible side effects & Risks
Bruising and swelling can occur, especially around the eyes, and this may take two weeks to clear. Initially the forehead feels rather numb and may feel a little immobile.
Permanent loss of feeling is unusual but can happen if nerve damage occurs during the dissection. As with a face lift, nerve damage can also occur which can reduce or abolish movement of the brow or one side of the forehead; but this is uncommon.
Scars are hidden by your hair and you will be able to disguise and cover them quite easily.
The pain is usually quite mild and will be lessened with medication. It is advisable to sleep using extra pillows, keeping the head elevated until the swelling reduces. You will be able to shampoo your hair on the day following surgery but you should take the week following surgery easy and avoid strenuous activity. It is better to avoid vigorous exercise for six weeks. You must understand that in the early stages when your forehead is swollen it will look and feel rather strange.
Most bruising and swelling will have resolved in two weeks, although minor puffiness may take longer to disappear before you are able to enjoy the completed result.
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