Forehead lift

The endoscopic forehead lift, also known as endoscopic brow lift, is a minimally invasive surgical procedure aimed at lifting and rejuvenating the forehead and brow area. It is a popular cosmetic surgery option for individuals who want to address sagging brows, forehead wrinkles, and frown lines.Dr. Farzan Rezaei the well-known ENT expert suggests this fantastic procedure for patients who suffer from the negative effects of aging.

forehead lift - Dr. Farzan Rezaei

key points of endoscopic forehead lift:

Procedure: During the surgery, small incisions are made within the hairline. A tiny, thin tube with a camera (endoscope) is inserted through one of the incisions to visualize the underlying structures. Surgical instruments are passed through other incisions to lift the forehead tissues, reposition the brow, and smooth out any wrinkles or creases.
Minimally Invasive: Compared to traditional forehead lift techniques, the endoscopic approach is less invasive. It uses smaller incisions, resulting in reduced scarring, less tissue trauma, and a quicker recovery period.
Benefits: this procedure can provide several benefits, including a more youthful and refreshed appearance, elevation of sagging brows, smoothing out forehead wrinkles and frown lines, and improving overall facial symmetry.
Recovery: After the surgery, patients may experience mild swelling, bruising, and discomfort, which can be managed with pain medication. Most individuals can resume work and normal activities within a week or two, though the full recovery time may vary from person to person.
Results: The results of an endoscopic procedure are typically long-lasting. It can help restore a more rested and vibrant look by addressing the signs of aging in the forehead and brow area. However, it’s important to note that individual results may vary based on factors such as age, skin condition, and lifestyle.
If you’re considering an endoscopic forehead lift, it’s best to consult with a qualified plastic surgeon who can assess your specific needs and expectations. They will be able to provide personalized advice and guide you through the procedure

How long does endoscopic forehead lift last?

The longevity of the results from an endoscopic forehead lift can vary from person to person. While the procedure is designed to provide long-lasting improvement, it is important to keep in mind that individual factors and the natural aging process can impact the duration of results. Generally, the effects of lifting forehead can last for several years, with some patients experiencing results that can last up to a decade or more.
It’s important to note that the aging process will continue after the surgery, and factors such as genetics, lifestyle, and skincare routine can influence how long the results last. While the surgery can effectively address sagging brows, forehead wrinkles, and frown lines, the effects may gradually diminish over time due to the natural aging of tissues.
To maximize the longevity of your results, it is recommended to follow a healthy lifestyle, protect your skin from sun exposure, and maintain a consistent skincare regimen. Additionally, periodic non-surgical treatments like dermal fillers or botulinum toxin injections may be suggested by your plastic surgeon to complement and extend the results of an endoscopic forehead lift.
It’s always best to consult with a qualified plastic surgeon for an individual assessment and to discuss your specific expectations regarding the longevity of the procedure’s results.

best candidate for forehead lift - Dr. Farzan Rezaei

Who is a good candidate for lifting forehead?

A forehead lift is typically recommended for individuals who have one or more of the following concerns:
1. Sagging or drooping eyebrows: If your eyebrows have descended lower than they should be, giving you a tired, sad, or angry appearance, this procedure can raise and reposition them to a more youthful position.
2. Forehead wrinkles and furrows: Deep horizontal lines across the forehead or vertical lines between the eyebrows (also known as frown lines) can be smoothed out through this procedure.
3. Excess skin on the forehead: If you have loose or redundant skin on your forehead, a forehead lift can help eliminate the excess and create a tighter, smoother appearance.
4. Uneven or asymmetrical eyebrows: If your eyebrows are asymmetrical or have uneven heights, lifting forehead can provide symmetry and balance.
Generally, good candidates for this surgery are in good overall health, have realistic expectations, and are non-smokers or are willing to quit smoking prior to and following the procedure. Additionally, the specific technique used for lifting forehead , such as endoscopic, traditional, or temporal, may also depend on factors like age, degree of brow sagging, and individual anatomy.

simultaneous forehead lift and other cosmetic surgeries

yes, it is possible to undergo multiple cosmetic procedures in conjunction with a forehead lift. In fact, it is quite common for individuals to combine procedures to achieve more comprehensive facial rejuvenation or enhancement.

Some of the cosmetic procedures that are often performed simultaneously with a brow lift include:
1. Eyelid surgery (blepharoplasty): If you have droopy or puffy eyelids, undergoing eyelid surgery along with a brow lift can address both concerns and provide a refreshed, youthful appearance to the upper face.
2. Facelift or neck lift: If you have significant signs of aging in the lower face and neck, combining a brow lift with a facelift or neck lift can create overall harmony and balance in your facial rejuvenation goals.
3. Dermal fillers or injectables: Non-surgical options like dermal fillers (e.g., hyaluronic acid fillers, collagen stimulators) or injectables (e.g., Botox, Dysport) can be used alongside a brow lift to further enhance the results. Fillers can add volume to areas like the cheeks or lips, while injectables can help relax wrinkles and fine lines.
4. Rhinoplasty: If you are considering reshaping your nose, a brow lift can be performed concurrently with rhinoplasty to achieve a harmonious balance between the upper and middle facial features.

