The face is one of the most important attributes of female beauty – a symbol of attractiveness and desire. Many women are not completely happy with the lines and wrinkles of the forehead and today women who are unhappy with their forehead have many options which include Brow Lift.

Browlift surgery (Forehead lift) is now one of the top cosmetic procedures worldwide as nothing defines aging more than “tired eyes”. Eyes are one of the trademarks of facial beauty, they are used by all to judge appearance, attitude and state of mind. In many cultures and situations they are the first and last feature to be looked upon. With age facial features sag, from lines deepen with stress and over activity of the muscles of facial animation, trauma and nerve injury can also be a cause, a brow lift (forehead lift) helps reverse the trend of gravity, replacing the facial features of the upper third of the face into their more youthful positions.

Forehead muscle hyperactivity can cause three problems:
• horizontal lines
• glabellar lines (forehead region between the eyebrows)
• brow ptosis (drooping brow)

Muscles that animate the forehead can deepen overlapping skin folds. The frontal muscles lift the eyebrows and result in horizontal (transverse) lines of the forehead. Vertical lines in the forehead region between the eyes (glabellar region) are from the corrugator muscles. Horizontal wrinkles in this region are from the procerus muscles. The corrugator and procerus muscles depress and move the eyebrows together. To see what a forehead lift may offer, stand in front of a mirror. Place your hands on the outer edges of the eyes above the brows. Gently pull the skin up to raise the eyebrows and forehead. This is a rough approximation of what a brow lift has to offer!

• to increase self confidence and enhance self image
• to give a more youthful appearance in a natural way
• to correct low or sagging eyebrows that may result in a tired or sad appearance
• to correct deep horizontal lines in the forehead
• to correct frown lines or vertical furrows between the eyebrows across the top of the nose which may make you look angry and upset
• to correct lateral eyelid hooding
• to give a more alert and rested appearance
The best candidates for a forehead lift are those who are in good physical health, are mentally and psychologically stable, preferably do not smoke, those who want to improve their appearance and those who have realist expectations about the procedure and the results. Extra reasons may include:
• are in the 40-60 age range
• with inherited conditions such as a low heavy brow and furrowed lines above the nose
• those who want to restore a more alert, youthful, refreshed look
• bald patients or those with a receding hairline may still be good candidates. The incision lines may change in location to hide the scars on a boney contour and the thin skin on the scalp heals well

The Procedure

There are various surgical techniques used to perform a browlift (forehead lift) and the one used will depend on such things as the position of the eyebrows, the amount of excess upper eyelid skin and the amount and height of the hairline.

The classic forehead lift, an incision is made that starts at ear level and runs across the top of the forehead and down the other side of the head, the incision is usually made well behind the hairline so that the scar will not be visible. Working through the incision the skin, the forehead is carefully lifted so that the underlying tissue can be removed and the muscles can be altered or released. The eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help create a smoother and more youthful appearance. The incision is then closed with stitches or clips. The surgeon may choose to cover the incision with gauze padding and wrap the head in an elastic bandage or the incision may be left undressed

If the hairline is high or receding, the patient may still be suitable for forehead lift, the incision may be placed just at the hairline to avoid adding even more height to the forehead. By wearing your hair down on the forehead most scars become relatively inconspicuous. . In patients who are bald or losing hair, a mid scalp incision that follows the natural pattern of the skull bone is sometimes recommended so that the resulting scar follows the natural junction of 2 bones in the skull and is less conspicuous.

The endoscopic forehead lift requires the same preparation steps as the classic forehead lift however, instead of making one long incision the surgeon will make 3 4 or 5 short incisions, each less than an inch in length. An endoscope, which is a pencil like camera device connected to a television monitor, is inserted through one of the incisions allowing the surgeon to have a clear view of the muscles and tissues beneath the skin. Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance. The eyebrows may also be lifted and secured into their higher position by sutures beneath the skins surface or by temporary fixation screws placed behind
the hairline. When finished the scalp incisions will be closed with stitches or clips and the area will be washed. Gauze and an elastic bandage may also be used.

Classic forehead lift patients may experience some numbness and temporary discomfort around the incision which can be controlled by medication. Your head should be kept elevated for 2-3 days after surgery to reduce swelling. Swelling may also affect the cheeks and eyes but should disappear in a week or more. As the nerves heal numbness on the top of the scalp may be replaced by itching and these sensations may take as long as 6 months to fully disappear. Bandages will be removed within 1-2 days of surgery and stitches or clips within 2 weeks of surgery often in 2 stages
Some of the hair around the incision may fall out and temporarily be a bit thinner. Normal growth will usually resume within a few weeks or months. Permanent hair loss is rare.
Endoscopic forehead lift patients may experience some numbness, incision discomfort and mild swelling. Incision site pain is usually minimal. Endoscopic forehead lift patients usually experience less of the itching sensation felt by patients who have had the classic forehead lift. Bandages will be removed within 1-2 days of surgery and stitches or staples within 1 week.
Most patients are moving around in a day or 2 after surgery but not fully resume normal activities for up to 2 weeks. After the bandage is removed within 2 days hair can be shampooed and showers taken, make up can be worn after 10 days. Most patients are back to work in a week to 10 days but endoscopic patients may feel ready to return sooner. Strenuous physical activity should be limited for several weeks including jogging, bending, heavy housework, sex or any other activity that increases your blood pressure. Prolonged exposure to sun or heat should be limited for several months.
Within 2 weeks you will have an idea of how you will look, most of the visible signs of surgery should fade within about 3 weeks. Minor swelling and bruising can be concealed with camouflage makeup and cosmetics can be worn after 1 week. The results are semı permanent and last for 5 to 10 years.
If you are looking for a more youthful and rested appearance that will alter the way you look quite dramatically by minimizing the signs of aging then Browlift surgery may be for you

to learn more about any risks and complication . 

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