Lift Surgery > Procedure Information
Forehead lift surgery is performed to elevate depressed eyebrows. Low eyebrows create the illusion that eyes are smaller and elevating the brows can therefore make one look more “bright eyed”. It can be performed alone or in conjunction with face lift and/or eyelid surgery. Depressed or low eyebrows may have been inherited and therefore present in younger years and/or the result of skin relaxation associated with aging.
There are two approaches to forehead lifts. The traditional method involves elevating the entire forehead through an incision across the scalp. This provides excellent exposure for sub-total removal of the frowning muscles as well as upward placement of depressed eyebrows. An alternative technique involves smaller incisions, no skin or scalp removal but less ability to safely remove the frowning muscles and generally more conservative and less permanent upward placement of the eyebrows. Each technique has its pros and cons but in general, the fiber optic technique with its smaller incisions frequently produces a less than optimal elevation of the eyebrows. It also involves the use of temporary or permanent fixation devises to hold the eyebrows up against the natural tendency of gravity, time and muscles to pull the brows back down.
Dr. Ott prefers the traditional approach but places the incision according to an individual’s hairline and forehead height. For those patients with a short to normal forehead height, it is best to place the incision well behind the hairline. This incision is beveled so as to preserve the hair follicles. For individuals with a high forehead, it is best to pace a beveled incision near the anterior hairline. This allows the forehead to be shortened which helps to place more aesthetic emphasis on the eyes.
Most swelling is not noticeable to others within 7 to 10 days. There is decreased sensation in the forehead from this operation which takes many months to resolve. As sensation returns, some patients report itching and/or tingling sensations.