Forehead Lift

Forehead lift / brow lift surgery is a surgical intervention to eliminate the signs of aging in the forehead area. The position of the eyebrows is of central importance for facial expression and facial aesthetics. Due to the natural closeness of the eyebrows with the eyelids, eyebrow aesthetics has a significant effect on how the eyes look.

Low eyebrows make the person look sad and tired. When the eyebrows fall in the aging process due to gravity, the skin between the eyebrows and eyelids sags, piling up on the upper eyelid and creating an illusion as if there is excess skin on the upper eyelid. When the forehead falls, the skin that should normally be under the eyebrows is added to the upper eyelid and creates a functional weight here. This weight causes eye fatigue and mechanical upper eyelid drooping in the future. These problems cannot be solved adequately with upper eyelid surgeries alone.

"Although there are various reasons that lead a person to forehead lift / brow lift surgery, in our practice, the vast majority of patients desire forehead lift / brow lift surgery to improve upper eyelid aesthetics."

What is Forehead Lift / Eyebrow Lift?

Forehead Lift and Brow Lift are actually synonymous expressions describing the same surgery. Eyebrows are nothing more than an area of the forehead skin containing specialised hair follicles. Brow lift strategies that do not include the forehead are not applied by Assoc. Dr Ozan Bitik because they create artificial and inadequate results.

Forehead Lift / Eyebrow Lift surgery is used in the treatment of wrinkles on the forehead and wrinkles concentrated especially around the eyebrows. Sagging eyebrows and wrinkles on the forehead create a tired, angry, sad expression on the face that does not reflect the real character and mood of the individual. Low eyebrows can add years to your facial appearance. With forehead lift / brow lift surgery, sagging skin on the forehead can be improved, wrinkles can be treated, eyebrows can be raised to a position more compatible with youth.

Will I Benefit from Forehead Lift / Eyebrow Lift Surgery?

Individuals who are disturbed by low eyebrows and signs of aging on the forehead benefit greatly from this surgery. As a general principle, forehead lift surgeries are suitable for people with deep wrinkles that cannot be removed with fillers, botulinum toxin injections or other methods. If we generalise, candidate patients for this procedure often desire to correct the following problems:

  • Tired, sad, unhappy expression on the face 
  • Deep forehead wrinkles 
  • ‘Frown’ lines between the eyebrows 
  • Skin/fat tissue accumulated on the eyelids 

The most important factor in eyebrow drooping and forehead ageing is the natural ageing process due to ageing. Other influential factors include sun damage, intense life stress, genetic predisposition, gender, mimic activity and lifestyle.

Sagging and wrinkling is a result of the loosening of the skin in the aging process and unfortunately, it is not possible for an individual to stop this process with what he / she does / does not do. Although factors such as protection from the sun, a healthy lifestyle, taking good care of your skin have positive effects on forehead aging, we can say that the best, most effective and most permanent treatment of skin laxity and low eyebrows on the forehead is the surgical treatments gathered under the title of forehead lift / eyebrow lift.

Ideal Candidates for Forehead Lift

The majority of candidate patients who apply for Forehead Lift/Brow Lift surgeries are male and female individuals over the age of 40. Ideal candidates for Forehead Lift/Brow Lift surgery are healthy, non-smokers with realistic expectations who complain of sagging eyebrows and forehead wrinkles.

Forehead Lift/Brow Lift Surgery Preparation

We recommend that patients preparing for this surgery pay attention to the following points before the operation in order to have the best possible experience:

  • Since you will not be able to drive to and from the operation, you should get help from a driver who will accompany you. 
  • Patients who smoke should quit smoking at least 3 weeks in advance. 
  • You must inform your doctor of all medications, especially blood thinners, before the operation. 

Forehead Lift / Eyebrow Lift Surgical Techniques

There are different surgical methods of Forehead Lift / Brow Lift surgery. The choice of method varies according to the anatomy and surgical goals of the patients.

Coronal Forehead Lift (Crown Technique)

In this technique, the surgical scar, as if you were wearing a crown, starts over one ear, curves over the scalp and extends over the other ear and remains hidden in the hair. The forehead and eyebrows are released and the forehead is stretched upwards and backwards. At the end of the stretching, the excess scalp is removed. In this way, the forehead is tightened and the eyebrows are naturally raised. This technique is typically suitable for patients with advanced stages of forehead aging, short forehead distance and low hairline.

Endoscopic Forehead Lift

In this method, 4-5 vertical, 2 cm long incisions are made in the scalp. With the help of a special micro camera called endoscope and special surgical instruments, the forehead is freed by using these small incisions and the forehead/eyebrow tissue is fixed to the bone structure on the ground. In this method, healing is faster and scars are smaller. Endoscopic forehead lift surgery, like the coronal technique, is suitable for patients with low hairline and forehead distance less than 5cm. Endoscopic technique is a more suitable option for patients in the early stages of forehead aging.

Transpalpebral Brow Lift

In this method, the incision made during upper eyelid surgery is used to lift the eyebrow. The connective tissue holding the eyebrows is released by releasing upwards from this incision. The eyebrow is then moved to the desired position with special suturing techniques or surgical fixation devices used to fix the eyebrow.

