Eyes and eyebrows are among the areas of the face where the aging process is most visible. Flaccidity and sagging of tissues in these areas is one of the most common problems that patients report to the plastic surgeon.
Sagging of the eyebrows and forehead gives the face a heavy, tired look and also exacerbates heaviness of upper eyelids. Without proper correction of eyebrow position, eyelid surgery alone often does not give the desired result. A surgical eyebrow and forehead lift is a one-time procedure with lasting results that aims to restore the youthful appearance of this area and "open up" the eye area.
Why is it worth it?
Often, severe eyebrow sagging limits the possibility of performing the upper eyelid plasty, especially in men. If excess sagging eyelid skin coexists with drooping eyebrows, a brow and forehead lift is necessary for optimal aesthetic results. The surgical procedure is performed as a one-time procedure and the result offers many years of improvement in facial appearance.
What do you need to know?
sagging of the eyebrows and forehead
How often repeat
The procedure is not repeated
App. 2-3 hours
The effect is smoothing of forehead wrinkles, lifting of eyebrows and giving the face a younger and relaxed appearance. An additional advantage is the possibility of limiting or postponing the need for corrective surgery of the upper eyelids, the indications for which are often aggravated by sagging forehead tissues and eyebrow arches.
Natural and instant effects!
Before the surgery, laboratory blood tests (blood count, coagulation parameters, electrolytes, urea, creatinine, CRP - inflammatory protein), ECG and chest X-ray are necessary. After the tests are completed, the Patient reports for an anaesthetic consultation, during which the conditions for anaesthesia are assessed. Admission to hospital takes place on the day of surgery. The operation is carried out under general anaesthesia. Surgical incisions are carried out depending on the surgical technique chosen. Regardless of length of the cut, the plastic surgeon reduces its visibility by making it at the hairy skin border or in the hair. In open techniques, forehead tissues are gently lifted under the surgeon's visual control. If the endoscopic technique is chosen, through smaller incisions the surgeon inserts thin optical instruments under the skin, subcutaneous tissue, muscles and the tendon cap, which transmit the surgical image to the monitor screen. Special surgical instruments are also inserted through identical incisions. In this case, lifting the forehead requires freeing its connections with the bones and fixing the muscles and fascia with special screws in a new position. If the operation is carried out using open techniques then, after careful assessment, excess skin in the operated areas may be removed. At each stage, the plastic surgeon performs detailed haemostasis, i.e. closes open blood vessels, which reduces the risk of postoperative bleeding. The surgical procedure ends with placement of sutures on the subcutaneous tissue and skin, and postoperative dressings. The Patient stays for approximately 2 hours in a monitored recovery room and then returns to their room at the Department. Usually after 1 night spent at the Clinic, the Patient can go home. Sutures are usually removed between 7 and 14 days after the surgery. It takes about 2 weeks for the swelling to subside and convalescence to be complete, but you will need to wait a minimum of six months for the final result of the operation until the scars have fully remodelled.
Postoperative recommendations include: - limiting physical efforts and lifting for at least one month after the surgery; - wearing compression dressings and then a band for several weeks; gentle pressure in the operated areas promotes healing and facial contouring, reduces swelling and prevents haematoma formation; - daily hygiene of postoperative wounds including washing them with disinfectant fluid and changing the dressings; - removal of sutures usually between 7 and 14 days, depending on the progress of healing; in some cases, it is advisable to keep the sutures in place longer; - follow-up visits usually take place after 7-14 days (with removal of sutures), after 3 months and after a year. Please note that the healing process for each patient is individual and may require additional checks.
The main contraindications for the forehead and eyebrow lift include uncontrolled general diseases such as diabetes or hypertension, taking drugs that affect blood coagulation (aspirin, anticoagulants such as Xarelto, Pradaxa and others, high doses of anti-inflammatory drugs), systemic or skin infections, including active herpes. Due to the particular risk of complications in smokers (especially local skin necrosis with the formation of skin losses - occurring up to 12 times more often), it is contraindicated to perform scheduled aesthetic procedures in smokers, and the optimal interval from quitting smoking is at least 3 months. Scheduled aesthetic operations are also not performed in pregnant or breastfeeding women.
The procedure is carried out under general anaesthesia and is, therefore, not painful. Immediately after the operation, tenderness and increased tension of the operated area are typical, among others in connection with swelling after the surgery. As time goes by, this discomfort eases and, if necessary, the patient can take painkillers prescribed by the attending surgeon.
The effect is smoothing of forehead wrinkles, lifting of eyebrows and giving the face a younger and relaxed appearance.
Results of the procedure last for many years.
Yes, an enormous advantage of properly performed lift is a very natural, but much younger appearance of the face.
• swelling and bruising of the operated areas • bleeding, development of haematoma (may require repeated surgical intervention) • haematomas under the skin (4-5%) and subcutaneous haematomas • inflammation and infection (2.2%) • delayed wound healing • hypertrophic or wide scars • keloid • local skin necrosis (12 times more frequent in smokers) with skin prolapse • permanent or temporary hyperpigmentation or discolouration of the skin • surface irregularities and depressions in the operated area • thickenings • hypersensitivity or hyposensitivity in the area of the forehead and scalp • loss of hair in the incision line and in the immediate vicinity • chronic pain in the incision line (2.5%) • the need for a corrective reoperation in the event of insufficient improvement and patient satisfaction or too rapid, unpredictable return of tissue flaccidity
Swelling subsides and convalescence takes about 2 weeks. After this time, the patient's appearance improves significantly; after about a month already, the effect is satisfactory to most patients, but one needs to wait at least six months for the final effect of the operation, until full reconstruction of the scars.
The surgery is performed once and does not need to be repeated, while the expected result is maintained for many years.
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