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Years of sun, wind, stress, and gravity cause
your facial skin to lose its elasticity. Your forehead
and brow may be the first areas to show the effects,
displaying frown lines, wrinkles, and furrows. As a
result, others may think you look tired, upset, angry
or sad, and you feel just as negative about your appearance.
A forehead lift can help restore a more youthful,
refreshed appearance to your face by smoothing your
forehead, raising your eyebrows, and eliminating or
minimizing frown lines. Many people think it's their
eyes that make them look tired, but most often it's
your forehead—the real key to the upper third of your
face. A forehead lift can correct eyelid hooding, furrows,
and wrinkles, making you look younger and rested.
If you are considering a forehead lift, try this simple
exercise to see the potential results: standing in
front of a mirror and place the palms of your hands
at the outer edges of your eyes above the brow. Gently
draw your skin up to raise the brow and forehead areas.
What you see in the mirror is close to what a forehead
lift would do for you.
Forehead Lift. The forehead lift
procedure has three basic goals:
• To reposition the brow and open the eyes,
• To
raise the upper third of the face, and
• To
improve the horizontal creases and vertical furrows.
A forehead lift frees and repositions the brow, which
improves horizontal frown lines by reducing the amount
the forehead muscle can contract. The muscle that causes
vertical furrows is also weakened, which decreases
the depths of the furrow.
There are two surgical methods for performing the
forehead lift: the less invasive is the endoscopic
method and the “open” method also called a coronal
brow lift.
Endoscopic forehead lift. The endoscopic
forehead lift technique generally requires more time
in surgery but is less invasive. This method results
in smaller scars and diminishes the chances of temporary
scalp numbness.
Rather than making one long incision, Dr. Norman Markus
will make 5 short incisions in the scalp. He will then
insert a long, thin surgical camera called an endoscope
through the incision that allows him to clearly see
all the underlying tissues.
Through another incision, Dr. Norman Markus inserts
a surgical instrument that allows him to gently lift
the skin and remove or sculpt underlying tissue and
muscle. Your eyebrows will also be lifted at this time.
The eyebrows are secured into place by sutures under
the skin and fixation screws placed behind the hairline.
Your incisions will then be closed with stitches or
staples and covered with a dressing.
Open forehead lift. In a conventional
forehead lift, the incision is hidden behind the hairline,
from ear to ear. The hair directly along the
incision will be trimmed, but it is not necessary to
shave your head. For patients with a receding hairline
or thinning hair, Dr. Norman Markus may place the incision
at the hairline to avoid adding height to the forehead;
for balding patients the incision may be placed mid-scalp
where the two skull bones meet which makes the resulting
scar less conspicuous.
Your forehead skin is lifted away from the underlying
bone and some excess tissue is removed. The frown muscle
is then sculpted and the eyebrows are elevated. Your
incision is then closed with stitches or staples and
covered with a dressing.
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