Common aging changes in the upper face are forehead lines, flattening of eyebrow, droopy eyebrow, frown lines between the brows and sagging of the upper eyelid. These changes can bring about a change in the look and you may be seen as an angry, sad or depressed person. The brow descends with aging and the infrabrow skin moves into the orbit which gives the impression as if the eyelid skin is lax or redundant. This gives the false impression of excess eyelid skin. Understanding the eyebrow aesthetics and the right position and configuration of the eyebrow is very important for planning the rejuvenation. We do commonly see that the eyebrow position is different in males and females. Male eyebrow is usually found attractive when its flat or horizontal. An attractive female brow is always arched and the outer third is higher than the inner side. Best facial plastic surgeon need to plan the brow or forehead lift surgery in detail so that the finer and intricate points are addressed.
Click to view Forehead Lift/ Brow Lift Surgery
Brow lift surgery is done under general anesthesia or under local anesthesia with sedation. Overnight stay is optional. Eyebrow lift surgery can be performed as an open excisional method or with the help of endoscope. Endoscopic forehead lift is the procedure of choice. Endoscopic brow lift surgery requires a combination of endoscopic and plastic surgery skills. The eyebrow lift procedure starts with the assessment of the elevation of eyebrow required. Three tiny cuts are made behind the hairline through which the dissection is carried out. The attachment of brow to the orbital rim is freed so that it can be freely moved to the desired level. The muscle causing the frown lines is also weakened to correct it. The forehead scalp is pulled up and it is anchored to frontal bone at the desired position. The scalp stitch line is hidden in the hairs.
After forehead lift surgery, you can have swelling in the forehead and eyebrow area. The swelling should be minimized with the use of ice pack application and head end elevation. The swelling will significantly decrease within two weeks. The stitch removal is also done between 10-14days. Side effects commonly noted are incomplete result, nerve damage, hematoma and scarring.