An ultimate dream of any woman is to keep your face clean and smooth for many years. A rapid development of pharmacological and cosmetological fields of medicine allows maintaining youth and beauty for a long time at the proper level for many years. However, due to the deterioration of the ecological situation, the acceleration of the internal mechanisms of aging, frequent stresses, cosmetic agents do not always give the desired effect. It is in such cases that plastic surgery is used. In the opinion of Trust Pharmacy, forehead lift surgery is the most popular of all plastic surgeries.
Indications
Most often this operation is indicated for patients older than 40 years who have the first signs of aging. However, if necessary, the procedure can be performed at an earlier age on the advice of a doctor or on the basis of one’s own considerations.
Indications for forehead lift surgery:
- the omission of the outer corner of the eye caused by the ptosis of the upper eyelid;
- the omission of the tissues of the upper third of the face;
- deep wrinkles and folds of the forehead and nose;
- the low position of eyebrows;
- small wrinkles in the corners of the eyes;
- flabby skin in the temporal areas;
- sagging of the skin on the bridge of the nose.
Types of forehead lift surgery
Depending on the severity of the aging process and the indications for lifting the upper third of the face, the specialists of the aesthetic surgery clinics can recommend the following types of forehead lift surgery.
Coronal lift (open front-lifting)
Coronal lift has long been considered the “gold standard” of plastic surgery of this anatomical area, but recently it is only recommended to patients with coarse wrinkles on the forehead, expressed by ptosis of the eyebrows, excessive sagging of the skin in the area of the nadtripers.
Forehead and eyebrows lift using the open coronary braces is performed under general anesthesia. The operation is traumatic since all soft tissues, including the periosteum, are affected. The duration of the plastic surgery is 1-2 hours. After a thorough examination, the doctor will recommend one of three possible incisions: standard, modified, incision along the edge line of hair growth.
Standard incision
This version of forehead lifting is indicated for patients who need to equalize the proportions of the head. The essence of the method consists in carrying out a bicoronary cut, performed directly behind the hair growth line (at a distance of 8 cm) from the forehead to the auricle on both sides, followed by tension and excision of excess skin. The incision has a zigzag shape, which allows the scar to be virtually invisible. A standard incision is not suitable for patients with a high forehead since the hair growth line is shifted back a few centimeters.
Modified incision
The modified incision has a slightly different direction: starting near the temporal region, it curves in the forehead region, goes along the hair growth line and returns to the temple. With this version of the incision, the width of the forehead after the operation can be reduced by lowering the hair growth line.
Incision along the edge line of hair growth
The incision along the marginal line of growth is best suited for patients with bald patches in the forehead and temple area, as well as with a high forehead since the height of the forehead does not change after surgery.
The essence of the method consists in excision of a strip of skin 1-2 cm wide, after which stitches or staples are applied. They are removed 10-12 days after the operation. The drainage is installed immediately after the plastic surgery.
The main advantage of the method is the long-term result and the absence of noticeable scars. In addition to the obvious advantages of forehead lift surgery using the coronary brace, there are a number of significant disadvantages:
- violation of the usual proportions of the face due to changes in the marginal line of hair growth;
- a high level of tissue trauma during surgery and a high risk of complications;
- possible numbness of the forehead for six months;
- violation of hair growth in the cut zone;
- long rehabilitation.
Endoscopic front-lifting
Endoscopic forehead lifting is carried out under general anesthesia and is performed within 1-4 hours depending on the amount of work. Endoscopic lifting can be recommended to patients of all categories. The exception is the face with very deep frontal wrinkles, pronounced ptosis of the eyebrows, as well as a high forehead. Endoscopic face lifting is the main method of choice for wrinkle correction in balding men.
During the procedure, a surgeon cuts certain muscles that are responsible for the formation of longitudinal wrinkles on the forehead and fixes eyebrows up to the required level. Thanks to the use of endoscopic instruments, a fast and precise performance of the task is achieved, thereby reducing the risk of developing serious complications and the amount of possible blood loss.
Its main advantages are low invasiveness, low risk of complications, high efficiency, visible result, and rapid recovery.
Lifting with endotins
Facelift with endotins refers to endoscopic methods, so it has virtually no contraindications and has a wide range of applications. The procedure is performed under general anesthesia and lasts about half an hour. The essence of the technique is to install through the mini-sections of very thin absorbable plates having guide studs-immobilizers. On average, there is complete resorption of endotins half a year after the operation, and collagen fibers formed in their place permanently provide the effect of lifting. The main advantages of lifting with endotins include:
- accurate and reliable fixation of plates;
- minimal risk of complications due to the low invasiveness of the operation;
- complete resorption and removal of the drug from the body within six months;
- no risk of rejection or allergy;
- fast rehabilitation period.
To date, this method of forehead lift surgery has practically no drawbacks.
Method of temporal lift
The operation can be performed both under local and under general anesthesia. The method of anesthesia is determined by the doctor taking into account all the features of the patient and the forthcoming manipulation, which usually lasts no more than 45 minutes. The method is based on the implementation of incisions in the region of the temples and excision of surplus skin. Thanks to this method, wrinkles are smoothed, the outer corners of the eyes are raised, and the area of the cheekbones is pulled up. Correction of eyebrows by the method of temporal lifting can be combined with other cosmetic and plastic procedures.
The temporal lift is a low-impact and highly efficient operation, which has practically no drawbacks and contraindications, therefore it is popular among patients of aesthetic medicine clinics.
Method of transpalapebral lift
Transpalapebral lift is performed under general anesthesia and no lasts more than one hour. A plastic surgeon cuts through the natural fold of the upper eyelid, stretches the skin, resects part of the muscles and removes excess fatty tissue, thereby smoothing out wrinkles and folds in the area of the peri-lateral and forehead. This type of surgery has obvious advantages (quick result, minimal risk of complications) so it is recommended for all patients who need eyebrow correction.
Lifting with a cut above the eyebrow
It takes about half an hour under local anesthesia. By modern standards, this technique is considered obsolete since the postoperative scar is clearly visible. Most often it is recommended for elderly people with abundant wrinkles in the forehead.
Filament lift of forehead
The duration of the procedure is 20-30 minutes and is performed under local or general anesthesia. The technique is based on implanting special threads under the skin, which, with proper fixation, provide a good lifting effect. Threads can be absorbable and non-absorbable.
Rehabilitation period
The average rehabilitation period after forehead lift/brow lift surgery lasts from 14 to 20 days. If seams were applied, they are removed for 10-11 days. After 14-15 days, bruises and edema disappear almost completely. Temporary loss of sensitivity can be observed about three weeks after the operation. During the postoperative period, it is recommended to take antibacterial drugs, avoiding increased physical activity and hot baths.
Contraindications and possible postoperative complications
Contraindications to the majority of forehead and brow lift surgeries include:
- diseases of the cardiovascular system;
- arterial hypertension;
- blood diseases;
- diseases of the endocrine system;
- infectious diseases;
- malignant neoplasms.
Complications may include:
- numbness of the forehead and temples,
- inflammatory changes on the face,
- displacement of the hair growth border,
- infectious complications.
Average cost
| Type of the surgery | Average cost (USD) |
| Coronal lift | 1700 |
| Endoscopic frontlifting | 1200-1500 |
| Temporal lift | 1300 |
| Transpalapebral frontlifting | 500-600 |
| Lifting with superciliary access | 400 |
| Filament lifting | 300-600 |