Forehead Lift

Forehead Lift

What is a forehead lift?

A forehead lift is a type of
cosmetic surgery. It’s done to remove excess fat and skin and tightens the muscles
in
the forehead area. It can also correct sagging brows or deep furrows between the eyes.
It’s often done along with a facelift, for a smoother facial appearance.

There are two types of forehead
lift surgery, the classic forehead lift (open) and the endoscopic (minimal access)
forehead lift:

Classic or coronal forehead lift

The surgeon makes a cut or incision that starts at about ear level and goes across
the top of the forehead to the other ear. In some cases, the surgeon may place the
incision at the hairline. The surgeon then carefully lifts the skin of the forehead
and removes any excess tissue and fat. If needed, the surgeon realigns the muscles.
During the procedure, the eyebrows may also be placed at a higher level. Any excess
skin is trimmed.

Endoscopic forehead lift

The difference between this method and the classic forehead lift is the size of the
incision. With the endoscopic forehead lift, the surgeon makes 3 to 5 short scalp
incisions that are each less than 1 inch long. A thin tube called an endoscope is
then inserted through one of the incisions. This tube has a small camera on one end,
so the surgeon can see the muscles and tissues underneath. Then the surgeon places
another tool that can lift the forehead skin into a different incision. Excess tissue
and fat are then removed. If needed, muscles are realigned. Like the classic forehead
lift, the eyebrows may also be placed at a higher level. There is minimal scarring
and a shorter recovery time than the classic forehead lift.

Possible complications

Any surgery has risks. Possible complications that may happen with a forehead lift
include:

  • Scar formation. In rare cases, you may have a more
    visible scar. Surgery can be done to remove the wide scar tissue. This allows a
    new, thinner scar to appear.

  • Eyebrow movement problems. Also rare, the nerves that
    control eyebrow movement may be injured. You may not be able to raise your
    eyebrows or wrinkle your forehead. Surgery may be needed to fix this problem.

  • Hair loss. You may have hair loss over the scar or
    just surrounding the scar.

  • Sensation loss. It’s common to lose feeling around the
    incision. This happens most often with the classic forehead lift. It’s often
    short-term, but can be permanent. Rarely, you may have pain that continues.

  • Problems during the procedure. During an endoscopic
    forehead lift, there is a slight chance of problems that could cause the surgeon
    to switch to the classic forehead lift. This can cause a larger scar and a longer
    recovery time.

Who is a candidate for forehead
lift?

A forehead lift can help people of any age who have furrows or frown lines. These
may be caused by stress or muscle activity. Or they may be caused by inherited conditions,
such as a low, heavy brow or furrowed lines above the nose. But this procedure is
most often done on people ages 40 to 60, to reduce the visible signs of aging.

About the procedure

Each procedure will vary, but forehead lift surgeries generally follow this process:

Where the procedure may be done

  • Surgeon’s office-based surgical facility

  • Outpatient surgery center

  • Hospital outpatient

  • Hospital inpatient

Anesthesia options

  • General anesthesia

  • Local anesthesia, combined
    with IV sedation. This lets you stay awake but relaxed.

Some possible short-term side effects of surgery

  • Numbness and temporary discomfort around the incisions

  • Swelling and bruising that may affect your cheeks and eyes

  • Numbness on the top of your scalp that over time may be replaced by itching

  • Pain is usually minimal