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:10/31/2014)... Denver, Colorado (PRWEB) October 31, 2014 The ... program was created by Alexander Lynch, whose father suffered from ... through a dramatic moment, caused by his father's disease. His ... crisis. That was the crucial moment when the author of ... help his dad. , The Memory Healer program is ...
(Date:10/31/2014)... (PRWEB) October 31, 2014 With all ... one Midwest optometrist feels they may overlook one critical ... affect areas like concentration, school performance and even behavior. ... too brief to identify progressive vision problems, and to ... Mo., announces a new initiative: The Awesome Eyes Student ...
(Date:10/31/2014)... (HealthDay News) -- Obesity increases the risk of certain ... women, two new U.S. studies show. One study ... or obese increased the risk for estrogen receptor-negative and ... known this for a long time for white women, ... women," study author Esther John, a senior research scientist ...
(Date:10/31/2014)... Santa Barbara, CA (PRWEB) October 31, 2014 ... for holiday shoppers to find affordable but tasteful gifts for ... special 22nd Annual Early Bird Gift Giving Special , ... percent off when they purchase Wine Club Gift membership. ... to take advantage of this special. Besides offering discounts, Gold ...
(Date:10/31/2014)... 31, 2014 Florida Air Academy, ... girls in grades 6-12, is taking the lead ... injuries and concussions, becoming the first high school ... (Immediate Post-Concussion Assessment and Cognitive Testing) computerized assessment ... Player' lawsuit grabs the headlines, and the Centers ...
Breaking Medicine News(10 mins):Health News:"Memory Healer" Review Reveals a New Natural Remedy Guide for Managing Memory Loss 2Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 2Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 3Health News:Study Confirms Obesity-Breast Cancer Link for Blacks, Hispanics 2Health News:Gold Medal Wine Club now offering Early Bird Gift Giving Special for Holidays 2Health News:Florida Air Academy Tackling Concussions Head-On 2Health News:Florida Air Academy Tackling Concussions Head-On 3
... Kerr, MD,Director of the Bowen Center for the Study ... address the topic of autism in the,family., ASD ... widely,discussed and intensively researched clinical entities in medicine.,Passionate debate ... the,number of children diagnosed to be on the autistic ...
... Southern Home Medical,Equipment, Inc. (OTC: SHOM) announced today that ... in the second quarter of 2008,compared to the first ... Company, stated, "We have focused a significant portion of ... Encore Medical Staffing. We are,very excited to see that ...
... (Nasdaq: RURL ) issued another reminder today for ... Company,s common stock in relation,to its ongoing analysis of ... U.S. Internal Revenue Code ("Section 382")., In general, ... operating,losses and certain other tax benefits following a change ...
... Should Know Their Income History; Allsup Answers Common Benefits Questions ... ... who find themselves with a mental or physical disability face many ... accept that they no longer can work. While everything about a ...
... Gastroenterology care, selects MxSecure, Inc., the nation's leading provider of ... transcription provider for accurate and timely transcription reports. , ... ... - MxSecure, Inc , the nation's leading provider of ...
... Study is one of few trials to recruit large percentage of African ... ... Keeping a food diary can double,a person,s weight loss according to ... of the largest and longest,running weight loss maintenance trials ever conducted, will ...
Cached Medicine News:Health News:Southern Home Medical Reports Its Encore Medical Staffing Division Increases Revenues by 63% 2Health News:Rural/Metro Issues Reminder to Stockholders on Transactions That May Impact IRS Section 382 Outcome 2Health News:Rural/Metro Issues Reminder to Stockholders on Transactions That May Impact IRS Section 382 Outcome 3Health News:Past Earnings Play Role in Determining SSDI Benefits 2Health News:Past Earnings Play Role in Determining SSDI Benefits 3Health News:Past Earnings Play Role in Determining SSDI Benefits 4Health News:Past Earnings Play Role in Determining SSDI Benefits 5Health News:Central Bucks Specialists, a Cardiology and Gastroenterology Multi-location Clinic, Selects MxSecure, Inc., Provider of Medical Transcription Services, as their Transcription Provider. 2Health News:Central Bucks Specialists, a Cardiology and Gastroenterology Multi-location Clinic, Selects MxSecure, Inc., Provider of Medical Transcription Services, as their Transcription Provider. 3Health News:Kaiser Permanente Study Finds Keeping a Food Diary Doubles Diet Weight Loss 2Health News:Kaiser Permanente Study Finds Keeping a Food Diary Doubles Diet Weight Loss 3Health News:Kaiser Permanente Study Finds Keeping a Food Diary Doubles Diet Weight Loss 4
Other medicine definitionOther Tags