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:10/20/2014)... NY (PRWEB) October 20, 2014 ... non-profit organization that helps New Yorkers living with ... changes toward health, housing, recovery and self-sufficiency. Each ... transformed the local community through their tireless efforts. ... Marc Shapses , has been selected as ...
(Date:10/20/2014)... CA (PRWEB) October 20, 2014 JZ ... expertise, nutritional coaching, corporate wellness programming, authorship, international lecturing ... is excited to announce the release of the JZ ... After many years of coaching thousands of individuals on ... tracking app that does not require calorie counting or ...
(Date:10/20/2014)... 20, 2014 Rockynol Retirement Community ... on Oct. 14. The $11 million project will include ... a cooked-to-order kitchen with full-service restaurant style dining. , ... for first class Assisted Living apartments,” said Kara Hanzie, ... the highest quality of care and this investment is ...
(Date:10/20/2014)... (PRWEB) October 20, 2014 Unveiled at the ... Strategic Direction Scorecard conservatively estimates member hospital ROI on membership ... on dues, The Center provides $12.50 in value to member ... (Member Value – Member Dues)/Member Dues. , “This is ... this number and we think the methodology is really sound,” ...
(Date:10/19/2014)... (PRWEB) October 20, 2014 Hastings and ... 30 years of service throughout the greater Phoenix area ... legal representation with regard to catastrophic automobile accidents. Statistics ... the country and throughout Arizona. As such, Hastings and ... for legal representation for those who have been injured ...
Breaking Medicine News(10 mins):Health News:Savills Studley's Marc Shapses To Be Honored as 2014 "Positive Changemaker" by ASCNYC 2Health News:Savills Studley's Marc Shapses To Be Honored as 2014 "Positive Changemaker" by ASCNYC 3Health News:JZ Fitness Nutrition App Launches on iTunes 2Health News:JZ Fitness Nutrition App Launches on iTunes 3Health News:Rockynol Retirement Community Expands Assisted Living Center 2Health News:Scorecard Estimates Hospital ROI at $12.50 for every $1 Spent on Dues 2Health News:Scorecard Estimates Hospital ROI at $12.50 for every $1 Spent on Dues 3Health News:Scorecard Estimates Hospital ROI at $12.50 for every $1 Spent on Dues 4Health News:Hastings And Hastings Reports Record Demand In 2014 For Legal Representation With Regard To Catastrophic Automobile Accidents 2Health News:Hastings And Hastings Reports Record Demand In 2014 For Legal Representation With Regard To Catastrophic Automobile Accidents 3
... suffering from posttraumatic stress disorder (PTSD) are as likely ... disease risk factors such as an elevated white blood ... healthcare providers screen for PTSD in the same way ... , Exposure to trauma has not only psychological effects, ...
... Name ... Same Commitment to ... the Health of all Babies, CINCINNATI, Feb. ... that 4-year-old Bradley,Coffey of Kennedy Heights and his family will serve as ... WalkAmerica,March for Babies is the March of Dimes premier fundraising event that,benefits ...
... /PRNewswire-FirstCall/ - LMS Medical Systems (TSX:,LMZ, AMEX: LMZ), ... information system and risk management software tools for,obstetrics, ... third,quarter ended December 31, 2007. All amounts are ... new installations and growing recurring maintenance,and technical service ...
... Briefing on Feb. 12, WASHINGTON, Feb. ... a significant role in preparing federal legislation,received ... groups. The American Society of Transplantation (AST), ... Organ Sharing (UNOS),and Association of Organ Procurement ...
... (Nasdaq: DYNT ) will release financial results ... February 14, 2008., Dynatronics has scheduled a ... p.m. ET to discuss its results for the ... should call 800-839-9416 and use,passcode: 1383812., Dynatronics ...
... Gen-Probe Incorporated,(Nasdaq: GPRO ) announced today that ... Mid-Cap Growth Conference on Friday, February 15,2008 at approximately ... is scheduled to be webcast live and may be ... . The webcast will,be available for 30 days following ...
Cached Medicine News:Health News:Geisinger study: PTSD a medical warning sign for long-term health problems 2Health News:Local Families Chosen for Ambassador Role for 2008 March for Babies 2Health News:Local Families Chosen for Ambassador Role for 2008 March for Babies 3Health News:LMS Third Quarter 2008 Financial Results - Q3 Revenue Increases 88% to $1.0 Million - YTD Revenue Increases 87% to $2.6 Million 2Health News:LMS Third Quarter 2008 Financial Results - Q3 Revenue Increases 88% to $1.0 Million - YTD Revenue Increases 87% to $2.6 Million 3Health News:LMS Third Quarter 2008 Financial Results - Q3 Revenue Increases 88% to $1.0 Million - YTD Revenue Increases 87% to $2.6 Million 4Health News:Transplant Community Unites to Educate Capitol Hill Staffers About the 'Gift of Life' 2Health News:Gen-Probe to Webcast Presentation at Deutsche Bank Small- and Mid-Cap Growth Conference 2
Other medicine definitionOther Tags