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FOREAST LIFT

Forehead Lift

Forehead lift is the name of the surgical method to lift the eyebrows and rejuvenate the forehead area.

Brief Anatomy

The skin around the eyebrows, forehead and temple areas lose their elasticity with aging. Eyebrow droop, horizontal wrinkles, and vertical frown lines between the eyebrows are the earliest signs of aging. These give a tired, angry or sad expression. Forehead lift can surgically solve these problems by changing the muscles and tissues that cause wrinkles in the area above the eyes.

General Information About the Method

Forehead lift surgery is mostly performed to raise eyebrows and to treat and eliminate wrinkles caused by aging. This operation can be combined with other facial surgical methods to create a more harmonious image. Brow lift operation can be applied with different methods. The main difference between these methods is the incision sites. Usually the traditional open approach or endoscopic approach is used.

Pre-operative preparation

The first step should be to contact your surgeon to schedule an initial consultation. During the consultation, your surgeon should explain everything you wonder about the forehead lift procedure in a way that leaves no questions or concerns. Your surgeon may recommend alternative treatments and additional surgical methods for your face in line with their observations. When the surgery is decided, detailed questions about your general health will be asked and laboratory tests will be requested. Aspirin, ibuprofen or other non-steroidal anti-inflammatory drugs, ginkobiloba and vitamin E should be discontinued before surgery. If you have regular medications, you should consult your doctor about them. If there is no information to the contrary, you should not eat or drink the night before the operation and after midnight. Shower should be taken and hair should be washed with shampoo. Make-up should not be worn. False eyelashes, contact lenses, jewelry and unnecessary accessories should be left at home.

Operation

Forehead lift operations can be performed under local or general anesthesia with or without sedation. Your surgery will usually be performed on the same day that you will be discharged, but your doctor may also want to observe you in the hospital overnight. If the procedure is performed under sedation, the patient may experience mild discomfort, although the technique is basically painless. If general anesthesia is chosen, the patient sleeps throughout the operation. The surgery may take one to two hours, depending on the technique used. In the classical approach, an incision is used behind the natural hairline, parallel to it. Another alternative is the incision made directly in front of the hairline (pre-trichial). The surgeon separates the forehead skin and eyebrows from the underlying structures, raises them to the desired level and excises 1-3 cm of the excess skin. Finally, he applies sutures or wire sutures. Another approach is the endoscopic technique. This method is less invasive but requires more time and technology. A few small incisions are made just behind the hairline. An endoscope is inserted under the skin to clearly show the subcutaneous tissue and muscles. Surgical instruments are inserted through another incision to lift the forehead skin and weaken the muscles. The forehead skin is held in an elevated position with temporary sutures. The skin will heal in this position.

Post-operative explanations

In order to keep the tissues in the necessary place during the healing process and to reduce the edema that will occur, a wrap is applied to the face and head. The day after the surgery, this dressing is replaced with an elastic bandage and the patient is asked to use it for a few days. Then the patient is asked to use it at night for one more week while lying down. Initially, edema may be expected at and around the incision site. This edema usually subsides after the first ten days. It will be useful to use cold compresses and keep the head up for a few days after the operation. It is recommended to contact your doctor immediately in case of redness, pus, pain that does not appear normal. Wires and sutures are usually removed in 2-7 days. Patients usually feel well enough to resume their normal activities around ten days. It is necessary to avoid strenuous activities for up to 3 weeks.

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