A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.
Forehead lift is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.
Endoscopic Forehead Lift
A forehead lift, also called a "brow lift", restores a more youthful, revitalized appearance to the area above the eyes. The procedure corrects drooping brows and improves the lines and wrinkles that can make you appear tired, sad or angry. In a forehead lift, the muscles and tissues that cause the wrinkles or drooping are removed or repositioned in order to smooth the forehead, elevate the eyebrows and diminish frown lines.
The forehead lift is performed through small incisions in the scalp (within the hair). The actual surgery is accomplished with the use of an endoscope (lighted video camera) and special instruments through these small incisions. As previously mentioned the muscles that cause wrinkling between the eyes can be removed during this procedure. The forehead is then lifted to the appropriate level and secured in place with either a small screw that is removed after two weeks or an internal tine that eventually absorbs.
The Mid-Face Lift
The primary goal of the cheek lift is to elevate and tighten the soft tissues of the cheek. This will result in the restoration of a more youthful lower eyelid-cheek junction, with softening of the fold between the nostril and cheek, and repositioning of the cheek tissue in a more youthful position. The cheek lift moves the cheek upward producing a more natural appearance (less pulled) than the "classical" face lift, which pulls tissue more towards the ear. Lifting the cheek upward counteracts the influence of gravity and restores a more youthful cheek contour.
The cheek lift is performed through an incision below the lashes of the lower eyelid. The skin and muscle of the lower eyelid is elevated down to the bony rim of the orbit. At this point the tissue of the cheek is lifted off of the bone down to the level of the nostril so that the entire cheek can be repositioned in a more youthful location. The cheek is then secured in place and reinforced with various suture techniques. Any excess eyelid skin and muscle are then trimmed, and the skin incisions are closed.
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