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Forehead Lift Surgery and Blepharoplasty (eyelid tuck) |
Not infrequently, a brow lift is combined with blepharoplasty (an eyelid tuck) or face lift to provide a harmonious rejuvenation. This procedure is usually done between age forty and sixty-five, although it may be necessary at an earlier age for those patients who start worrying about sagging brows, deep furrows between the eyes or deep lines across the forehead. It may also worry people with congenital angry or sad facial expression. Diagonsis: soft forehead tissues (wrinkles, drooping brows), as well as upper and lower eyelids skin aging changes Endoscopic forehead lift in conjunction with upper and lower eyelids correction surgery 10 days following the operation Generally (in most cases) the endoscopic forehead lifting is performed in conjunction with other rejuvenation surgeries: lower two-thirds face – lift, lower eyelid correction surgery, mid-face lifting. Conventional forehead surgery involves removing excess skin to elevate the eyebrows. Endoscopic procedures are aimed to restore the muscle balance in the forehead area. The position of the eyebrows is controlled by two groups of muscles: one that is responsible for lowering and the other that elevates them pulling the forehead skin upwards. With age the lowering muscle strength considerably prevails over the elevating muscle capability, causing eyebrow drooping, vertical and horizontal wrinkles of the upper nasal bridge and forehead areas. The endoscopic technique helps to separate the forehead and brows. This leads to smoothing out small wrinkles as well as lifting the eyebrow line. Operative technique. ![]() Having crossed the muscle fibers, the forehead skin fixation is performed in the elevated position using suturing material or fibrin glue Tissucol. The adhesive allows attaching the forehead skin without any extra suturing materials. Fibrin adhesive excludes blood clots caused and eases the healing process. It should be remembered that the initial postoperative result of the endoscopic forehead skin lift might slightly change in 1,3 – 2 months as a result of the eye brow line descend caused by skin constriction and skull muscles tone recreation. Diagnosis: soft forehead tissues aging changes and lowers eyebrows. Plastic surgery included endoscopic forehead and eyebrow lift, upper and lower lids blepharoplasty. 10 days following the surgery. That is why the endoscopic surgery eyebrows elevation is performed slightly higher than a patient expects. In case a patient has a high hairline the eyebrow lift is not performed by means of forehead skin lift. The only disadvantage of the fibrin glue practice in the rejuvenation surgeries is their higher cost. After the forehead skin fixation and operated sites suturing, a special suppressing dressing (bandage) is placed for 72 hours, which helps the better skin-to-bone adhesion and improves forehead skin lift effect. Complications. Fibrin glue is used to minimize the risk of hematomas (bruising). In rare cases, the supraorbital and supratrochlear nerves may be injured resulting in forehead skin sensitivity problems (disorder, failure). Also, in some patients, hair loss may occur along the scar edges as a result of improper suturing. |