Forehead Lift from Hairline

In this technique, the incision is made on the line where the hair and forehead skin meet. The forehead skin is stretched and lifted, the excess skin on the forehead is carefully removed. Eyebrows are raised. Forehead wrinkles are removed. Unlike other techniques, the scar formed is not hidden in the hair, but it is not very noticeable after the healing is completed because it is located exactly on the anatomical junction line. This technique is the only way to reduce the forehead and narrow the forehead. Typically, it is a suitable option for patients with high forehead structure, wearing bangs, and in the advanced stages of forehead aging.

Recovery Process After Forehead Lift / Eyebrow Lift Surgery

Recovery and return to social life after this procedure varies according to the type of surgery and the individual characteristics of the patient. Stitches and hair fixations are removed within 10 days. Swelling and bruising regresses to a level to be involved in social life with a light make-up within 1-2 weeks. Lying with your head elevated after the procedure will accelerate the healing process. Postoperative pain can be controlled with mild painkillers and patients can take a bath in the morning after surgery. Mostly at the end of the first week, patients can return to work life by stopping painkillers. Routine exercise activities can be resumed within 3-4 weeks.

Alternative/Concurrent Treatments

Forehead Lift/Brow Lift surgery is often combined with other facial rejuvenation surgeries such as upper eyelid surgery and facelift surgery. Forehead lift and upper eyelid (blepharoplasty) surgeries have a complementary effect on each other. Similarly, in patients undergoing facelift surgery, the two procedures are often performed together so that the forehead does not age and disrupt the harmony of the face. After forehead lift / brow lift surgery, botulinum toxin applications can be performed to control mimic activity, fat injection and filling applications to maintain subcutaneous volume, chemical peeling / peeling applications can be performed to remove wrinkles.

Forehead Lift Surgery (Aesthetics) Prices

Forehead lift surgeries, which are applied to eliminate deformities that disrupt facial aesthetics in the forehead area and to ‘rejuvenate’ the person, are planned and applied individually. Because; everyone has a unique skin, muscle and facial asymmetry proportion. Therefore, all these factors, especially the need, can diversify the technique of the surgery. When we examine a patient who wants to have a forehead lift surgery, we determine and tell the patient with which technique and support applications we will achieve the desired appearance as a result of the examination.

Various factors such as the hospital, the surgical technique, the plastic surgeon who will perform the surgery and the presence of combination surgeries will be reflected in the forehead lift surgery prices scale. For this reason; For the forehead lift operation fee, you should definitely have a preliminary interview with your plastic and aesthetic surgeon and take into account the fee information that the doctor will give at this stage.

Is forehead lift permanent?

Forehead lift surgery is an operation that preserves its permanence for many years when performed with the right patient selection and an effective technique. We can say that forehead lift surgeries performed through the crown technique and hairline are more stable and permanent than the endoscopic technique. In endoscopic forehead lift surgery, the problem of the eyebrow falling again (recurrence) is more common than classical methods. Dr Ozan Bitik has developed an ultrasonic bone fixation technique that eliminates these disadvantages of endoscopic surgery. The effect of the surgery lasts for life, but this surgery does not stop the aging process. However, after 10-15 years, the effect of the surgery may decrease slightly with the effect of aging and external factors. 
 

How is forehead lift operation performed?

There are many technical variants of forehead lift operation. The common point of all surgeries is based on the principle of surgical release of the ligaments holding the eyebrow and forehead in place and fixing the tissue to the solid tissues on the ground in a higher position. In surgeries where large incisions such as the classical crown technique and the hairline are made, the tissues are separated under direct observation and the fixation strength is obtained by suturing the skin against each other. In the endoscopic technique, the tissues are separated with smaller incisions and a special camera system. Fixation is performed by attaching the entire tissue to the skeleton of the skull on the ground.
 

What is endoscopic forehead lift?

In endoscopic forehead lift, which is a more minimally invasive method than traditional methods, the procedure is completed with very small incisions and a faster recovery is achieved. A special camera system and special surgical instruments are used to reach remote targets through small incisions. In this technique, the entire scalp is freed from the bone together with the eyebrows. It is slid backwards on the skeleton. Subsequently, the tissue is fixed with permanent sutures in the micro tunnels opened in the bone.  
 

Is temple lift surgery permanent?

The stretching aesthetics performed in the temple and forehead area is a permanent procedure, but the duration of permanence varies according to the age of the person, skin elasticity and similar conditions. Temporal lift is an operation that affects the outer part of the eyebrow. Although the effect on the outer part of the eyebrow is permanent, the middle and inner parts of the eyebrow that are not addressed by this surgery will continue to age. There are superficial and deep approaches in temporal lift surgery. We can say that superficial approaches are more effective and permanent. However, scars, hair loss and tension lines in the skin are more disadvantageous than endoscopic techniques.
 

Does forehead lift leave permanent scars?

As with every procedure, there is a risk of scarring in this procedure, but this scar is so light that it is not visible from the outside and disappears completely over time. Scars remain wherever the skin is cut. In forehead lift surgeries, scars are often hidden in the hair. Scars are not visible as long as the hair is dense and does not fall out. However, in these surgeries, there may be hair loss around the scars. In this case, scars may be more visible. It may rarely be necessary to revise the scars in the hair or to transplant hair to areas with hair loss. Among the forehead lift techniques, the most prominent scar is visible in surgeries performed through the hairline. The least scar is obtained in endoscopic forehead lift surgery.   
 

For more detailed information about Forehead Lift Surgeries, you can access www.yeniyuzyenihayat.com, which is one of the most comprehensive Turkish resources on the internet in the field of facial aesthetics created by Assoc. Dr Ozan Bitik by clicking on the BLOG section of our website.

 

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