Forehead Lift (Browlift) Denver
Browlifts can revitalize drooping or lined foreheads and raise the eyebrows, helping you look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes and of the forehead to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and the upper face and forehead.
While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lines on the forehead and sagging eyebrows - whether it's caused by muscle activity or inherited conditions - are eligible. The procedure is usually performed in an outpatient surgical facility with an overnight stay.
Browlifts (forehead lifts) are usually performed with incisions hidden above or within the hairline (for patients with thinning hair, who are bald or who have had previous surgery in the area, the incision will likely be moved somewhere less conspicuous).Occasionally the surgery is performed with an endoscope, in which a tiny telescope and instruments are inserted through a few small incisions. Both techniques produce similar results although the traditional technique accomplishes more. You and your surgeon will discuss which option is better for you.
Note: Patients with very short hair may want to let it grow before surgery to better camouflage the healing scar.
Traditional browlift: First, the patient's hair is tied with rubber bands near the incision site. Then the surgeon makes a coronal (headphone-shaped) incision behind the hairline, coursing from one ear to the next across the top of the forehead. The incision may be placed further back or made along the skull bone joints to minimize visibility in patients with thinning hair or who are bald. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. The site is washed and the rubber bands are removed.
Endoscopic browlift: After the hair is tied as with the traditional procedure, the surgeon makes three to five short incisions (less than an inch long) behind the hairline. The endoscope is placed in one of the incisions so the surgeon can see beneath the skin and adjusts muscles through the other incisions. If the eyebrows are lifted they will be stitched or otherwise secured into position. Endoscopic lifts are primarily for an eyebrow lift, not a forehead lift, since no skin is removed.
Traditional surgery patients may experience some numbness and discomfort at the incision. Numbness and itching often occurs initially but usually resolves in time. Your head may need to be elevated for two to three days to reduce swelling. Bandages are removed in one to two days, and stitches or clips are taken out in two weeks. Hair near the incision may fall out or thin, but normal growth should return within several months.
Endoscopic surgery patients may experience some numbness, discomfort and swelling around the small incisions, though there is less numbness and itching than with traditional surgery. Stitches or staples are removed in a week; temporary fixation screws are taken out within two weeks if used.
With both procedures, you will be on your feet and able to wash your hair in several days, and many patients return to work in 7-10 days or less. Swelling and bruising should fade by the third week.
Complications are rare and usually minor but may include temporary numbness, nerve injury, hair loss along scar edges, formation of a broad scar requiring surgical correction, and infection and bleeding.
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