Is this procedure also indicated in my case?

Forehead lifting is indicated to both women and men, at ages between 40 and 60 years. It could bring benefits to younger persons who inherited the fallen position of the brows. The best candidates must comply with the following requirements:

• Fallen brows or down positioned brows assign a tired or said appearance
• profound horizontal wrinkles at the forehead level
• deep wrinkles between the eyebrows and, sometimes, at the level of the superior nose region.

This practice should be applied with great care in case you suffer from any of the following diseases:

• Increased blood pressure
• blood coagulation problems
• Tendency to keloid scars

What does the consultation before surgery consists of?

During this meeting you will be evaluated in psychological and emotional terms as well as in physical terms, and you will explain to your surgeon what you wish to obtain. You will be asked for full data regarding:

• Previous surgery procedures
• Past or current diseases
• The types of treatment you followed in the past
• The medication you're currently taking including herb remedies and nutrition supplements.

Your doctor will evaluate the bone structure of your face and the properties of soft tissues. Skin thickness, texture and elasticity as well as the tone of forehead muscles and of the periorbital region will also be carefully evaluated.

Sometimes patients who show skin excess at the level of superior eyebrows cannot tell if the eyebrow ptosis is the actual cause of this failure.
Your surgeon will also guide you to other procedures also which, if practiced in the same surgery time, could give superior results:

• Face lifting that removes skin excess at the level of the medium and inferior third of the face and neck
• Eyelid surgery that allows removes of the skin excess at the level of superior and inferior eyelids.

What does the actual surgery procedure consists of?

The selected practice depends on your features, on the expected results, as well as on surgeon's preferences. You will be recommended, out of the manifold technical options, the one that your doctor considers the most suitable.

The most used practice is the coronal section which consists of placing a section at the scalp level, from one ear to the other, being hidden in the hairy area of the head.

Sometimes this section could be placed at the level of the hairy line of the forehead.
Through this section the surgeon will modify or will remove frontal muscle fragments and will remove the skin excess.

Another practice is the endoscopic practice which consists of using a tube with light on one end, that has attached a video cam.

The endoscope is inserted through small sections under the forehead skin and allows the surgeon to work on inside structures. In some cases the endoscopic technique could be combined to other practices also. Another practice based on limited sections could be practiced without an endoscope. This method uses two small sections in the temporal region through which the fallen eyebrows are lifted, and another two sections in the superior eyelid region to treat wrinkles between eyebrows.

If you wish to correct only the lines between the eyebrows or those located in the superior region of the nose you can obtain this only by making the sections in the superior eyelid region, the same way as in case of blepharoplasty.

Which risks does this procedure involve?

Every year thousands of women and men benefit of this procedure without facing major complications. Your surgeon will inform you about the risks and benefits of the forehead lifting.

It is good to strictly follows all his/her advices and to consult him/her anytime you are unclear. Do not forget to strictly comply with the recommendations of your doctor, before and after the surgery, to minimize risks.

How should I prepare for the surgery?

Once fixed the surgery date, your doctor will provide you with all useful information for the both periods, before and after the surgery.

Below you will find some information of this kind:

• Avoid administration of drugs that might interfere with the immediate healing or recovery period
• Stop smoking for not less than two weeks before and after the surgery
• It is recommended to choose a hair style in such way that your hair covers the section tracks until their full healing.

Which is the medication after the surgery?

The procedure takes place in a surgery room, under general or local anesthesia with endovenous sedation. Your surgeon, the anesthesiologist as well as the entire auxiliary personnel will care that throughout the procedure you benefit of maximum comfort.

The surged area will be covered by dressing materials; sometimes during the surgery some drainage tubes are placed in the surged area to minimize liquid collection.

The discomfort occurred following the surgery is kept under control with the help of specific medication.
Although each one of us heals differently some general guidelines could still be given:

First day: In this incipient stage you should stay in bed with your head settled in a lifter position than the rest of the body, upper than the heart level.

First week:

• Drain tubes are removed
• You can resume low intensity activity

After two weeks:

• Most of the ecchymosis (bruises) disappear
• Suture material is removed
• You may start using make-up to cover scar lines or skin chromatopathies.
• You may resume most of your daily activities including soft physical exercises.

After three weeks:

• All daily activities could be resumed as well as physical training.
• The edema continues to reduce
• Low sensitivity areas start to heal.

You must avoid sun exposure for the entire period of healing and the surged areas must be protected by UV blocking creams for undetermined periods.

What do I have to know about the procedure results?

Most of the patients have been extremely happy with their new look. Although the healing process takes more than one month, the final result matches the expectations.
A number of factors such as the hereditariness and the lifestyle play an important role in result persistence. The ageing process will continue also following the surgery.
The consultations that your surgeon might request, at various timeframe, are important to monitor the healing process.

It is recommended that you comply with these appointments even if you think that everything is alright, in order to benefit of result evaluation for a longer period of time.