Forehead Lift

A forehead lift, also known as a brow lift or browplasty, is a cosmetic surgery procedure used to elevate a drooping eyebrow that may obstruct vision and/or to remove the deep “worry” lines that run across the forehead and may portray to others anger, sternness, hostility, fatigue or other unintended emotions.

A forehead lift, also sometimes referred to as a brow lift is a surgical procedure to change the position of the soft tissues of the forehead and thereby the appearance of the upper face and also reduce sagging of skin in the eyebrows and above the nose.

Multiple surgical approaches have been developed, and more than one may be used in combination by surgeons wishing to elevate the forehead skin.

A direct browlift is performed by removing an segment of skin and muscle just above the eyebrows. The incision is hidden within the brow hair. This technique does not address wrinkles or lines within the forehead and surgical scars may be prominent. It is typically reserved for older patients or for men with thick eyebrow hair and male pattern baldness for whom other techniques might result in unacceptable elevation of the hairline.

A mid-forehead lift is intended for patients who have heavy sagging eyebrows and the deeper forehead wrinkles. The surgeon makes incisions within the deep forehead wrinkles and removes the excess skin, fat and sometimes muscle. Incisions are made within the deep wrinkles so that the resulting scars are concealed within the skin lines and not very noticeable after healing. The advantage of this technique is that less of the forehead tissues need to be loosened at surgery to elevate the eyebrows and less skin needs to be removed when a site is chosen within the lines in the lower part of the forehead. Because this technique does not require elevating the skin of the whole forehead, the position of the hairline is not affected. This is advantageous for patients with high hairlines for whom more elevation of the hairline would be undesirable.

A coronal forehead lift is performed by making an ear to ear incision across the top of the head and elevating the entire forehead and brow. The advantage of this technique is that incisions are not made on the face. The disadvantages are that a large area of skin and underlying tissues in the forehead must be loosened in order to elevate the brows and the loosened tissues are then stretched toward the top of the head, raising the position of the hairline. Depending on where the hairline is located before surgery, the elevated hairline may or may not produce a desirable appearance. Excess skin is usually removed from the incision area, which may result in loss of hair-bearing scalp skin.

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