Combining procedures can reduce overall recovery time and provide more comprehensive results. However, it is crucial to discuss your specific goals and concerns with a qualified plastic surgeon who can assess your medical history, perform a thorough examination, and recommend the most appropriate combination of procedures for your individual case.

 Types of forehead lift procedures

There are several types of forehead lift procedures. The specific technique chosen depends on the individual’s needs, anatomy, and surgeon’s expertise. Here are the main types:
1. Traditional or Classic Brow Lift: This procedure involves creating an incision across the top of the scalp, typically hidden within the hairline. The surgeon lifts and re-positions the underlying tissues and muscles to elevate the brows, smooth forehead wrinkles, and restore a more youthful appearance. Excess skin may also be removed.
2. Endoscopic Brow Lift: This minimally invasive technique uses small incisions and an endoscope (a small, flexible tube with a camera) to visualize and adjust the underlying structures of the forehead and brows. The surgeon makes several small incisions within the hairline and inserts the endoscope to guide the procedure. This method typically results in less scarring, a faster recovery, and reduced post-operative discomfort.
3. Temporal or Limited Incision Brow Lift: This technique targets the outer corners of the brow and temples. The incisions are smaller and placed within the hairline or temporal region. The surgeon lifts and re-positions the outer brow while addressing crow’s feet wrinkles and forehead lines in the targeted area.
4. Direct Brow Lift: Recommended for specific cases, the direct brow lift involves removing a small strip of skin just above the eyebrows. This method is usually reserved for patients with significantly drooping brows, and the incisions are placed directly above the brow area in forehead lift procedure.
During a consultation with a board-certified plastic surgeon, they will evaluate your concerns, skin quality, and desired outcome to determine the most suitable procedure for you. Discussing the advantages, limitations, and potential risks of each technique will help you make an informed decision.

Expertise in Forehead Lift Procedures

A forehead lift, commonly referred to as a brow lift, is a cosmetic surgical intervention aimed at tightening sagging skin on the forehead and elevating the eyebrows. Additionally, it can diminish the visibility of wrinkles on the forehead and between the eyebrows (referred to as “frown lines”).
At UT Southwestern, we are actively engaged in continuous research endeavors to enhance techniques related to forehead lift procedures. With profound expertise in their respective fields, our surgeons have authored numerous articles and publications on plastic and cosmetic surgeries, chaired numerous national and international conferences, and delivered numerous scientific presentations showcasing their contributions to the field.

Options for Forehead Lift Procedures

Our skilled surgeons offer the option of undergoing a forehead lift either independently or concurrently with other facial surgeries, such as a facelift or eyelid lift. A forehead lift can yield various outcomes, including:

1. Diminishing the visibility of wrinkles on the forehead or between the eyebrows.

2. Elevating drooping eyebrows to alleviate the appearance of “hooded” upper eyelids.

Realigning the position of the eyebrows to create a more youthful and alert appearance, thereby reducing the appearance of fatigue, anger, or severity. The techniques employed for a forehead or brow lift include:

Endoscopic brow lift: This method involves making a few small incisions to permanently reposition the brow.

Brow suspension: A less invasive alternative to endoscopy, although it necessitates retreatment after several years.

Traditional or Coronal Forehead Lift

During a traditional or coronal forehead lift, the surgeon initiates an incision typically starting at ear level and extending across the top of the forehead to the opposite ear. Alternatively, the incision may be positioned along the hairline in certain cases. Subsequently, the surgeon meticulously elevates the forehead skin, eliminating any surplus tissue and fat. Muscle realignment may be performed if necessary. Throughout the procedure, the eyebrows may also be repositioned to a higher level. Finally, any excess skin is trimmed as needed.

Before the Surgical Procedure

Prior to undergoing surgery, you will undergo a thorough patient consultation, which includes a medical history review, a physical examination, and a psychological evaluation. It might be beneficial to have a companion, such as your spouse, accompany you during this consultation.

Feel free to ask any questions you may have, ensuring you fully comprehend the answers regarding preoperative preparations, the surgical procedure itself, and postoperative care. One week before the surgery, your surgeon may instruct you to discontinue the use of blood thinners, as they could potentially lead to increased bleeding during the procedure. Examples of these medications include aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn). If you are currently taking anticoagulants like warfarin (Coumadin, Jantoven), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto), or clopidogrel (Plavix), consult your surgeon before altering your medication regimen. In the days leading up to your surgery:

Clarify with your surgeon which medications you should continue taking on the day of the surgery.

Inform your healthcare provider promptly if you experience a cold, flu, fever, herpes outbreak, or any other illness before the surgery.

On the day of the surgery:

Refrain from eating or drinking anything after midnight the night before the procedure, which includes avoiding chewing gum and breath mints. If your mouth feels dry, rinse it with water without swallowing.

Take any prescribed medications with a small sip of water.

Arrive punctually for the scheduled surgery.

Ensure to adhere to any additional instructions provided by your surgeon.

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