Forehead Lift (Browlift) Scottsdale


Forehead Lift Surgery:  An Overview

Forehead lift surgery is the perfect option for women and men who are frustrated with their facial expressions appearing too serious, sad, tired or older than they feel. For those of you who have stood in front of a mirror, pressed back your hairline and whispered, “If only,” a 1- to 2-hour surgery may offer a long-lasting solution.

Forehead Lift Surgery in Scottsdale with Dr. David Hecht

A forehead lift, or brow lift, is a surgical technique designed to restore a fresh, alert, youthful appearance that looks natural. By tightening the skin above the brow line, we are able to minimize horizontal lines and wrinkles, elevate the brows and reduce lid hooding or drooping. We can also ease wrinkles on the bridge of the nose, soften frown lines and return to you the ability to facially express intended emotions.

American Academy of Facial Plastic and Reconstructive SurgeryBrow lifts counter signs of often-unavoidable premature aging that undermine confidence. With time and skin damage from sun exposure and the elements, skin loses elasticity. Gravity draws skin downward; weather dries and chaps it. Even repeated expressions as we laugh or raise our brows in disbelief engrave creases over time. Some wrinkles are deeper than others, but a board-certified facial plastic surgeon can make years fall away. Results are immediate, and patients dedicated to following their surgeon’s instructions and adhering to a healthy lifestyle can keep those years away for a decade or more.

Who is a Good Candidate for a Brow Lift Surgery?

For men and women contemplating a forehead lift procedure, most patients are between the ages of 40 and 65. While some seek help earlier, all are unhappy with deep lines and wrinkles, and a few even note a loss in peripheral vision due to sagging skin hooding their eyes.

Ideal candidates have a positive outlook, state realistic goals, are physically healthy and forego tobacco products. Individual patient needs dictate which type of lift would work best, as determined by a board-certified facial plastic surgeon. It is not uncommon to add eyelid surgery (blepharoplasty) or other facelift procedures or surface treatments, like laser skin resurfacing, to achieve the desired outcome.

What to Expect During a Forehead Lift Procedure?

Brow lift surgery includes a number of options, but the surgery selected depends on a patient’s facial structure, hairline, health and goals. The main difference in techniques is in the incision: its placement and its length. The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) defines options as an endoscopic brow lift, a coronal incision, a pretrichial incision, a mid-forehead lift incision, and direct and indirect brow lift incisions.

Endoscopic Brow Lift

The newest technique to smooth the forehead uses an endoscope — a delicate surgical video device that transmits to a screen display. This advancement allows surgeons to make a few small incisions strategically placed just behind the hairline. Incisions are usually 1 inch long or less and quickly camouflaged as hair grows to conceal them. Because an endoscopic brow lift is less invasive than more traditional, open methods, patients have only minor, temporary numbness, little risk of scarring, and a relatively quick recovery.

Open Brow Lift Techniques

Traditional techniques also performed within or along the hairline include coronal and pretrichial incisions. With the coronal brow lift, the incision is set back into the hairline, following a path from ear to ear. The front portion is drawn back, excess tissue removed and the incision closed. Hair grows to cover any evidence of incision. The pretrichial incision is similar but offers an additional benefit to patients with high foreheads or receding hairlines. Because the middle third of the incision follows the hairline border along the forehead, this type of forehead lift can lower or restore hairlines, as well as smooth and lift the facial area.Scottsdale forehead lift before and after photos

Facial plastic surgeons have a third option of seating incisions on the forehead or brow areas when lines are especially deep and skin is thick (common in men). They include mid-forehead lift incisions, as well as direct (follows the brow) and indirect (above the brow) lift incisions. For these options, seating incisions within the creases works well and prevents scarring.

Three-Part Process

Initial Consult: Consultations are opportunities to establish comfortable rapport and exchange information vital to a positive outcome. Patients must be frank and honest in conveying their concerns and what they hope to gain from a forehead lift. Only then can facial plastic surgeons narrow options by carefully comparing a patient’s goals and expectations to their:

  • Facial structure
  • Skin condition
  • Hairline placement and density
  • Current health and medical conditions
  • Past medical history

With an agreed-upon procedure, your facial plastic surgeon will detail the optimum technique, any pre-operative precautions, chosen surgical facility, types of anesthesia, risks, postoperative care and costs. Effective consultations allow patients and surgeons to approach the procedure with positive attitudes conducive to successful healing.

Surgery: Length of procedure and type of anesthesia vary, depending on selected lift technique — especially when combined with other procedures. Most, particularly endoscopic brow lifts, can be completed in an hour or two under light sedation. For extensive procedures, general anesthesia may be preferred.

Post-Surgical Care: A forehead lift is a surgical procedure. Standard recovery time is usually 10 days to 2 weeks. Some swelling and bruising are normal and may extend into eye and cheek areas. Patients may also experience mild itching and temporary numbness at incision sites. They may have bandages for 1 to 3 days; sutures (stitches), 7 to 10 days. Keeping the head elevated (when bending, stooping, or reclining) and applying cool compresses helps with both swelling and pain. For those with sensitive skin prone to extended bruising, standard makeup usually offers sufficient coverage while tissue heals.

Full, complete healing takes time. The American Academy of Otolaryngology — Head and Neck Surgery stresses that high-impact activities can disrupt progress and cause complications. A patient’s successful recovery depends on following post surgical instructions provided by Dr. Hecht and our staff.

Investing in Confidence with Dr. David Hecht in Scottsdale

Procedures to correct trauma or medical conditions may or may not be eligible for insurance coverage. Surgery for purely cosmetic reasons, however, is always a personal investment in maintaining a healthy, youthful appearance that boosts self-esteem and ensures confidence. Endoscopic brow lifts and alternative lift incisions offer convenient and immediate options for turning back the clock and significantly bolstering a patient’s sense of self-worth and potential.

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